Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta
Abstract Objectives Dental Health Aide Therapists (DHATs) have been part of the dental workforce in Alaska's Yukon‐Kuskokwim (YK) Delta since 2006. They are trained to provide preventive and restorative care such as filling and extractions. In this study, we evaluated community‐level dental out...
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crwiley:10.1111/jphd.12263 2024-09-15T18:17:09+00:00 Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta Chi, Donald L. Lenaker, Dane Mancl, Lloyd Dunbar, Matthew Babb, Michael Pew Charitable Trusts W.K. Kellogg Foundation National Institute of Dental and Craniofacial Research William T. Grant Foundation Center for Advanced Study in the Behavioral Sciences, Stanford University 2018 http://dx.doi.org/10.1111/jphd.12263 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjphd.12263 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jphd.12263 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Public Health Dentistry volume 78, issue 2, page 175-182 ISSN 0022-4006 1752-7325 journal-article 2018 crwiley https://doi.org/10.1111/jphd.12263 2024-08-27T04:30:33Z Abstract Objectives Dental Health Aide Therapists (DHATs) have been part of the dental workforce in Alaska's Yukon‐Kuskokwim (YK) Delta since 2006. They are trained to provide preventive and restorative care such as filling and extractions. In this study, we evaluated community‐level dental outcomes associated with DHATs. Methods This was a secondary data analysis of Alaska Medicaid and electronic health record data for individuals in Alaska's YK Delta (2006‐2015). The independent variable was the number of DHAT treatment days in each community. Child outcomes were preventive care, extractions, and general anesthesia. Adult outcomes were preventive care and extractions. We estimated Spearman partial correlation coefficients to test our hypotheses that increased DHAT treatment days would be associated with larger proportions utilizing preventive care and smaller proportions receiving extractions at the community‐level. Results DHAT treatment days were positively associated with preventive care utilization and negatively associated with extractions for children and adults ( P < 0.0001). DHAT treatment days were not associated with increased dental treatment under general anesthesia for children. Conclusions Dental therapists are associated with more preventive care and fewer extractions. State‐level policies should consider dental therapists as part of a comprehensive solution to meet the dental care needs of individuals in underserved communities and help achieve health equity and social justice. Article in Journal/Newspaper Kuskokwim Alaska Yukon Wiley Online Library Journal of Public Health Dentistry 78 2 175 182 |
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Abstract Objectives Dental Health Aide Therapists (DHATs) have been part of the dental workforce in Alaska's Yukon‐Kuskokwim (YK) Delta since 2006. They are trained to provide preventive and restorative care such as filling and extractions. In this study, we evaluated community‐level dental outcomes associated with DHATs. Methods This was a secondary data analysis of Alaska Medicaid and electronic health record data for individuals in Alaska's YK Delta (2006‐2015). The independent variable was the number of DHAT treatment days in each community. Child outcomes were preventive care, extractions, and general anesthesia. Adult outcomes were preventive care and extractions. We estimated Spearman partial correlation coefficients to test our hypotheses that increased DHAT treatment days would be associated with larger proportions utilizing preventive care and smaller proportions receiving extractions at the community‐level. Results DHAT treatment days were positively associated with preventive care utilization and negatively associated with extractions for children and adults ( P < 0.0001). DHAT treatment days were not associated with increased dental treatment under general anesthesia for children. Conclusions Dental therapists are associated with more preventive care and fewer extractions. State‐level policies should consider dental therapists as part of a comprehensive solution to meet the dental care needs of individuals in underserved communities and help achieve health equity and social justice. |
author2 |
Pew Charitable Trusts W.K. Kellogg Foundation National Institute of Dental and Craniofacial Research William T. Grant Foundation Center for Advanced Study in the Behavioral Sciences, Stanford University |
format |
Article in Journal/Newspaper |
author |
Chi, Donald L. Lenaker, Dane Mancl, Lloyd Dunbar, Matthew Babb, Michael |
spellingShingle |
Chi, Donald L. Lenaker, Dane Mancl, Lloyd Dunbar, Matthew Babb, Michael Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
author_facet |
Chi, Donald L. Lenaker, Dane Mancl, Lloyd Dunbar, Matthew Babb, Michael |
author_sort |
Chi, Donald L. |
title |
Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
title_short |
Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
title_full |
Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
title_fullStr |
Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
title_full_unstemmed |
Dental therapists linked to improved dental outcomes for Alaska Native communities in the Yukon‐Kuskokwim Delta |
title_sort |
dental therapists linked to improved dental outcomes for alaska native communities in the yukon‐kuskokwim delta |
publisher |
Wiley |
publishDate |
2018 |
url |
http://dx.doi.org/10.1111/jphd.12263 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjphd.12263 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jphd.12263 |
genre |
Kuskokwim Alaska Yukon |
genre_facet |
Kuskokwim Alaska Yukon |
op_source |
Journal of Public Health Dentistry volume 78, issue 2, page 175-182 ISSN 0022-4006 1752-7325 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/jphd.12263 |
container_title |
Journal of Public Health Dentistry |
container_volume |
78 |
container_issue |
2 |
container_start_page |
175 |
op_container_end_page |
182 |
_version_ |
1810455144474607616 |