Oral health disparities and the workforce: A framework to guide innovation

Journal of Public Health Dentistry

Volumn 70, Issue SUPPL. 1, 2010, Pages

  Hilton, Irene V ^a   Lester, Arlene M ^b  

^a SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH   (United States)

^b U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

Author keywords

dental care delivery; dental practice patterns; education; ethnicity; health personnel; healthcare systems; oral health disparities

Indexed keywords

ARTICLE; DENTAL ASSISTANT; DENTAL CARE; DENTIST; EDUCATION; HEALTH CARE DISPARITY; HEALTH CARE POLICY; HUMAN; MANPOWER; MINORITY GROUP; NONBIOLOGICAL MODEL; ORGANIZATION; PUBLIC HEALTH SERVICE; UNITED STATES; UTILIZATION REVIEW;

DENTAL AUXILIARIES; DENTAL CARE; DENTISTS; HEALTH POLICY; HEALTHCARE DISPARITIES; HUMANS; MINORITY GROUPS; MODELS, ORGANIZATIONAL; ORGANIZATIONAL INNOVATION; PUBLIC HEALTH DENTISTRY; UNITED STATES;

EID: 77953938061     PISSN: 00224006     EISSN: 17527325     Source Type: Journal    
DOI: 10.1111/j.1752-7325.2010.00175.x     Document Type: Article

References (36)

1. US Department of Health and Human Services. Oral health in America: a report of the surgeon general.
2. Oral Health America. Children's toothache deaths signal step backwards for nation, advocates say. 2007 cited 2010 Mar 15]. Available from: http://www.oralhealthamerica.org/news/032307.htm BA, Tan S, Smith V, Lewis BG, Barker LK, Thorton-Evans G, Eke PI, Beltran-Aguilar ED, Horowitz AM, Li CH. Trends in oral health status: United States, 1988-1994 and 1999-2004.
3. United States General Accounting Office. GAO report: factors contributing to low use of dental services by low-income populations 2000.
4. Manski RJ, Brown E. Dental use, expenses, private dental coverage, and changes, 1996 and 2004.
5. DATA2010 the healthy people 2010 database - February, 2009 edition - focus area: 21-oral health. 2009 cited 2010 Mar 15]. Available from: http://wonder.cdc.gov/data2010/focus.htm SA, Gansky SA, Platt LJ, Weintraub JA, Soobader MJ, Bramlett MD, Newacheck PW. Influences on children's oral health: a conceptual model. Pediatrics. 2007 120 (3 e510 20.
6. McKinnon M, Luke G, Bresch J, Moss M, Valachovic RW. Emerging allied dental workforce models: considerations for academic dental institutions. J Dent Educ. 2007 71 : 1476 91.
7. US Department of Health and Human Services, Office of Public Health and Science, Office of Minority Health. A strategic framework for improving racial/ethnic minority health and eliminating racial/ethnic health disparities.
8. Mitchell DA, Lassiter SL. Addressing health care disparities and increasing workforce diversity: the next step for the dental, medical, and public health professions. Am J Public Health. 2006 96 : 2093 7.
9. US Census Bureau. Census 2000 special Equal Employment Opportunity (EEO) tabulation 2005.
10. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM. Racial differences in the use of revascularization procedures after coronary angiography. JAMA. 1993 269 : 2642 6.
11. Joslyn SA, West MM. Racial differences in breast carcinoma survival. Cancer. 2000 88 : 114 23.
12. Wagner JA, Redford-Badwal D. Dental students' beliefs about culture in patient care: self-reported knowledge and importance. J Dent Educ. 2008 72 : 571 6.
13. Edelstein BL. Training new dental health providers in the US: Columbia University and Children's Dental Health Project 2009 December 2009.
14. Yevlahova D, Satur J. Models for individual oral health promotion and their effectiveness: a systematic review. Aust Dent J. 2009 54 : 190 7.
15. Mouradian WE, Huebner CE, Ramos-Gomez F, Slavkin HC. Beyond access: the role of family and community in children's oral health. J Dent Educ. 2007 71 : 619 31.
16. Watt RG. From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Community Dent Oral Epidemiol. 2007 35 : 1 11.
17. American Dental Association. 2006 Survey of dental practice series. Annual Expenses of Operating a Private Practice. Highlights. 2006 cited 2010 May 5]. Available from
18. Health Resources and Services Administration. Shortage designation: HPSAs, MUAs, & MUPs. 2009 cited 2010 May 5]. Available from: http://bhpr.hrsa.gov/shortage/
19. American Dental Association. 2008 Survey of dental practice series. Characteristics of Dentists in Private Practice and Their Patients. Highlights. 2008 cited 2010 May 5]. Available from
20. Gehshan SH, Scales PJ. Increasing dentists' participation in Medicaid and SCHIP.
21. Milgrom P, Spiekerman C, Grembowski D. Dissatisfaction with dental care among mothers of Medicaid-enrolled children. Community Dent Oral Epidemiol. 2008 36 : 451 8.
22. Mofidi M, Rozier RG, King RS. Problems with access to dental care for Medicaid-insured children: what caregivers think. Am J Public Health. 2002 92 : 53 8.
23. Evans CA. Eliminating oral health disparities: ethics workshop reactor comments. J Dent Educ. 2006 70 : 1180 3.
24. Formicola AJ. Addressing oral health care disparities. Major issue for the dental profession in the 21st century. N Y State Dent J. 2005 71 (7 26 9.
25. Milgrom P, Garcia RI, Ismail A, Katz RV, Weintraub JA. Improving America's access to care: the National Institute of Dental and Craniofacial Research addresses oral health disparities. J Am Dent Assoc. 2004 135 : 1389 96.
26. American Dental Hygienists' Association. Advanced dental hygiene practitioner fact sheet. 2010 cited 2010 May 5]. Available from: http://www.adha.org/media/facts/adhp.htm
27. American Dental Association. The ADA CDHC Program: frequently asked questions 2009; how will the CDHC help the underserved? 2009 cited 2010 May 5]. Available from: http://www.ada.org/sections/educationAndCareers/pdfs/frequently- asked-questions-cdhc.pdf
28. Nash DA, Nagel RJ. Confronting oral health disparities among American Indian/Alaska Native children: the pediatric oral health therapist. Am J Public Health. 2005 95 : 1325 9.
29. American Dental Hygienists' Association. Survey of dental hygienists in the United States, 2007: executive summary: American Dental Hygienists' Association 2009.
30. Guthrie D, Valachovic RW, Brown LJ. The impact of new dental schools on the dental workforce through 2022. J Dent Educ. 2009 73 : 1353 60.
31. Health Resources and Services Administration. Health professions: public health. 2010 cited 2010 Mar 15]. Available from: http://bhpr.hrsa.gov/grants/ public.htm
32. Health Resources and Services Administration. National health service corps. 2010 cited 2010 Mar 15]. Available from: http://nhsc.hrsa.gov/index.htm
33. Formicola A, Bailit H, D'Abreu K, Stavisky J, Bau I, Zamora G, Treadwell H. The Dental Pipeline Program's impact on access disparities and student diversity. J Am Dent Assoc. 2009 140 : 346 53.
34. California Dental Association. New dental assisting duties and standards in 2010. 2010 cited 2010 Mar 15]. Available from: http://www.cda.org/popup/new- dental-assisting-duties-and-standards-in-2010
35. Institute of Medicine. The US oral health workforce in the coming decade: workshop summary.
36. The Pew Center on the States and the National Academy for State Health Policy. Help Wanted: A Policy Maker's Guide to New Dental Providers 2009.