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CHC Dentists Intent to Stay_McAllister Castelaz_FINAL2.39 MB
Embargoed Access, Embargo ends: 07/01/2026
Thesis
Factors associated with dentists’ intent to stay at current community health center long-term
University of Iowa
Master of Science (MS), University of Iowa
Spring 2024
DOI: 10.25820/etd.007440
Abstract
Disparities in access to dental care persist in the United States. Community health centers (CHCs) are a part of the dental safety net that provides care to those who face significant access barriers. Increasing reports of dentist burnout and declining interest in public health careers raise concerns regarding clinician shortages in CHCs. The purpose of this research project is to identify factors related to dentists’ intent to continue working in their current CHC long-term.
The data source was a 2021 workforce survey conducted by the National Network for Oral Health Access (NNOHA). This online survey was distributed to NNOHA listerserv subscribers, NNOHA members, as well as promoted during the 2021 Annual NNOHA Conference. The study sample included dentists currently employed in a CHC. The dependent variable was dentists’ intent to stay at their current CHC long-term, which was categorized as more than seven years or less than or equal to seven years. A set of 48 independent variables of interest were categorized into four domains: organizational aspects, individual perceptions, individual motivators, and individual characteristics. Descriptive and bivariate analyses were performed, and a final multivariable model was developed.
The final study sample included 248 dentists. In the final multivariable model, dentists in a leadership position had 3.7 times the odds of intending to stay at their current CHC compared to staff dentists. Additionally, dentists with a high level of professional autonomy had over 2.5 times the odds to intend to stay compared to those who reported low to moderate level of professional autonomy. While not statistically significant, dentists who reported good or excellent support of the dental team during the COVID-19 pandemic demonstrated a positive association with intent to stay compared to those who had less than good support, and those who did not consider a change in employment due to COVID-19 demonstrated a positive association with the intention to stay compared to those who did consider a change.
Dentists’ autonomy and role were significantly associated with intent to stay at their community health centers. However, length of time in clinical practice was not found to be significantly associated with intent to stay. Additionally, factors often associated with recruiting mechanisms, such as identifying individuals interested in providing care in a community-based environment, loan repayment opportunities, or benefits packages were not associated with an intent to stay at their health center long-term. Understanding the difference between recruitment strategies and retention strategies is important for health centers as the work to fulfill their organizational mission to provide equitable access to dental care in their communities.
Details
- Title: Subtitle
- Factors associated with dentists’ intent to stay at current community health center long-term
- Creators
- McAllister Castelaz
- Contributors
- Julie Reynolds (Advisor)John Warren (Committee Member)Fang Qian (Committee Member)Candace Owen (Committee Member)
- Resource Type
- Thesis
- Degree Awarded
- Master of Science (MS), University of Iowa
- Degree in
- Dental Public Health
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- DOI
- 10.25820/etd.007440
- Number of pages
- xii, 191 pages
- Copyright
- Copyright 2024 McAllister Castelaz
- Language
- English
- Date submitted
- 04/23/2024
- Description illustrations
- Illustrations, tables, graphs, charts
- Description bibliographic
- Includes bibliographical references (pages 144-151).
- Public Abstract (ETD)
In the United States disparities persist in accessing dental care, and community health centers (CHCs) play an important role in the dental safety net for individuals facing significant barriers to dental care. Escalating reports of dentist burnout and waning interest in public health careers raise concerns about potential clinician shortages in CHCs that could further limit dental care accessibility. This research project aimed to identify factors influencing dentists' commitment to stay at their current CHC long term.
Data from the 2021 National Network for Oral Health Access (NNOHA) workforce survey were used to examine factors associated with dentists' intent to stay at their current CHC for more than seven years. Forty-eight independent variables across four domains — organizational factors, individual perceptions, individual motivators, and individual characteristics — were examined in their relation to dentists’ intent to stay at their current CHC long-term.
The results revealed that dentists in leadership roles had over three times the odds to intend to stay compared to staff dentists. Additionally, dentists with high professional autonomy had over 2.5 times the odds of intending to stay than those with low to moderate autonomy. Factors conventionally linked with recruitment, such as identifying individuals interested in community-based care or offering loan repayment or benefits packages, did not significantly influence the intent to stay long-term. Understanding this disparity between recruitment and retention strategies is vital for CHCs striving to fulfill their mission of improving dental care access.
- Academic Unit
- Preventive and Community Dentistry
- Record Identifier
- 9984647452702771
Metrics
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