Aging Workforce and Workforce Shortages: The Looming Public Crisis
DOI:
https://doi.org/10.36557/2674-8169.2025v7n10p1668-1683Palavras-chave:
aging workforce; dental workforce shortage; Northern New England; oral health access; rural dentistry; public health crisis; workforce planningResumo
Northern New England dental profession is experiencing a sorrowful and new utility health crisis due to an ageing workforce and incessant lack of new practitioners. This paper presents the interaction of demographic change, workforce distribution, and access to oral health services in Maine, New Hampshire, and Vermont in 2015 to 2025. Secondary data were elicited using a mixed-method, whereby state workforce reports were used to provide data on age trends, rates of retirement and records of the professional associations to determine the ratio of dentists to population. Geographic information systems (GIS) were used to map areas of gap of services, and survey data of dental providers in the region showed barriers to recruitment and retention. Findings indicate that there is a fast aging dental workforce and almost 50 percent of the practitioners are nearing retirement age, and there is a low replacement of younger professionals, particularly in rural communities. Such shortages are associated with the increasing unmet oral health needs and the increasing geographic differences in access to care. The results show that there is an immediate need to create specific policy interventions, including workforce pipeline initiatives, loan-repayment incentives, and the implementation of larger dental team models, to avert the deeper oral health crisis in Northern New England.
Downloads
Referências
Rahman, M. S., Blossom, J. C., Kawachi, I., Tipirneni, R., & Elani, H. W. (2024). Dental clinic deserts in the US: Spatial accessibility analysis. JAMA Network Open, 7(12), e2451625. https://doi.org/10.1001/jamanetworkopen.2024.51625.
Samsel, S., Tramp, R., Orgut, I. S., Freeman, N., Parton, J., Hudnall, M., … (2021). Visualizing potential effects of dentist retirements on accessibility to dental care among children in Alabama, 2019. Preventing Chronic Disease, 18, 200410. https://doi.org/10.5888/pcd18.200410
Luo, H., Li, H., & Kuthy, R. A. (2021). Rural–urban differences in dental service utilization and procedures received among U.S. adults. The Journal of Rural Health, 37(1), 105–114. https://doi.org/10.1111/jrh.12500.
Tabrizi, M., & Lee, W.-C. (2021). Geriatric oral health competency among dental providers. AIMS Public Health, 8(4), 682–690. https://doi.org/10.3934/publichealth.2021054.
Mertz, E., Kottek, A., Werts, M., Langelier, M., Surdu, S., & Moore, J. (2021). Dental therapists in the United States: Health equity, advancing. Medical Care, 59(Suppl 5), S441–S448. https://doi.org/10.1097/MLR.0000000000001608.
Fellows, J. L., Atchison, K. A., Chaffin, J., Chávez, E. M., & Tinanoff, N. (2022). Oral Health in America: Implications for dental practice. Journal of the American Dental Association, 153(7), 601–609. https://doi.org/10.1016/j.adaj.2022.04.002.
Reinhardt, J. W. (2023). Maintaining a strong rural dental workforce. Journal of Dental Education. Advance online publication. https://doi.org/10.1002/jdd.13093.
Evans, D., Burns, L., Mills, I., Bryce, M., & Hanks, S. (2023). The dental workforce recruitment and retention crisis in the UK. British Dental Journal, 234(8), 573–577. https://doi.org/10.1038/s41415-023-5737-5.
Mills, I., Bryce, M., Clarry, L., Evans, D., & Hanks, S. (2023). Dental practice workforce challenges in rural England: Survey into recruitment and retention in Devon and Cornwall. British Dental Journal. https://doi.org/10.1038/s41415-023-6276-9
Bsoul, E. A., Challa, S. N., & Loomer, P. M. (2022). Multifaceted impact of COVID-19 on dental practice: American dental care professionals prepared and ready during unprecedented challenges. Journal of the American Dental Association, 153(2), 132–143. https://doi.org/10.1016/j.adaj.2021.07.023.
Baumeister, S.-E., Wesselman, H., Nascimento, G. G., & Listl, S. (2024). Effect of retirement on self-rated oral health and dental services use: Longitudinal fixed-effects instrumental variable study in 31 countries. Scandinavian Journal of Work, Environment & Health. https://doi.org/10.5271/sjweh.4134.
Weintraub, J. A. (2022). The Oral Health in America report: A public health research perspective. Preventing Chronic Disease, 19, E58. https://doi.org/10.5888/pcd19.220067.
Birch, S. (2024). Planning the future of oral health care workforce: Moving beyond demographic change. Community Dental Health, 41(1), 49–53. https://doi.org/10.1922/CDH_00145Birch05.
Janssen, J., Pöld, A., Islam, M. M., Németh, O., Grytten, J., Woods, N., & Listl, S. (2024). How to ensure an appropriate oral health workforce? Modelling future scenarios for the Netherlands. Human Resources for Health, 22, Article 73. https://doi.org/10.1186/s12960-024-00957-2.
Gallagher, J. E., Mattos Savage, G. C., Crummey, S. C., Sabbah, W., Makino, Y., & Varenne, B. (2024). Health workforce for oral health inequity: Opportunity for action. PLOS ONE, 19(6), e0292549. https://doi.org/10.1371/journal.pone.0292549.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Diego Barbosa da Silva, Anna Karolina Barbosa da Silva, Renata Aparecida Rosa de Oliveira, Julianne de Oliveira Forti

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores são detentores dos direitos autorais mediante uma licença CCBY 4.0.



