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Scope of practice laws & health outcomes, dental edition

Posted on 6/13/14 at 9:30 am
Posted by 90proofprofessional
Member since Mar 2004
24445 posts
Posted on 6/13/14 at 9:30 am
Just wanted to share.

Some decent-looking evidence that top-level healthcare providers in this industry have too much control over who is "qualified" to do what and under which conditions.




Index based on this paper, which means the index itself might need some closer examination before drawing firm conclusions. I haven't read the paper though, I have only gone to the tables so far.
Posted by The Spleen
Member since Dec 2010
38865 posts
Posted on 6/13/14 at 9:40 am to
Interesting. I think the top right quadrant of the graph speaks more to the poverty level in those states rather than the restrictiveness of dental hygienist certification, though I'm sure that does have an impact.
Posted by 90proofprofessional
Member since Mar 2004
24445 posts
Posted on 6/13/14 at 9:52 am to
quote:

I think the top right quadrant of the graph speaks more to the poverty level in those states rather than the restrictiveness of dental hygienist certification

No doubt. I'm also thinking about the interaction between the issue you bring up and the one measured in the chart as well.

By that I mean that these poor folks who can't afford a top-level practitioner, might be able to afford a mid-level one. Certainly this will be the case at least some of the time.

And in many of those states where poverty is most likely an impediment, services from those mid-level (cheaper) providers isn't legal.

To some extent, it seems that this results in a greater number of toothless people.
Posted by RustyTiger
Daytona Beach, FL
Member since Jul 2005
958 posts
Posted on 6/13/14 at 10:24 am to
The figures for DH per 100,000 does not give good data. Take Florida where we have so many retires and a very large percentage have dentures. This information and data are skewed. This is a ploy by DH to start private practice with claims that they can deliver their much cheaper than a dental office setting. When they have to lease office space buy and maintain equipment, hire a receptionist, pay utilities it will cost as much or more since they will have to dentist for his diagnosis and treatment plan. Out of all the DH I employed of my 34 years in practice only one could sharpen her instruments so they were always listing new instruments on the order sheet and these are not cheap. Good luck!
Posted by 90proofprofessional
Member since Mar 2004
24445 posts
Posted on 6/13/14 at 11:22 am to
A wild dentist appears!
Posted by 90proofprofessional
Member since Mar 2004
24445 posts
Posted on 6/13/14 at 12:12 pm to
quote:

The figures for DH per 100,000 does not give good data. Take Florida where we have so many retires and a very large percentage have dentures. This information and data are skewed.

Why is this factor very relevant, compared to the restrictions placed upon them? Can't the number of DH's adjust to the demand placed for the service they do, or is the number of them arbitrarily controlled?
quote:

When they have to lease office space buy and maintain equipment, hire a receptionist, pay utilities it will cost as much or more

If correct, that's their problem. Is this the only reason they shouldn't be allowed to try?
quote:

since they will have to dentist for his diagnosis and treatment plan

For everything a hygienist does?
quote:

Out of all the DH I employed of my 34 years in practice only one could sharpen her instruments so they were always listing new instruments on the order sheet

Are you saying that this is representative of the typical quality of recently-trained DH's today? I've known several, and the suggestion that the level of proficiency you describe seems very hard to believe as the norm.
Posted by bayou2
New Orleans, LA
Member since Feb 2007
2967 posts
Posted on 6/13/14 at 12:18 pm to


Actually, I think if you did an overlay of top states that drink Mnt. Dew - you will see the cause.

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