Abstract
Purpose: Using John Kingdon's agenda-setting model, this paper explores how Minnesota came to legislate a mid-level dental practitioner to its oral health workforce. Using a pluralist framework embracing the existence of various interests and convictions, this analysis highlights the roles of issue formation, agenda setting and politics in policymaking.
Methods: Using Kingdon's agenda-setting model as a theoretical lens, and applying case study methodology, this paper analyzes how Minnesota came to legislate a mid-level dental practitione to its oral health workforce. Data have come from scholarly research, governmental and foundation agency reports, interviews with leaders involved in the mid-level dental practitioner initiative, news articles, and Minnesota statute.
Results: After 2 years of contentious and challenging legislative initiatives, the problem, policy and political streams converged and aligned with the compromise passage of a bill legalizing mid-level dental practitioner practice. The Minnesota Dental Therapist Law was the first-in-the-nation licensing law to develop a new dental professional workforce model to address access to oral health care.
Conclusion: The Minnesota mid-level dental practitioner initiative demonstrates the important convergence and alignment of the access to oral health care problem and the subsequent collaboration between political interest groups and policymakers. Through partnerships and pluralist compromise, mid-level dental practitioner champions were able to open the policy window to move this legislation to law, enhancing the oral health workforce in Minnesota.
- Kingdon's agenda-setting model
- mid-level dental practitioner
- access to care
- policy
- dental therapist
- advanced dental therapist
- dental health aide therapist
Footnotes
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Anne E. Gwozdek, RDH, BA, MA, is a Clinical Assistant Professor & Director of Dental Hygiene Graduate and Degree Completion Programs in the Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry. Renee Tetrick, MSW, MPP, is a 2013 graduate of the University of Michigan School of Social Work and the Ford School of Public Policy. H. Luke Shaefer, PhD, is an Associate Professor, University of Michigan School of Social Work.
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This study supports the NDHRA priority area, Health Services Research: Evaluate strategies dental hygienists use to effectively influence decision-makers involved in health care legislation (e.g., to provide direct access to dental hygiene care, autonomy and self-regulation of dental hygienists).
- Copyright © 2014 The American Dental Hygienists’ Association