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Rural Dentistry: Availability, Practice, and Access
The population of the U.S. is experiencing a silent epidemic of dental disease that has disproportionately affected the oral health of poor, isolated and otherwise disadvantaged populations. Rural children in particular are victims of this epidemic. Against this background of rural disadvantage in dental disease prevalence is a shortage of dental providers in rural areas. This study uses secondary data sources such as the Area Resource File, American Dental Association data, and state-level professional licensure data to describe the supply of dental providers in several states, with particular attention to the supply of providers in rural areas. Results of a survey administered to rural dentists in California, Maine, Missouri, and Alabama, will be used to describe the rural dental provider population in those states. The survey addresses issues of demography, practice characteristics, practice satisfaction, use of dental hygienists, Medicaid and CHIP practices, and attitudes toward the use of alternative sources of dental care, such as using medical providers to apply sealants in the pediatric population. The study will elucidate, from the dental provider perspective, the barriers to access to dental care for rural residents and what can be done to promote rural dental practice.
Publications
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Rural Dental Practice: A Tale of Four States (Full Report)
Author(s): C. Holly A. Andrilla, Denise M. Lishner, L. Gary Hart
Report Number: Working Paper No. 107
Date: 03 / 2006
Reports the findings of a study investigating rural
dentist issues, such as demography, training, practice
characteristics, staff, and job satisfaction, in Alabama,
California, Maine, and Missouri. Generally, dentists and their work patterns were similar across the four states.
Dentist practices varied dramatically across states
regarding staffing patterns. Vacancy rates for dental hygienists varied greatly from state to state, ranging from 35 percent to 6 percent, while dental assistant vacancy rates varied from 12 percent to 4 percent. Dentist Medicaid participation and volume differed widely across the states.
The majority of dentists in the four states were
satisfied with their professional life, but the percentage
who felt they were too busy or not busy enough varied widely among the states.
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Rural Dental Practice: A Tale of Four States (Project Summary)
Date: 03 / 2006
Overview results of a survey of rural dentists in Alabama, California, Maine, and Missouri. Provides charts and statistics on dentist demographics, dental hygienist and dental assistant vacancy rates, and dentist participation in Medicaid. A full report is also available.
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