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Efficient frontiers in a frontier state: Viability of mobile dentistry services in rural areas

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  • Thorsen, Andreas
  • McGarvey, Ronald G.

Abstract

This study investigates the implications of adding mobile dentistry services to a community health center (CHC) in a rural area. CHCs are not-for-profit healthcare organizations which provide comprehensive primary care services to patients in the US, primarily for under-served and uninsured populations. We estimate the demand for the service in a five-county region in southwestern Montana, USA and work with stakeholders to determine a set of potential service locations. A mixed-integer optimization model is formulated to determine the frequency of stops in each location over a finite (six month) planning horizon with the goal of improving accessibility and availability of dental services while maintaining financial sustainability of the CHC. The financial considerations and social impact of offering a mobile dentistry service in southwestern Montana are assessed. Computational results based on a case study demonstrate the challenges facing mobile dentistry operations to increase access to under-served populations in a financially viable manner. Hybrid solutions, in which care is offered at a mix of fixed locations and mobile locations, appear to best balance the objectives of financial sustainability and expanded access to care.

Suggested Citation

  • Thorsen, Andreas & McGarvey, Ronald G., 2018. "Efficient frontiers in a frontier state: Viability of mobile dentistry services in rural areas," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1062-1076.
    • Handle: RePEc:eee:ejores:v:268:y:2018:i:3:p:1062-1076
    DOI: 10.1016/j.ejor.2017.07.062
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    References listed on IDEAS

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    Cited by:

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    4. Hindle, Giles A. & Vidgen, Richard, 2018. "Developing a business analytics methodology: A case study in the foodbank sector," European Journal of Operational Research, Elsevier, vol. 268(3), pages 836-851.

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