Journal article
Qualitative evaluation of the pre-implementation phase of a rural dental clinic co-located within a health center in the Pacific Northwest of the United States
Community dentistry and oral epidemiology, Vol.51(2), pp.256-264
04/2023
DOI: 10.1111/cdoe.12734
PMID: 35261055
Abstract
Objective The development of a dental clinic within an existing Rural Health Clinic (RHC) was proposed to improve access to dental care for Medicaid enrollees in Washington. This qualitative study assessed the implementation of a co-located dental clinic in a rural community during the pre-implementation phase. Additionally, we sought to determine the needs and expectations of community members living in this rural Washington county. Methods This study took place in Jefferson County, Washington, a Dental Health Professional Shortage Area. Semi-structured interviews were conducted with 42 participants, consisting of administrators (n = 9), health providers (n = 9) and community members (n = 24). Administrators and health providers were interviewed by phone. Community members were interviewed in-person at Jefferson Healthcare primary care clinics or by phone. Interview data were deductively coded, and thematic analysis with a hybrid inductive-deductive approach was used to analyse coded data. Results Five themes were identified regarding local needs and expectations: dental care as a major need in the community, persisting barriers to dental care access, expecting more than a 'Medicaid experience', visions for a clinic that serves the community, and solutions outside the clinic to improve community oral health. Conclusions By improving access to dental care, a co-located dental clinic is helping to address general dental care needs in rural communities. Policy-level solutions that address housing and food insecurity, improve public transportation, and retain and expand low-income adult Medicaid dental benefits may be needed to overcome persisting barriers to oral health.
Details
- Title: Subtitle
- Qualitative evaluation of the pre-implementation phase of a rural dental clinic co-located within a health center in the Pacific Northwest of the United States
- Creators
- Stephanie Cruz - University of WashingtonDarragh Kerr - University of WashingtonDaisy Patino Nguyen - Univ Washington, Dept Oral Hlth Sci, Seattle, WA 98195 USAAdi Carlyle - University of WashingtonDonald L. Chi - University of Washington
- Resource Type
- Journal article
- Publication Details
- Community dentistry and oral epidemiology, Vol.51(2), pp.256-264
- Publisher
- Wiley
- DOI
- 10.1111/cdoe.12734
- PMID
- 35261055
- ISSN
- 0301-5661
- eISSN
- 1600-0528
- Number of pages
- 11
- Grant note
- HRSA-18-014 / Health Resources and Services Administration; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA) Lloyd and Kay Chapman Endowed Chair for Oral Health P2CHD042828 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) William T. Grant Foundation R01DE026741-02S1; T90DE021984 / National Institute of Dental and Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Electronic publication date
- 03/08/2022
- Date published
- 04/2023
- Academic Unit
- Preventive and Community Dentistry; Public Policy Center (Archive)
- Record Identifier
- 9984283703802771
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