{"id":"https://openalex.org/W2986584884","doi":null,"title":"Oral Health Care: An Autoethnography Reflecting on Dentistry's Collective Neglect and Changes in Professional Education Resulting in the Dental Hygienist Being the Prevention-focused Primary Oral Health Care Provider","display_name":"Oral Health Care: An Autoethnography Reflecting on Dentistry's Collective Neglect and Changes in Professional Education Resulting in the Dental Hygienist Being the Prevention-focused Primary Oral Health Care Provider","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2986584884","mag":"2986584884"},"language":"en","primary_location":{"id":"pmh:oai:scholarlycommons.pacific.edu:uop_etds-4633","doi":null,"is_oa":true,"landing_page_url":"https://scholarlycommons.pacific.edu/uop_etds/3636","pdf_url":"https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=4633&context=uop_etds","source":{"id":"https://openalex.org/S4306400314","display_name":"Scholarly Commons (University of the Pacific)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I119942576","host_organization_name":"University of the Pacific","host_organization_lineage":["https://openalex.org/I119942576"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"University of the Pacific Theses and Dissertations","raw_type":"text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=4633&context=uop_etds","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059695962","display_name":"Maureen Harrington","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Maureen Harrington","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5059695962"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9458000063896179,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9458000063896179,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13457","display_name":"Dental Education, Practice, Research","score":0.04399999976158142,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12439","display_name":"Dental Research and COVID-19","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dental-hygienists","display_name":"dental hygienists","score":0.8220000267028809},{"id":"https://openalex.org/keywords/oral-health-disparities","display_name":"oral health disparities","score":0.6499999761581421},{"id":"https://openalex.org/keywords/underserved-populations","display_name":"underserved populations","score":0.9929999709129333},{"id":"https://openalex.org/keywords/teledentistry","display_name":"teledentistry","score":0.7559999823570251},{"id":"https://openalex.org/keywords/community-dental-services","display_name":"community dental care","score":0.6809999942779541},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.796999990940094},{"id":"https://openalex.org/keywords/oral-health-prevention","display_name":"oral health prevention","score":0.5809999704360962},{"id":"https://openalex.org/keywords/school-based-dental-care","display_name":"school dental care","score":0.8040000200271606},{"id":"https://openalex.org/keywords/access-to-dental-care","display_name":"access to dental care","score":0.6700000166893005}],"concepts":[{"id":"https://openalex.org/C2776225092","wikidata":"https://www.wikidata.org/wiki/Q4826265","display_name":"Autoethnography","level":2,"score":0.8226372003555298},{"id":"https://openalex.org/C2776289891","wikidata":"https://www.wikidata.org/wiki/Q1931511","display_name":"Neglect","level":2,"score":0.6803829669952393},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.647449791431427},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.547812283039093},{"id":"https://openalex.org/C2776693998","wikidata":"https://www.wikidata.org/wiki/Q5259410","display_name":"Dental care","level":2,"score":0.5271665453910828},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.48490768671035767},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4774485230445862},{"id":"https://openalex.org/C2992672162","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Oral health","level":2,"score":0.46133148670196533},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4374937415122986},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.41567811369895935},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3033824563026428},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.28732627630233765},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.1445784568786621},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0944049060344696},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:scholarlycommons.pacific.edu:uop_etds-4633","doi":null,"is_oa":true,"landing_page_url":"https://scholarlycommons.pacific.edu/uop_etds/3636","pdf_url":"https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=4633&context=uop_etds","source":{"id":"https://openalex.org/S4306400314","display_name":"Scholarly Commons (University of the Pacific)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I119942576","host_organization_name":"University of the Pacific","host_organization_lineage":["https://openalex.org/I119942576"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"University of the Pacific Theses and Dissertations","raw_type":"text"},{"id":"mag:2986584884","doi":null,"is_oa":false,"landing_page_url":"https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=4633&context=uop_etds","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:scholarlycommons.pacific.edu:uop_etds-4633","doi":null,"is_oa":true,"landing_page_url":"https://scholarlycommons.pacific.edu/uop_etds/3636","pdf_url":"https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=4633&context=uop_etds","source":{"id":"https://openalex.org/S4306400314","display_name":"Scholarly Commons (University of the Pacific)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I119942576","host_organization_name":"University of the Pacific","host_organization_lineage":["https://openalex.org/I119942576"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"University of the Pacific Theses and Dissertations","raw_type":"text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.9629999995231628}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2986584884.pdf","grobid_xml":"https://content.openalex.org/works/W2986584884.grobid-xml"},"referenced_works_count":104,"referenced_works":["https://openalex.org/W143173597","https://openalex.org/W172891625","https://openalex.org/W198212706","https://openalex.org/W237035181","https://openalex.org/W1531201437","https://openalex.org/W1544643814","https://openalex.org/W1568621053","https://openalex.org/W1596568880","https://openalex.org/W1822456500","https://openalex.org/W1869309850","https://openalex.org/W1905282097","https://openalex.org/W1951923854","https://openalex.org/W1961903379","https://openalex.org/W1966728315","https://openalex.org/W1974332865","https://openalex.org/W1978376859","https://openalex.org/W1979357735","https://openalex.org/W1981710966","https://openalex.org/W1994339933","https://openalex.org/W1996849519","https://openalex.org/W1998873244","https://openalex.org/W1999787219","https://openalex.org/W2008492821","https://openalex.org/W2010601631","https://openalex.org/W2012778709","https://openalex.org/W2031647167","https://openalex.org/W2031841070","https://openalex.org/W2032422133","https://openalex.org/W2036733667","https://openalex.org/W2039971937","https://openalex.org/W2050965980","https://openalex.org/W2051069050","https://openalex.org/W2053281369","https://openalex.org/W2054323197","https://openalex.org/W2055615296","https://openalex.org/W2064722814","https://openalex.org/W2065780563","https://openalex.org/W2067964202","https://openalex.org/W2074746065","https://openalex.org/W2077889965","https://openalex.org/W2077917650","https://openalex.org/W2078699568","https://openalex.org/W2085028535","https://openalex.org/W2088534004","https://openalex.org/W2089558965","https://openalex.org/W2092027055","https://openalex.org/W2095481674","https://openalex.org/W2095927494","https://openalex.org/W2099340480","https://openalex.org/W2101027097","https://openalex.org/W2103276970","https://openalex.org/W2104297525","https://openalex.org/W2111047112","https://openalex.org/W2111944331","https://openalex.org/W2116946136","https://openalex.org/W2117080484","https://openalex.org/W2119128813","https://openalex.org/W2121662537","https://openalex.org/W2121821727","https://openalex.org/W2129102691","https://openalex.org/W2129508571","https://openalex.org/W2131980167","https://openalex.org/W2133150621","https://openalex.org/W2139414027","https://openalex.org/W2141824074","https://openalex.org/W2143263015","https://openalex.org/W2147097143","https://openalex.org/W2154110051","https://openalex.org/W2155027151","https://openalex.org/W2155810254","https://openalex.org/W2157864630","https://openalex.org/W2159517539","https://openalex.org/W2161538675","https://openalex.org/W2162493034","https://openalex.org/W2162843839","https://openalex.org/W2164866741","https://openalex.org/W2168508083","https://openalex.org/W2170450842","https://openalex.org/W2181185769","https://openalex.org/W2273226190","https://openalex.org/W2313292191","https://openalex.org/W2323503399","https://openalex.org/W2409301899","https://openalex.org/W2411286985","https://openalex.org/W2478917047","https://openalex.org/W2517922167","https://openalex.org/W2521037731","https://openalex.org/W2553557939","https://openalex.org/W2556755503","https://openalex.org/W2588883808","https://openalex.org/W2590870557","https://openalex.org/W2605842071","https://openalex.org/W2606210355","https://openalex.org/W2607312691","https://openalex.org/W2728684530","https://openalex.org/W2731555240","https://openalex.org/W2746049891","https://openalex.org/W2747037405","https://openalex.org/W2747632305","https://openalex.org/W2754898784","https://openalex.org/W2756490190","https://openalex.org/W2782515241","https://openalex.org/W2827982237","https://openalex.org/W3123743264"],"related_works":["https://openalex.org/W2606210355","https://openalex.org/W7220876914","https://openalex.org/W4321261160","https://openalex.org/W2601882806","https://openalex.org/W2737755600","https://openalex.org/W7038401834","https://openalex.org/W2254707966","https://openalex.org/W2232600275","https://openalex.org/W7028967950","https://openalex.org/W4253741684"],"abstract_inverted_index":{"Many":[0],"factors":[1,61],"influence":[2],"poor":[3,65,257],"oral":[4,50,66,258,289],"health":[5,51,67,75,251,259,290],"among":[6],"disadvantaged":[7],"populations":[8,112],"including":[9],"socioeconomic":[10],"circumstances,":[11],"knowledge":[12],"of":[13,59,77,83,99,107,116,136,140,178,204,207,212,233,250,273,280],"disease":[14],"prevention":[15],"strategies":[16],"and":[17,31,42,94,113,122,131,159,180,199,225],"ability":[18],"to":[19,34,47,64,71,87,173,256,268],"implement":[20],"those":[21],"strategies,":[22],"public":[23],"policies,":[24,28],"insurance":[25,27],"status,":[26],"dental":[29,36,74,108,146,196,245,275,282],"providers":[30],"other":[32],"challenges":[33],"accessing":[35],"care.":[37],"Often":[38],"these":[39],"issues":[40],"converge":[41],"result":[43,232,239],"in":[44,96,144,217,221,227,292],"early":[45],"disadvantages":[46],"achieving":[48],"good":[49],"(Horton":[52],"&":[53],"Barker,":[54],"2010).":[55],"Addressing":[56],"even":[57],"some":[58],"the":[60,73,97,114,134,152,195,201,208,270,274,278,281,285],"that":[62,186,194],"contribute":[63],"may":[68],"provide":[69],"ways":[70,267],"change":[72],"status":[76],"historically":[78],"underserved":[79,111],"populations.":[80],"The":[81,184,238],"purpose":[82],"this":[84,213,298],"research":[85],"is":[86,215,243],"explore":[88],"my":[89,117,128,189],"role":[90],"as":[91,151,165,230,260,262,284],"a":[92,100,137,166,192,231,247],"practitioner":[93],"researcher":[95],"creation":[98],"hygienist-based,":[101],"community-site":[102],"located,":[103],"teledentistry":[104],"supported":[105],"system":[106],"care":[109,147,155,288],"for":[110,240],"intersection":[115],"experiences":[118,130,135],"with":[119,175],"cultural,":[120],"societal":[121],"educational":[123],"occurrences.":[124],"This":[125],"autoethnography":[126],"examined":[127],"own":[129],"also":[132],"explored":[133],"small":[138],"sample":[139],"others":[141],"who":[142],"participated":[143],"onsite":[145],"systems":[148],"utilizing":[149],"hygienists":[150],"prevention-focused":[153,286],"primary":[154,287],"provider.":[156],"As":[157],"Ellis":[158],"Bochner":[160],"(1996)":[161],"note":[162],"\u201cAutoethnography":[163],"stands":[164],"current":[167],"attempt":[168],"to,":[169],"quite":[170],"literally,":[171],"come":[172],"terms":[174],"sustaining":[176],"questions":[177],"self":[179],"culture\u201d":[181],"(p.":[182],"193).":[183],"findings":[185],"emerged":[187],"from":[188],"work":[190],"included":[191],"realization":[193],"industry":[197,276],"creates":[198],"perpetuates":[200],"collective":[202,271],"neglect":[203,214,272],"large":[205],"portions":[206],"US":[209],"population.":[210],"Some":[211],"embedded":[216],"traditional":[218],"power":[219],"structures":[220],"dentistry,":[222],"gender":[223],"bias":[224],"distrust":[226],"professional":[228,235,293],"skills":[229],"separate":[234],"education":[236,294],"structures.":[237],"many":[241],"people":[242],"untreated":[244],"disease,":[246],"profound":[248],"lack":[249],"equity,":[252],"increased":[253],"shame":[254],"due":[255],"well":[261],"missing":[263],"school.":[264],"There":[265],"are":[266],"address":[269],"through":[277],"reframing":[279],"hygienist":[283],"provider":[291,299],"programs":[295],"then":[296],"integrating":[297],"type":[300],"into":[301],"community":[302],"settings":[303],"like":[304],"schools.":[305]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-11-22T00:00:00"}
