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Abstract

Establishing a dental hygiene program in Kailua Kona, Hawaii, could address critical gaps in local healthcare but requires careful consideration of its feasibility given the significant costs involved. This literature review assesses existing studies to understand the potential for success, focusing on effective recruitment and retention strategies that have been implemented in other rural and underserved regions. Findings reveal that communities worldwide face similar challenges in attracting healthcare providers to remote areas, with successful programs often integrating mandatory externships to encourage healthcare workers to experience and engage with underserved communities. Given Hawaii’s diverse ethnic makeup, insights from cross-cultural and global studies are particularly relevant. Evidence indicates that by offering rural externship opportunities or establishing programs in smaller communities, students who were initially hesitant about rural practice developed a willingness to commit to service in these areas, fostering both personal and professional growth. This review provides a foundation for further research to substantiate the need and sustainability of a dental hygiene program in Kailua Kona.

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