Is a mid-level dental provider model acceptable to potential patients?

Area of Science:

• Dental Public Health
• Healthcare Policy

Background:

• The role of mid-level providers like dental therapists (DTs) is increasingly debated in the US.
• Accreditation standards have intensified discussions on legalizing DTs nationwide.
• Understanding patient acceptance is crucial for evaluating the DT model.

Purpose of the Study:

• To assess patient attitudes and comfort levels regarding treatment by dental therapists (DTs).
• To identify factors influencing patient acceptance of DTs in a clinical setting.

Main Methods:

• A survey was administered to 600 patients and companions at an urban dental clinic.
• The questionnaire assessed oral health experience and comfort with the DT model.
• Participants were provided with a definition of a dually trained dental therapist-hygienist.

Main Results:

• 40% of respondents were comfortable with DTs performing all 7 surveyed procedures.
• Over 75% accepted DTs for 5 out of 7 procedures; opinions were divided on crowns/caps.
• Uninsured patients and those under 65 showed higher comfort levels with DTs.

Conclusions:

• Patients lacking regular dental care generally exhibit comfort with the introduction of mid-level providers.
• DTs may represent a viable strategy to improve access to dental services for underserved populations.