Evaluating the Impact of Expanded Practice Dental Hygienists in Oregon: An Outcomes Assessment
Currently the dental hygiene practice model in Oregon includes the Expanded Practice Dental Hygienist (EPDH), which allows dental hygienists with an Expanded Practice Permit (EPP) to provide care to limited access populations without the supervision of a dentist. The number and types of services pro...
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| Veröffentlicht in: | Journal of dental hygiene 2016-06, Vol.90 Suppl 1, p.33-41 |
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| container_title | Journal of dental hygiene |
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| creator | Bell, Kathryn P Coplen, Amy E |
| description | Currently the dental hygiene practice model in Oregon includes the Expanded Practice Dental Hygienist (EPDH), which allows dental hygienists with an Expanded Practice Permit (EPP) to provide care to limited access populations without the supervision of a dentist. The number and types of services provided by EPDH practitioners is thus far undocumented. The purpose of this study is to conduct an outcomes assessment of EPDH practitioners in order to quantify the impact, defined by count of services, on the access to care crisis in Oregon.
A 16 question confidential survey was developed and approved by the Pacific University institutional review board. The mail-based survey was sent to 181 EPDHs in Oregon in November 2011 (all EPDHs except pilot testers and one author). A second mailing was sent to non-respondents. Data were analyzed using descriptive statistics and chi-square analysis in SPSS.
The response rate was 39% (n=71). Approximately 41% (n=29) of the respondents were currently using their EPP to provide care to limited access patients with an additional 21% (n=15) planning to start their own expanded practice. The majority of practicing EPDHs provide care in residential care facilities (n=21) and in school settings (n=13). Of the current practicing EPP holders, 76% practice ≤10 hours per week, and 66% make |
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A 16 question confidential survey was developed and approved by the Pacific University institutional review board. The mail-based survey was sent to 181 EPDHs in Oregon in November 2011 (all EPDHs except pilot testers and one author). A second mailing was sent to non-respondents. Data were analyzed using descriptive statistics and chi-square analysis in SPSS.
The response rate was 39% (n=71). Approximately 41% (n=29) of the respondents were currently using their EPP to provide care to limited access patients with an additional 21% (n=15) planning to start their own expanded practice. The majority of practicing EPDHs provide care in residential care facilities (n=21) and in school settings (n=13). Of the current practicing EPP holders, 76% practice ≤10 hours per week, and 66% make <$10,000 per year. Total services reported in an average month from all responding EPDH practitioners were: 254 adult prophylaxes, 1,003 child prophylaxes, 106 adult fluorides, 901 child fluorides and 1,994 fluoride varnishes, among many other preventive procedures.
To a limited extent, the amount and type of services provided by EPDHs has now been quantified, and EPDHs are making an impact on the access to care crisis in Oregon. Continued outcomes assessment is needed to further quantify the impact of EPDHs.</description><identifier>ISSN: 1043-254X</identifier><identifier>EISSN: 1553-0205</identifier><identifier>PMID: 27458316</identifier><language>eng</language><publisher>United States: American Dental Hygienists' Association</publisher><subject><![CDATA[Adult ; Analysis ; Cross-Sectional Studies ; Dental Care ; Dental Health Services - statistics & numerical data ; Dental Hygienists - organization & administration ; Dental Hygienists - statistics & numerical data ; Dentistry ; Dentists - statistics & numerical data ; Discrimination in medical care ; Fluorides ; Health aspects ; Health Services Accessibility - statistics & numerical data ; Humans ; Middle Aged ; Oregon ; Outcome Assessment (Health Care) - statistics & numerical data ; Patient Care - statistics & numerical data ; Professional Practice ; Surveys ; Surveys and Questionnaires ; Young Adult]]></subject><ispartof>Journal of dental hygiene, 2016-06, Vol.90 Suppl 1, p.33-41</ispartof><rights>Copyright © 2016 The American Dental Hygienists’ Association.</rights><rights>COPYRIGHT 2016 American Dental Hygienists' Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27458316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bell, Kathryn P</creatorcontrib><creatorcontrib>Coplen, Amy E</creatorcontrib><title>Evaluating the Impact of Expanded Practice Dental Hygienists in Oregon: An Outcomes Assessment</title><title>Journal of dental hygiene</title><addtitle>J Dent Hyg</addtitle><description>Currently the dental hygiene practice model in Oregon includes the Expanded Practice Dental Hygienist (EPDH), which allows dental hygienists with an Expanded Practice Permit (EPP) to provide care to limited access populations without the supervision of a dentist. The number and types of services provided by EPDH practitioners is thus far undocumented. The purpose of this study is to conduct an outcomes assessment of EPDH practitioners in order to quantify the impact, defined by count of services, on the access to care crisis in Oregon.
A 16 question confidential survey was developed and approved by the Pacific University institutional review board. The mail-based survey was sent to 181 EPDHs in Oregon in November 2011 (all EPDHs except pilot testers and one author). A second mailing was sent to non-respondents. Data were analyzed using descriptive statistics and chi-square analysis in SPSS.
The response rate was 39% (n=71). Approximately 41% (n=29) of the respondents were currently using their EPP to provide care to limited access patients with an additional 21% (n=15) planning to start their own expanded practice. The majority of practicing EPDHs provide care in residential care facilities (n=21) and in school settings (n=13). Of the current practicing EPP holders, 76% practice ≤10 hours per week, and 66% make <$10,000 per year. Total services reported in an average month from all responding EPDH practitioners were: 254 adult prophylaxes, 1,003 child prophylaxes, 106 adult fluorides, 901 child fluorides and 1,994 fluoride varnishes, among many other preventive procedures.
To a limited extent, the amount and type of services provided by EPDHs has now been quantified, and EPDHs are making an impact on the access to care crisis in Oregon. Continued outcomes assessment is needed to further quantify the impact of EPDHs.</description><subject>Adult</subject><subject>Analysis</subject><subject>Cross-Sectional Studies</subject><subject>Dental Care</subject><subject>Dental Health Services - statistics & numerical data</subject><subject>Dental Hygienists - organization & administration</subject><subject>Dental Hygienists - statistics & numerical data</subject><subject>Dentistry</subject><subject>Dentists - statistics & numerical data</subject><subject>Discrimination in medical care</subject><subject>Fluorides</subject><subject>Health aspects</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Oregon</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Patient Care - statistics & numerical data</subject><subject>Professional Practice</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1043-254X</issn><issn>1553-0205</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0V9LwzAQAPAiis4_X0ECgvhSSdKkaX0bczphMB8UfLJk6bWLpMlsUnHf3sgUFMY93HH87uC4vWREOM9STDHfjzVmWUo5ezlKjr1_wxgTIfhhckQF40VG8lHyOv2QZpBB2xaFFaCHbi1VQK5B08-1tDXU6LGPHa0A3YIN0qDZptVgtQ8eaYsWPbTO3qBxLIegXAcejb0H77vIT5ODRhoPZz_5JHm-mz5NZul8cf8wGc_TluY0pCVAQUuFC0oAcsGWdCmVkJjUgjasKGFJM1YqxlWDC1HklOQ55AWomjSYEZ6dJFfbvevevQ_gQ9Vpr8AYacENviIFFlRwgUmkF1vaSgOVto0L8cBvXo1ZnjGMeVZGle5QLVjopXEWGh3b__z1Dh-jhk6rnQOXfwZWIE1YeWeGoJ31_-H5z2nDsoO6Wve6k_2m-v1h9gUirpWF</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Bell, Kathryn P</creator><creator>Coplen, Amy E</creator><general>American Dental Hygienists' Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>Evaluating the Impact of Expanded Practice Dental Hygienists in Oregon: An Outcomes Assessment</title><author>Bell, Kathryn P ; Coplen, Amy E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g262t-9ee829c0821ee674b2bac7a01d72f489eb2349c45cf087862166e68ecd1f04153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Cross-Sectional Studies</topic><topic>Dental Care</topic><topic>Dental Health Services - statistics & numerical data</topic><topic>Dental Hygienists - organization & administration</topic><topic>Dental Hygienists - statistics & numerical data</topic><topic>Dentistry</topic><topic>Dentists - statistics & numerical data</topic><topic>Discrimination in medical care</topic><topic>Fluorides</topic><topic>Health aspects</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Oregon</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Patient Care - statistics & numerical data</topic><topic>Professional Practice</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bell, Kathryn P</creatorcontrib><creatorcontrib>Coplen, Amy E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of dental hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bell, Kathryn P</au><au>Coplen, Amy E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the Impact of Expanded Practice Dental Hygienists in Oregon: An Outcomes Assessment</atitle><jtitle>Journal of dental hygiene</jtitle><addtitle>J Dent Hyg</addtitle><date>2016-06</date><risdate>2016</risdate><volume>90 Suppl 1</volume><spage>33</spage><epage>41</epage><pages>33-41</pages><issn>1043-254X</issn><eissn>1553-0205</eissn><abstract>Currently the dental hygiene practice model in Oregon includes the Expanded Practice Dental Hygienist (EPDH), which allows dental hygienists with an Expanded Practice Permit (EPP) to provide care to limited access populations without the supervision of a dentist. The number and types of services provided by EPDH practitioners is thus far undocumented. The purpose of this study is to conduct an outcomes assessment of EPDH practitioners in order to quantify the impact, defined by count of services, on the access to care crisis in Oregon.
A 16 question confidential survey was developed and approved by the Pacific University institutional review board. The mail-based survey was sent to 181 EPDHs in Oregon in November 2011 (all EPDHs except pilot testers and one author). A second mailing was sent to non-respondents. Data were analyzed using descriptive statistics and chi-square analysis in SPSS.
The response rate was 39% (n=71). Approximately 41% (n=29) of the respondents were currently using their EPP to provide care to limited access patients with an additional 21% (n=15) planning to start their own expanded practice. The majority of practicing EPDHs provide care in residential care facilities (n=21) and in school settings (n=13). Of the current practicing EPP holders, 76% practice ≤10 hours per week, and 66% make <$10,000 per year. Total services reported in an average month from all responding EPDH practitioners were: 254 adult prophylaxes, 1,003 child prophylaxes, 106 adult fluorides, 901 child fluorides and 1,994 fluoride varnishes, among many other preventive procedures.
To a limited extent, the amount and type of services provided by EPDHs has now been quantified, and EPDHs are making an impact on the access to care crisis in Oregon. Continued outcomes assessment is needed to further quantify the impact of EPDHs.</abstract><cop>United States</cop><pub>American Dental Hygienists' Association</pub><pmid>27458316</pmid><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Analysis Cross-Sectional Studies Dental Care Dental Health Services - statistics & numerical data Dental Hygienists - organization & administration Dental Hygienists - statistics & numerical data Dentistry Dentists - statistics & numerical data Discrimination in medical care Fluorides Health aspects Health Services Accessibility - statistics & numerical data Humans Middle Aged Oregon Outcome Assessment (Health Care) - statistics & numerical data Patient Care - statistics & numerical data Professional Practice Surveys Surveys and Questionnaires Young Adult |
| title | Evaluating the Impact of Expanded Practice Dental Hygienists in Oregon: An Outcomes Assessment |
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