Filling the Gaps: Dentist Disparities along the Rural Urban Continuum
AbstractThis paper examines the distribution of dentists among U.S. counties along the rural-urban continuum. Dentist workforce availability has implications for oral health care access and utilization, which in turn can affect the quality of life, health, and productivity of rural residents. In addition, dentists form part of the non-tradable services sector, and its erosion may affect the vitality of rural economies. Nonmetropolitan counties have significantly lower levels of dentists per 100,000 residents than metropolitan areas and face the prospect of future attrition in the dentist workforce because of an aging workforce and increasing difficulty attracting newly minted dentists who favor more urbanized practice locations. The paper develops spatial econometric models of dentist location to help identify factors amenable to policy intervention. Results indicate that demand factors such as income, private insurance coverage, educational levels, and demographic composition play a role in dentist disparities. Also, private practice dentists tend to cluster near counties with urban areas consisting of at least 10,000 residents, higher net in-commuting, a greater presence of other health care and creative class professionals, and natural amenities. More stringent regulation for dental hygienists also boosts the relative quantity of dentists. Dental schools and public dentists are associated with a greater availability of private practice dentists.
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Bibliographic InfoPaper provided by Center for Economic and Policy Studies in its series Working Papers with number 2012-02.
Length: 37 pages
Date of creation: 22 May 2012
Date of revision:
dentists; distribution; spatial econometrics; rural-urban continuum;
Find related papers by JEL classification:
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations
- R12 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Size and Spatial Distributions of Regional Economic Activity; Interregional Trade (economic geography)
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-07-14 (All new papers)
- NEP-HEA-2012-07-14 (Health Economics)
- NEP-URE-2012-07-14 (Urban & Real Estate Economics)
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- Yule, Brian & Parkin, David, 1985. "The demand for dental care: An assessment," Social Science & Medicine, Elsevier, vol. 21(7), pages 753-760, January.
- Rephann, Terance & Isserman, Andrew, 1994. "New highways as economic development tools: An evaluation using quasi-experimental matching methods," Regional Science and Urban Economics, Elsevier, vol. 24(6), pages 723-751, December.
- Dale Ballou & Michael Podgursky, 1998. "Teacher recruitment and retention in public and private schools," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 17(3), pages 393-417.
- Anselin, Luc & Bera, Anil K. & Florax, Raymond & Yoon, Mann J., 1996. "Simple diagnostic tests for spatial dependence," Regional Science and Urban Economics, Elsevier, vol. 26(1), pages 77-104, February.
- Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, vol. 5(4), pages 293-313, December.
- McGranahan, David A., 1999. "Natural Amenities Drive Rural Population Change," Agricultural Economics Reports 33955, United States Department of Agriculture, Economic Research Service.
- Morris M. Kleiner, 2006. "Licensing Occupations: Ensuring Quality or Restricting Competition?," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number lo.
- Bound, John & Groen, Jeffrey & Kezdi, G.Gabor & Turner, Sarah, 2004. "Trade in university training: cross-state variation in the production and stock of college-educated labor," Journal of Econometrics, Elsevier, vol. 121(1-2), pages 143-173.
- Sintonen, Harri & Linnosmaa, Ismo, 2000. "Economics of dental services," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 24, pages 1251-1296 Elsevier.
- Morris M. Kleiner & Kyoung Won Park, 2010. "Battles Among Licensed Occupations: Analyzing Government Regulations on Labor Market Outcomes for Dentists and Hygienists," NBER Working Papers 16560, National Bureau of Economic Research, Inc.
- DeVany, Arthur S, et al, 1982. "The Impact of Input Regulation: The Case of the U.S. Dental Industry," Journal of Law and Economics, University of Chicago Press, vol. 25(2), pages 367-81, October.
- Graves, Philip E., 1980. "Migration and climate," MPRA Paper 19916, University Library of Munich, Germany.
- Bruce Carpenter & Stephen Neun, 1999. "An analysis of the location decision of young primary care physicians," Atlantic Economic Journal, International Atlantic Economic Society, vol. 27(2), pages 135-149, June.
- Correia Isabel & Veiga Paula, 2010. "Geographic distribution of physicians in Portugal," The European Journal of Health Economics, Springer, vol. 11(4), pages 383-393, August.
- Mueller, Curt D. & Monheit, Alan C., 1988. "Insurance coverage and the demand for dental care : Results for non-aged white adults," Journal of Health Economics, Elsevier, vol. 7(1), pages 59-72, March.
- Tanya Wanchek, 2010. "Dental Hygiene Regulation and Access to Oral Healthcare: Assessing the Variation across the US States," British Journal of Industrial Relations, London School of Economics, vol. 48(4), pages 706-725, December.
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