Patterns of dentist location: Lansing, Michigan 1950–1991

Lowell-Smith, Elizabeth G.

doi:10.1016/0277-9536(93)90418-4

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…Because the house-renting and house-purchasing prices in traditional SEZ are higher than traditional outside-SEZ, many migrant people choose to live in the traditional outside-SEZ fringe zone alongside the traditional border management line [33], [34]. This concords with some previous studies [35], [36]. These factors may also affect the distribution of the self-financing private MUs, which are also centered in the juncture area of four districts (Futian, Luohu, Baoan and Longgang).…”

Section: Discussionsupporting

confidence: 67%

Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

et al. 2013

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BackgroundWith the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs). Understanding of the current status of accessibility to MUs is valuable for supporting the rational allocation of MUs in the future.MethodsBased on pregnant population data and MUs data, this study uses a two-step floating catchment area (2SFCA) method based on Geographic Information System (GIS) to analyze the current spatial accessibility to MUs, and then make a comparison between that to public MUs and private MUs.ResultsOur analysis of the accessibility to all MUs within a distance of 20 km shows that the accessibilities of the areas alongside the traditional border management line are acceptable, meanwhile highlights some critical areas, such as the west part of Nanshan district and the vast east part of Longgang district. The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference.DiscussionResults of this study suggest a great effort should be made to improve the equity of spatial accessibility to MUs in Shenzhen. For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

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Section: Discussionsupporting

confidence: 67%

Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

et al. 2013

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“…By polling a sample of dentists in Australia, Brennan and Spencer () considered temporal geographic patterns and determined that some dental services fluctuated more than others. Temporal changes in dentist office location were also noted in Lansing, Michigan (Lowell‐Smith ), where dentist office locations became more pronounced outside of the urban core from 1950–1991, and in Cuyahoga County, Ohio (Curd et al ) in which practicing African American dentists tended to follow the outflow of black populations from Cleveland to the surrounding suburbs between 1970 and 2010. In comparing various criteria between male and female dentists in Ontario, Adams () established that the general region of practice, urban versus rural, did not significantly differ by gender.…”

Section: Introductionmentioning

confidence: 86%

A Spatial Assessment of Dentist Supply in Ontario, Canada

Meyer¹

2014

Canadian Geographies / Géographies canadiennes

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The geographic patterns of dentists have seldom been studied beyond very broad assessment. This article demonstrates, with location quotient and hot-spot analyses, the unevenness of general dentist and dental specialist resources throughout the Canadian province of Ontario and the presence of "dental clusters" within the metropolitan areas of Toronto, Ottawa, Hamilton, London, and Windsor. While many municipalities in the province have no or relatively few dental offices, municipalities that are comparatively rich in both general and specialized dentists are rare and tend to be part of larger urban environments (typically census metropolitan areas), characterized by higher growth rates, higher median incomes, and lower median ages. Dentist office hot-spots within metropolitan areas occur in or near the downtown and in more peripheral/ suburban locales. "High sales" dentist offices in suburban hot-spots appear to benefit from prosperous locations and supply deficits nearby, whereas inner-city "dentist districts" may form in part because of localization economies. Understanding where relative dentist under-supply occurs within a jurisdiction and why other locations are dentist-rich is important from a policy perspective so that geographic inequities, and associated spatial accessibility issues, can be more comprehensively appraised.Une évaluation spatiale de l'offre de services dentaires en Ontario, CanadaLes profils géographiques des dentistes ont fait l'objet d'études qui, pour la plupart, se limitent à des évaluations sommaires. Des analyses fondées sur le quotient de localisation et les foyers d'activité rendent compte du caractère inégal de la répartition des dentistes généralistes et spécialistes dans la province canadienne de l'Ontario et de la présence de « grappes dentaires » dans les régions métropolitaines de Toronto, Ottawa, Hamilton, London et Windsor. S'il est vrai que de nombreuses municipalités de la province disposent de peu, voire d'aucun cabinet de dentiste, les municipalités où abondent les dentistes généralistes et spécialistes sont rares et ont tendance à faire partie des agglomérations urbaines (notamment, des régions métropolitaines de recensement) qui se distinguent par des taux de croissance plus élevés, des revenus médians plus élevés et un âge médian plus faible. À l'échelle métropolitaine, les foyers d'activité des cabinets de dentiste sont situés au centre-ville ou près de celui-ci et en banlieue ou en périphérie. Les cabinets de dentiste à « forte vente » dans les foyers d'activité de banlieue semblent profiter de localisations prospères et d'une offre déficitaire à proximité, tandis que les « secteurs de dentisterie » au centre-ville se consolident en partie grâce aux économies d'agglomération. Il est important d'appliquer une grille de lecture politique pour différencier les parties de la ville où l'offre de services dentaires est insuffisante et ceux qui en regorgent, afin d'évaluer de manière globale les inégalités géographiques et les questions d'accessibilité spatiale sousjacent...

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Influence of Contextual Environment and Community‐Based Dental Education on Practice Plans of Graduating Seniors

Davidson

Carreon

Baumeister

et al. 2007

Journal of Dental Education

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This study investigated senior dental students' plans to provide care to underserved racial/ethnic minority populations. Three sets of determinants were analyzed: contextual environment, community-based dental education (CBDE), and student characteristics. We analyzed data from the ADEA Survey of Dental School Seniors and administrative data sources to construct contextual variables. Multivariable results show three contextual variables predicted practice plans: greater numbers of federally qualified health centers, higher percentages of underrepresented minorities, and attending a California Pipeline dental school. Regarding CBDE predictors, it was alarming to find seniors who viewed the cultural competency curriculum as inadequate and perceived themselves as less prepared to provide oral health care to diverse populations were also those most likely to serve minority patients. Significant student characteristics included racial/ethnic minority, female gender, older age, lower parent's income, and socially conscious orientation. The study provides evidence that contextual environment, CBDE, and student characteristics were significantly associated with plans to care for underserved patients. Findings suggest if the Pipeline initiative is successful in stimulating reform in U.S. dental schools, future students will develop greater awareness regarding critical access problems and the competencies required to effectively care for diverse populations. In the long term, addressing the problem of dental care access will require the creation of policy, financial, and structural interventions to motivate providers to care for the underserved.

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Patterns of dentist location: Lansing, Michigan 1950–1991

Cited by 8 publications

References 9 publications

Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

A Spatial Assessment of Dentist Supply in Ontario, Canada

Influence of Contextual Environment and Community‐Based Dental Education on Practice Plans of Graduating Seniors

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