How do dental practices respond to changes in scope of practice regulations?

被引:1
|
作者
Nasseh, Kamyar [1 ]
Bowblis, John R. [2 ]
Wing, Coady [3 ]
机构
[1] Amer Dent Assoc, Hlth Policy Inst, Chicago, IL 60640 USA
[2] Miami Univ, Dept Econ, Oxford, OH USA
[3] Indiana Univ, ONeill Sch Publ & Environm Affairs, Bloomington, IN USA
关键词
dental care; dental workforce; labor market regulation; quasi-experimental research methods; scope of practice; work tasks; MINIMUM-WAGES; CARE; HYGIENISTS; COVERAGE; OUTCOMES; ACCESS; COST;
D O I
10.1002/hec.4878
中图分类号
F [经济];
学科分类号
02 ;
摘要
Regulations that restrict the tasks that credentialed workers are allowed to perform may affect a firm's input choices, output, and which part of the market the firm serves. Using dental practice survey data from 1989 to 2014 and a stacked difference-in-differences design, this paper examines the effects of state-level scope of practice regulations on the behavior of dental practices. Results suggest that scope of practice deregulation in regards to dental hygienists' ability to administer nitrous oxide or local anesthesia is associated with fewer dentist visits per week in the short-term, lower patient wait times, and an increased likelihood of treating lower revenue generating publicly insured patients. There is weak evidence that scope of practice deregulation alters a practice's labor inputs.
引用
收藏
页码:2508 / 2524
页数:17
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