Spatial accessibility of dental care is mediated by dentist workforce availability and travel costs. In this study, we generated dental service areas through small area analysis of Medicaid administrative data and claims. Service areas were then used to assess dimensions of spatial accessibility, including dentist-to-population ratios, and examine relationships in geographic variation of routine dental care among Medicaid-enrolled children. Our findings indicate significant geographic differences in accessibility for Hispanic children compared to other children, even after controlling for individual and service area characteristics.
Dental health services Geographic Information Systems (GIS) Health service areas Medicaid Preventive dental care Oral Health Policy
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Title: Subtitle
Geographic variation of dental utilization among low income children
This research was partially supported by a T32 grant from the National Institute of Dental and Craniofacial Research (5T32DE014678) and a state workforce development grant from the Health Resources Service Administration (T12HP14992)
Language
English
Date copyrighted
2015
Academic Unit
Preventive and Community Dentistry; Biostatistics; Statistics and Actuarial Science; Health Management and Policy; Civil and Environmental Engineering; University College Courses; Oral Health Policy Research; Public Policy Center (Archive)
Record Identifier
9983557140902771
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Geographic variation of dental utilization among low income child