Provision of care to the underserved populations by National Health Service Corps alumni dentists.
OBJECTIVE
This study examined factors associated with dentists continuing to provide care to the underserved populations beyond their National Health Service Corps (NHSC) obligation period.


METHODS
Self-administered questionnaires were mailed in 1998 to 404 dentists who had completed their service obligation between 1980 and 1997. The outcome variable was dentist self-report of continuing to work with the underserved population past NHSC obligation.


RESULTS
Among 249 respondents (62% response rate), 46 percent of alumni dentists continued to work with an underserved population. Multivariate analyses found that being an African American (odds ratio [OR] = 3.2), higher final salary during the NHSC assignment (OR = 1.2), and higher altruistic motivation to work with the underserved populations prior to entering NHSC (OR = 1.1) were significantly associated with continued service to the underserved populations.


CONCLUSIONS
A small number of factors were associated with alumni NHSC dentists' decisions to continue to provide care for the underserved populations. Targeting African-American students and students interested in caring for the underserved may improve the long-term commitment of dentists to provide care for the underserved populations. Attention will also need to be given to increased salary as a potential intervention to increase the numbers of dentists who continue to serve the underserved populations.
Mofidi
Mahyar
M
Cecil G. Sheps Center for Health Services Research, University of North Carolina, 725 Airport Road, CB#7590, Chapel Hill, NC 27599-7590, USA. mofidi@mail.schsr.unc.edu
Konrad
Thomas R
TR
Porterfield
Deborah S
DS
Niska
Richard
R
Wells
Barbara
B
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000533:Altruism; D000704:Analysis of Variance; D002321:Career Choice; D003815:Dentists; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008507:Medically Underserved Area; D016017:Odds Ratio; D011320:Primary Health Care / Q000458:organization & administration*; D012189:Retrospective Studies; D012456:Salaries and Fringe Benefits; D011795:Surveys and Questionnaires; D014481:United States; D014488:United States Health Resources and Services Administration; D000078329:Workforce