Filling the Gaps: Dentist Disparities along the Rural Urban Continuum
This 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.
|Date of creation:||22 May 2012|
|Date of revision:|
|Contact details of provider:|| Postal: P.O. Box 400206|
Web page: http://www.coopercenter.org/econ
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- 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.
- 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.
- J. Barkley Rosser, 2009. "Introduction," Chapters, in: Handbook of Research on Complexity, chapter 1 Edward Elgar Publishing.
- Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, vol. 5(4), pages 293-313, December.
- Morris M. Kleiner, 2006. "Licensing Occupations: Ensuring Quality or Restricting Competition?," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number lo, November.
- Yule, Brian & Parkin, David, 1985. "The demand for dental care: An assessment," Social Science & Medicine, Elsevier, vol. 21(7), pages 753-760, January.
- McGranahan, David A., 1999. "Natural Amenities Drive Rural Population Change," Agricultural Economics Reports 33955, United States Department of Agriculture, Economic Research Service.
- 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.
- 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.
- 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.
- Graves, Philip E., 1980. "Migration and climate," MPRA Paper 19916, University Library of Munich, Germany.
- 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.
- 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.
- 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.
- 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.
- 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.
- Correia Isabel & Veiga Paula, 2010. "Geographic distribution of physicians in Portugal," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 383-393, August.
When requesting a correction, please mention this item's handle: RePEc:vac:wpaper:wp12-02. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (William M. Shobe)
If references are entirely missing, you can add them using this form.