title: Identifying barriers to receiving preventive dental services: expanding access to preventive dental hygiene services through affiliated practice.
abstract: OBJECTIVE
  Minority children and children from lower income families are more likely to experience the burden of oral disease. Since oral disease reduces quality of life, it is a priority to utilize preventive dental services. The research questions ask if affiliated practice increases utilization of preventive dental services by underserved children from birth to 18 years of age, and what the barriers to receiving preventive dental services are and their level of importance.
  
  
  METHODS
  A survey was administered to parents/guardians of patients from birth to 18 years of age who received preventive dental services from Catholic Healthcare West East Valley Children's Dental Clinic, an affiliated practice dental clinic in Chandler, Arizona. Thirty-four surveys were completed: 21 completed in English and 13 completed in Spanish. The data was analyzed to provide descriptive statistics and non-parametrically analyzed using the Friedman's, Kendall's W and Wilcoxon Signed Ranks Tests.
  
  
  RESULTS
  The cost of preventive dental services is more important to this population than both convenience of appointment time and distance traveled. As the cost increases for preventive dental services, this population will utilize preventive dental services less frequently.
  
  
  CONCLUSIONS
  The study indicated that the increase of self-reported utilization of preventive dental services by underserved children, ranging in age from birth to 18 years old, in Arizona affiliated practice dental clinics, was primarily impacted by perceived reduced costs of receiving care. Funding efforts, reimbursement mechanisms and legislative policies should support this dental care delivery model to provide care to underserved children, adults and seniors throughout the U.S.
authors.affiliation: A.T. Still University Arizona School of Dentistry, AZ, USA.
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Gross-Panico
authors.forename: Wilbur K
authors.initials: WK
authors.lastname: Freeman
mesh_terms: D000293:Adolescent; D001071:Appointments and Schedules; D001130:Arizona; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services / Q000191:economics / Q000706:statistics & numerical data; D017281:Cost of Illness; D019140:Dental Care for Children / Q000191:economics / Q000706:statistics & numerical data; D003740:Dental Clinics / Q000191:economics / Q000706:statistics & numerical data; D003777:Dental Prophylaxis / Q000191:economics; D005250:Fees, Dental; D017048:Health Care Costs; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008913:Minority Groups; D011203:Poverty; D011313:Preventive Dentistry; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data; D055818:Public-Private Sector Partnerships; D014186:Transportation; D035862:Vulnerable Populations