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

Author:

Nasseh Kamyar1ORCID,Bowblis John R.2,Wing Coady3

Affiliation:

1. American Dental Association Health Policy Institute Chicago Illinois USA

2. Department of Economics Miami University Oxford Ohio USA

3. Indiana University Bloomington O'Neill School of Public and Environmental Affairs Bloomington Indiana USA

Abstract

AbstractRegulations 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.

Publisher

Wiley

Reference63 articles.

1. American Dental Association. (2020).CDT 2020. Dental procedure codes [Internet]. Retrieved May 13 2021https://www.ada.org/en/publications/cdt

2. American Dental Association. (2023a).Nitrous oxide [Internet]. Retrieved November 7 2023 fromhttps://www.ada.org/en/resources/research/science‐and‐research‐institute/oral‐health‐topics/nitrous‐oxide

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