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Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.

This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2...

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Autores principales: Kim, Pearl C., Zhou, Wenlian, McCoy, Shawn J., McDonough, Ian K., Burston, Betty, Ditmyer, Marcia, Shen, Jay J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801501/
https://www.ncbi.nlm.nih.gov/pubmed/31574897
http://dx.doi.org/10.3390/ijerph16193671
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author Kim, Pearl C.
Zhou, Wenlian
McCoy, Shawn J.
McDonough, Ian K.
Burston, Betty
Ditmyer, Marcia
Shen, Jay J.
author_facet Kim, Pearl C.
Zhou, Wenlian
McCoy, Shawn J.
McDonough, Ian K.
Burston, Betty
Ditmyer, Marcia
Shen, Jay J.
author_sort Kim, Pearl C.
collection PubMed
description This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007–2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal diagnosis was identified. A series of modified Poisson regression models were used to assess the relationship between patient sociodemographic factors and hospital characteristics, and the likelihood of visiting the ED for a nontraumatic dental reason. Unadjusted descriptive results indicated that there was no apparent increase in the percentage of patients who visited an ED with nontraumatic dental conditions (NTDCs) between 2007 and 2014. The greatest users of EDs for NTDCs were among those who were uninsured and Medicaid beneficiaries relative to persons privately insured. ED visitors were more likely to reside in lower socioeconomic areas (when compared with visitors in the top quartile of the income distribution). Patients in all other age groups were more likely to seek care in an ED for NTDCs relative to those 65 years of age or older. Multiple strategies are required to reduce the use of EDs for routine dental care. This approach will require an interprofessional dialogue and solutions that reduce barriers to receiving dental care.
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spelling pubmed-68015012019-10-31 Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S. Kim, Pearl C. Zhou, Wenlian McCoy, Shawn J. McDonough, Ian K. Burston, Betty Ditmyer, Marcia Shen, Jay J. Int J Environ Res Public Health Article This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007–2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal diagnosis was identified. A series of modified Poisson regression models were used to assess the relationship between patient sociodemographic factors and hospital characteristics, and the likelihood of visiting the ED for a nontraumatic dental reason. Unadjusted descriptive results indicated that there was no apparent increase in the percentage of patients who visited an ED with nontraumatic dental conditions (NTDCs) between 2007 and 2014. The greatest users of EDs for NTDCs were among those who were uninsured and Medicaid beneficiaries relative to persons privately insured. ED visitors were more likely to reside in lower socioeconomic areas (when compared with visitors in the top quartile of the income distribution). Patients in all other age groups were more likely to seek care in an ED for NTDCs relative to those 65 years of age or older. Multiple strategies are required to reduce the use of EDs for routine dental care. This approach will require an interprofessional dialogue and solutions that reduce barriers to receiving dental care. MDPI 2019-09-30 2019-10 /pmc/articles/PMC6801501/ /pubmed/31574897 http://dx.doi.org/10.3390/ijerph16193671 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Pearl C.
Zhou, Wenlian
McCoy, Shawn J.
McDonough, Ian K.
Burston, Betty
Ditmyer, Marcia
Shen, Jay J.
Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title_full Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title_fullStr Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title_full_unstemmed Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title_short Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S.
title_sort factors associated with preventable emergency department visits for nontraumatic dental conditions in the u.s.
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801501/
https://www.ncbi.nlm.nih.gov/pubmed/31574897
http://dx.doi.org/10.3390/ijerph16193671
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