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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Factors Associated With Dentists' Intent to Stay Long-Term at Their Current Community Health Center.

McAllister Castelaz1, John Warren2, Fang Qian2

  • 1Wisconsin Department of Health Services, Madison, Wisconsin, USA.

Journal of Public Health Dentistry
|December 10, 2025
PubMed
Summary

Dentists in leadership roles and those with high professional autonomy are more likely to stay long-term at community health centers (CHCs). Retention strategies should focus on autonomy and roles, not just recruitment incentives, to ensure equitable dental care access.

Keywords:
community health centerdentistfederally qualified health centerhealth centerintentionmotivationrecruitmentretentionworkforce

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Area of Science:

  • Dental Public Health
  • Health Services Research

Background:

  • Community health centers (CHCs) are vital for dental care access among underserved populations.
  • Recruiting and retaining dentists in CHCs is crucial for service delivery.

Purpose of the Study:

  • To identify factors influencing dentists' long-term commitment to practicing in CHCs.
  • To inform retention strategies for CHC dental providers.

Main Methods:

  • An online survey of US dentists in CHCs was conducted in 2021.
  • Logistic regression analysis examined 42 independent variables related to intent to stay.
  • The study analyzed individual, perceptual, motivational, and organizational factors.

Main Results:

  • Dentists in leadership roles had 3.7 times higher odds of intending to stay.
  • High professional autonomy was associated with 2.6 times higher odds of intending to stay.
  • Traditional recruitment factors were not significant predictors of retention.

Conclusions:

  • Dentist autonomy and leadership roles are key to retention in CHCs.
  • Effective retention strategies must prioritize professional autonomy and roles.
  • CHCs need to differentiate recruitment from retention efforts to ensure equitable dental care.