Office of Rural Health & Primary Care Health Workforce Analysis Program Profile of Minnesota Dentists – 2005 The Office of Rural Health and Primary Care asks dentists to answer questions about their employment status and the nature of their practices each year when they renew their licenses. Response to the survey is voluntary and does not affect license renewal. Numbers of Dentists In January 2006, there were 3,847 dentists with Minnesota licenses. Some of these were retired or not working as dentists, and many lived or practiced in other states. Based on survey responses and licensing data from the Minnesota Board of Dentistry, the Office of Rural Health and Primary Care estimates approximately 2,950 dentist were practicing at least part time at Minnesota practice sites in early 2005. For explanation of this estimate, see the methodological note at the end of this report. Using the July 1, 2005, population estimate for Minnesota, 2,950 dentists equate to 57 active dentists per 100,000 people. All data reported below is for dentists who worked at least part time at a primary practice site in Minnesota, according to the Office of Rural Health and Primary Care survey of dentists renewing licenses for 2005. Geographic Distribution Dental practices are mostly located in metropolitan areas and small cities and regional centers. The 46 most rural counties have 13 percent of the state’s population, but only eight percent of the state’s practicing dentists. 2004 Population Urban Rural (old definition) Statewide Metropolitan counties Micropolitan counties Rural (new definition) 3,015,421 2,129,685 5,145,106 3,732,499 752,857 659,750 Percent of Population 58.6% 41.% 100.0% 72.5% 14.6% 12.8% Percent of Dentists 68.6% 31.4% 100.0% 78.5% 13.7% 7.8% Shading is used to distinguish data reported under the old urban-rural definition from data reported under the new MSA-micropolitan-rural definition (see page 7 for full explanation). P.O. Box 64882 St. Paul, MN 55164-0882 (651) 282-3838 http://www.health.state.mn.us November 2005 Profile of Minnesota Dentists – 2005 page 2 Dental practices are mostly located in metropolitan areas, small cities and regional centers. The 46 most rural counties have 13 percent of the state’s population, but only 8 percent of the state’s practicing dentists. Geographic Distribution of Active Minnesota Dentists Micropolitan 14% Rural 8% Metropolitan 78% 2004 Minnesota Population Rural 13% Micropolitan 15% Metropolitan 72% Profile of Minnesota Dentists – 2005 page 3 Gender of dentists Only 20 percent of all dentists are female, but females account for nearly 40 percent of dentists under age 45. Urban dentists are more likely to be female than are rural dentists. Eighty-seven percent of female dentists practice in metropolitan areas and only 5 percent practice in the 46 most rural counties. Respondents 2,446 335 477 838 606 190 1,679 767 1,920 334 192 All dentists Under 35 35-44 45-54 55-64 65 and older Urban locations Rural locations (old definition) Metropolitan Micropolitan Rural (new definition) Percent male 79.9% 58.4% 62.5% 82.5% 96.2% 98.4% 77.0% 86.2% 77.9% 86.5% 88.5% Percent female 20.1% 41.6% 37.5% 17.5% 3.8% 1.6% 23.0% 13.7% 22.1% 13.2% 11.5% Shading is used to distinguish data reported under the old urban-rural definition from data reported under the new MSA-micropolitan-rural definition (see page 7 for full explanation). Age and gender of dentists Rural dentists tend to be older than urban dentists. The greatest difference appears when the median age (49) of dentists in metropolitan areas is compared to the median age (53) for the 46 most rural counties. About one in three practicing dentists is 55 or older. Nearly 40 percent of dentists in the most rural counties are 55 or older. Only 24 percent are under 45, compared to 34 percent of dentists in metropolitan areas. Age of Active Minnesota Dentists 34.30% 24.80% 19.50% 13.60% 7.80% < 35 35-44 45-54 55-64 65+ Profile of Minnesota Dentists – 2005 page 4 Age Group Statewide n = 1.872 Urban n = 1,287 Rural n = 585 Metropolitan n = 1,920 Micropolitan n = 334 Rural n =192 respondents respondents respondents respondents respondents respondents Median age 50 49 51 49 51 53 Less than 35 13.6% 14.5% 12.0% 14.3% 11.7% 11.5% 35-44 19.5% 20.4% 17.5% 20.1% 20.4% 12.0% 45-54 34.3% 34.1% 34.6% 34.1% 33.2% 38.0% 55-64 24.8% 22.9% 28.8% 23.7% 27.2% 31.3% 65 and older 7.8% 8.0% 7.2% 7.9% 7.5% 7.3% Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% Shading is used to distinguish data reported under the old urban-rural definition from data reported under the new MSA-micropolitan-rural definition (see page 7 for full explanation). Dentist specialties Twenty percent of respondents reported training or board certification in a specialty area. Eighty-six percent of specialists were male. Eighty-five percent of specialists had primary practices in urban areas. Orthodontics Oral and maxillofacial surgery Endodontics Pediatric dentistry Prosthodontics Periodontics Other specialities 5 percent 4 percent 2 percent 2 percent 2 percent 2 percent 3 percent Types of Practice Sites Eighty-nine percent of dentists work in private dental offices, about evenly split between solo and group practices. Private practices account for 95 percent of dentists in the most rural counties, but rural dentists are much more likely to work in solo practices than group practices. Type of Work Site Total respondents Solo private Group private Educational Clinic (non staff HMO) Hospital (acute care) Institutional Public health facility Staff model HMO Other Statewide Urban Rural Metropolitan Micropolitan Rural 2,446 43.6% 45.5% 4.1% .8% 1,679 38.0% 48.7% 5.6% 1.0% 767 55.8% 38.5% .8% .5% 1,920 39.1% 48.3% 5.1% .9% 334 51.8% 43.1% .3% .6% 192 74.5% 20.8% .5% .5% .4% .9% .8% 1.8% 2.2% .6% 1.0% .7% 2.6% 2.0% .1% .8% .95 -02.6% .5% .9% .8% 2.2% 2.1% .3% .9% .3% -02.7% -0.5% 1.0% -02.1% Shading is used to distinguish data reported under the old urban-rural definition from data reported under the new MSA-micropolitan-rural definition (see page 7 for full explanation). Profile of Minnesota Dentists – 2005 page 5 Metropolitan Counties Other, 12.6% Private solo, 39.1% Private group, 48.3% Micropolitan Counties Other, 5.1% Private solo, 51.8% Private group, 43.1% Rural Counties Private group, 20.8% Other, 4.7% Private solo, 74.5% Profile of Minnesota Dentists – 2005 page 6 Males account for 87 percent of dentists in solo private practices. Forty-seven percent of male dentists are in solo private practices, compared to only 29 percent of females. Female dentists are significantly less likely than males to be in solo practices in all parts of the state—metropolitan, micropolitan and rural areas. Gender by type of work site Type of Work site ALL SITES Solo private Group private Educational Clinic (non staff HMO) Hospital (acute care) Institutional Public health facility Staff model HMO Other Respondents 2,446 1,066 1,112 100 20 11 22 19 43 53 Primary work sites by gender Type of Work site Respondents Solo private Group private Educational Clinic (non staff HMO) Hospital (acute care) Institutional Public health facility Staff model HMO Other Percent male 1,954 86.5% 75.8% 81.0% 65.0% 63.6% 86.4% 52.6% 67.4% 56.6% Males 1,954 47.2% 43.1% 4.1% .7% .4% .9% .5% 1.5% 1.5% Percent female 491 13.5% 24.1% 19.0% 35.0% 36.4% 13.6% 47.4% 32.6% 43.4% Females 491 29.3% 54.6% 3.9% 1.4% .8% .6% 1.8% 2.9% 4.7% Profile of Minnesota Dentists – 2005 page 7 Methodological note for numbers of dentists Data reported here is from responses received from dentists renewing their licenses for 2005. Renewals were due January 1, 2005, so most dentists answered the survey in December 2004, or early 2005. The Board of Dentistry received at least 3,695 license renewals for 2005. This estimate is based on the number of active licenses in effect January 1, 2006, minus new initial licenses and license reinstatements during 2005. The estimate is not precise because it may include some early renewals of licenses due for renewal in January 2006. The Board of Dentistry does not keep a count of the number of licenses renewed. The Office of Rural Health and Primary Care received survey responses from 3,066 dentists renewing their licenses for 2005. At the time of license renewal, 2,446 of these said they working at least part-time at a primary practice site in Minnesota. The exact number of dentists actually practicing in Minnesota is not known. Survey respondents represented 83 percent of all dentists renewing licenses in 2005. If active Minnesota-based dentists responded to the survey at about the same rate as all dentists renewing their licenses, the estimated total number of dentists working at least part time in Minnesota would be about 2,950. If active Minnesota dentists were more likely to respond to the survey, the estimated number of active Minnesota dentists would be somewhat lower. Using the July 1, 2005, population estimate for Minnesota, 2,950 dentists equate to 57 active dentists per 100,000 people. Because of different data sources and definitions, this estimate of 57 active dentists is not directly comparable to other reported data. The Bureau of Health Professions in the U.S. Health Resources and Services Administration reported that Minnesota had 3,522 practicing dentists in 2000, or 71 dentists per 100,000 people, exceeding the national number of 64. This federal data appears to include licensed dentists practicing in states other than the state in which licensed. Dental workforce data has previously been reported for “urban” and “rural” portions of the state. Urban has been defined to include seven Twin Cities metropolitan counties (Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington) and the cities of Duluth, Rochester and St. Cloud. For 2005, data is also reported for three groupings that focuses greater attention on the 46 most rural counties: Metropolitan Statistical Areas (MSA) counties – 21 Minnesota counties included in seven metropolitan statistical areas (Minneapolis-St. Paul, St. Cloud, Rochester, Duluth-Superior, Fargo, Grand Forks and La Crosse) Micropolitan counties – 20 counties surrounding smaller urban centers of at least 10,000 people Rural – 46 counties outside MSAs and Micropolitan areas In data tables, shading is used to distinguish data reported under the old urban-rural definition from data reported under the new MSA-micropolitan-rural definition.
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