Langelier M, Surdu S. Dental hygiene scope of practice regulation significantly impacts oral health outcomes in state populations. Perspectives on the Midlevel Practitioner (Dimens Dent Hyg suppl). October 2017;4(10):18-21. Available at: http://www.dimensionsofdentalhygiene.com/2017/perspectives_2017/Scope_of_Practice/Top-of-License_Dental_Hygiene_Practice.aspx
Rapid changes in health care systems during the first decades of the 21st century have significantly affected the delivery of oral health care services. In the policy arena, the new emphasis on high-quality, value-based services;1 improvements in diagnostic and treatment technologies and materials; proliferation of information systems and health information exchanges; team-based service delivery models; and integration of primary care and oral health care2 has influenced the deployment of health and oral health workforces. The move toward prevention and management of oral disease and away from the historical treatment paradigm requires the engagement of a comprehensive professional team.3 Dental hygienists are well positioned to contribute to improvements in access to preventive oral health services and, ultimately, to oral health outcomes.3
Mertz E, Spetz J, Moore J. Pediatric Workforce Issues. Dent Clin N Am. 2017;61(3):577-588.
Langelier M, Continelli T, Moore J, Baker B, Surdu S. Expanded Scopes of Practice for Dental Hygienists Associated With Improved Oral Health Outcomes for Adults. Health Affairs. 2016;35(12):2207-2215.
Mertz EA, Wides CD, Kottek AM, Calvo JM, Gates PE. Underrepresented Minority Dentists: Quantifying Their Numbers and Characterizing the Communities They Serve. Health Affairs. 2016;35(12):2190-2199.
Moore J, Continelli T. Racial/Ethnic Pay Disparities among Registered Nurses (RNs) in US Hospitals: An Econometric Regression Decomposition. Health Services Research. 2016;51(2):511-529.
Langelier MH, Glicken AD, Surdu S. Adoption of Oral Health Curriculum by Physician Assistant Education Programs in 2014. J Physician Assist Educ. 2015;26(2):60-69.
This study was undertaken to ascertain the number of PA programs teaching oral health topics and to evaluate the content of instruction and implementation strategies. A previous study in 2008 found that PA education program directors generally understood the importance of teaching about the linkage of oral health with systemic health; yet, few programs had actually integrated oral health instruction into the PA curriculum. The purpose of the study was to describe inclusion of didactic and clinical instruction in oral health in physician assistant (PA) education programs in 2014.
Boulton ML, Beck AJ, Coronado F, et al. Public health workforce taxonomy. American Journal of Preventive Medicine, 2014; 47(5):S314-S323. http://dx.doi.org/10.1016/j.amepre.2014.07.015
Thoroughly characterizing and continuously monitoring the public health workforce is necessary for ensuring capacity to deliver public health services. A prerequisite for this is to develop a standardized methodology for classifying public health workers, permitting valid comparisons across agencies and over time, which does not exist for the public health workforce. An expert working group, all of whom are authors on this paper, was convened during 2012–2014 to develop a public health workforce taxonomy.
Abramson EL, McGinnis S, Moore J, Kaushal R. A statewide assessment of electronic health record adoption and health information exchange among nursing homes. Health Services Research. 2014;49(1pt2): 361-372. http://dx.doi.org/10.1111/1475-6773.12137
A cross-sectional study was designed to assess level of EHR implementation, automation of key functionalities, participation in HIE, and barriers to adoption in New York State nursing homes.
Dower C, Moore J, Langelier M. It is time to restructure health professions scope-of-practice regulations to remove barriers to care. Health Affairs. 2013;32(11):1971-1976. http://10.1377/hlthaff.2013.0537b
Regulation and licensure of health professionals—nurses, physicians, pharmacists, and others—currently falls to the states. State laws and regulations define legal scopes of practice for these practitioners. Concern is growing that this system cannot support workforce innovations needed for an evolving health care system or for successful implementation of the Affordable Care Act. This article highlights reforms that are needed to strengthen health professions regulation, including aligning scopes of practice with professional competence for each profession in all states; assuring the regulatory flexibility needed to recognize emerging and overlapping roles for health professionals; increasing the input of consumers; basing decisions on the best available evidence and allowing demonstration programs; and establishing a national clearinghouse for scope-of-practice information.
Orkin FK, Forte GJ, McGinnis SL, Peterson MD, Garfield JM, Katz JD, et al. In Reply. Anesthesiology. 118(6):1484-1485, June 2013.
The authors are gratified that Drs. Steinbrook and Weinstein have read their article in such a depth that they question as “most likely incorrect” the estimate for the mean retirement age (57.4 yr) among anesthesiologists retiring before 1985. Although Steinbrook and Weinstein’s conclusion appears valid—because no one older than 58 in 1985 would have been included in a 2006 survey of anesthesiologists aged 50–79 yr—the authors standby their estimate. A more detailed report, which the authors note is available at the American Society of Anesthesiologists (ASA) Web site, can provide further documentation supporting the suspect estimate’s validity.