Coverage Disparities Sources: DHHS national surveys (NHIS, MEPS)

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Presentation transcript:

Coverage Disparities Sources: DHHS national surveys (NHIS, MEPS) REM: Racial Ethinic Minorities Approximately 26% of adults aged 18-34 years, do not have health insurance (1) Sources: DHHS national surveys (NHIS, MEPS)

Coverage Relates to Access REM: Racial Ethnic Minorities Sources: DHHS national surveys (NHIS, MEPS)

Safety Net Inadequacy ?? ? Sources: HRSA BPHC, HP 2010

Safety Net Staffing Inadequacy CHC’s: Community Health Centers Safety net facilities (e.g. dental schools, community health centers, hospital clinics and mobile vans) are few in number compared to the medical safety net (primarily because community hospital emergency rooms comprise a major component of the medical safety net, whereas emergency rooms typically only offer palliation with medication for dental complaints. In addition, there are 4x as many medical schools than dental schools. Source: Bolin & Shulman: Journal of Health Care for the Poor and Underserved 15, 2004

Inequity in Disease Burden Hispanic and African American populations have higher rates of oral disease and tooth loss than the white, non-Hispanic majority population Sources: HP2010

Composition of Dental Students Differs from US Population The number of underrepresented minorities in the dental profession is significantly low compared to their proportion in the overall population (5.7% of graduate dentists are African American and 5.3% are Hispanic; These percentages are far below the percentage of African American (12%) and Hispanics (11%) in the general population) (7). Thus, patients may be faced with language barriers and/or cultural incompetence. Source: Population: US Census 2000; Dental Students: ADA 2003

Race/Ethnicity of Dentists Impacts Patients Served Patients Treated White Black Hispanic Asian Dentists White 77% Black 62% Hispanic 45% Asian 25% Population 69% 12% 13% 4% The number of underrepresented minorities in the dental profession is significantly low compared to their proportion in the overall population (5.7% of graduate dentists are African American and 5.3% are Hispanic; These percentages are far below the percentage of African American (12%) and Hispanics (11%) in the general population) (7). Thus, patients may be faced with language barriers and/or cultural incompetence. Mike, this can be placed on the site in association with the above bullet. Basically the graph indicates that minorities tend to be treated by dentists of their own race/ethnicity…..thus driving home the point that we need more underrepresented minorites in the filed of dentistry.