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Updated: Jan 27, 2026

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Published on: September 30, 2020
Characteristics of Patients Discontinuing Care
Lisa Simon1,2, Gurmukh Singh Dhaliwal3, Chieh-Han Jeffrey Liu4
1Oral Health and Medicine Integration, Harvard School of Dental Medicine, Boston, MA 02115, USA. Lisa_Simon@hms.harvard.edu.
Abstract:
Objectives: Due to lower fees, dental school clinics (DSCs) may provide dental care for vulnerable populations. This study evaluates factors associated with patients deciding to discontinue care at a DSC. Methods: This is a retrospective analysis of a patient transfer form that was implemented to smooth transition of a patient when their student provider graduated. Forms provided deidentified information about characteristics and unmet dental needs. Descriptive and bivariate statistics were used to identify associations between patient characteristics and deciding to continue treatment in the student practice. Results: Of 1894 patients, 73.4% continued care. Financial limitations were most commonly reported as the reason for discontinuing care (30.1%). Patients speaking a language other than English or who had reported financial barriers were significantly less likely to continue care. Conclusions: Dental school patients from vulnerable groups are more likely to discontinue care. Dental schools should implement programs that will assist patients in maintaining a dental home.
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