Abstract：
OBJECTIVE:To assess the impact of comorbidity and other health measures on the use of dental and medical care services among the community-based Medicare population with data from the 2002 Medicare Current Beneficiary Survey. METHODS:A comorbidity index is the main independent variable of our study. It includes oral cancer as a comorbidity condition and was developed from Medicare claims data. The two outcome variables indicate whether a beneficiary had a dental visit during the year and whether the beneficiary had an inpatient hospital stay during the year. Logistic regressions estimated the relationship between the outcome variables and comorbidity after controlling for other explanatory variables. RESULTS:High scores on the comorbidity index, high numbers of self-reported physical limitations, and fair or poor self-reported health status were correlated with higher hospital use and lower dental care utilization. Similar results were found for types of medical care including medical provider visits, outpatient care, and prescription drugs. A multiple imputation technique was used for the approximate 20 percent of the sample with missing claims, but the resulting comorbidity index performed no differently than the index constructed without imputation. CONCLUSIONS:Comorbidities and other health status measures are theorized to play either a predisposing or need role in determining health care utilization. The study's findings confirm the dominant role of these measures as predisposing factors limiting access to dental care for Medicare beneficiaries and as need factors producing higher levels of inpatient hospital and other medical care for Medicare beneficiaries.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Chen H,Moeller J,Manski RJsubject
Has Abstractpub_date
2011-07-01 00:00:00pages
202-11issue
3eissn
0022-4006issn
1752-7325journal_volume
71pub_type
杂志文章abstract：:In order to ascertain the fate of hypertensive patients who were discovered through the Medical College of Virginia School of Dentistry Hypertension Screening Program, a telephone survey was conducted whereby the first 128 patients discovered to be hypertensive through the program were interviewed concerning their cur...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1976.tb02612.x
更新日期：1976-10-01 00:00:00
abstract：OBJECTIVES:This study examines the predictors for elderly Chinese immigrants' use of dental care services. METHODS:In 2003, a study entitled "Health and Well Being of Older Chinese in Canada" collected data from seven cities in which 2,272 Chinese Canadians aged 55 years and older were surveyed. Data from 1,537 of the...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00009.x
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:The aims of this study were to compare prevalence of early childhood caries (ECC) in 1- to 3-year-old children seeing primary-care pediatricians at two urban medical centers in Boston to the prevalence of ECC in similarly aged US children surveyed as part of the Third National Health and Nutrition Examinatio...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1752-7325.2008.00116.x
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To compare the Dean's and DDE indices in examining dental fluorosis and diffuse opacities. METHODS:Survey of a random sample of 9-year-old children in Southland, New Zealand. Dental fluorosis was measured using Dean's index. Enamel defects were recorded using the DDE index. RESULTS:A total of 436 children ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00186.x
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVES:This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P). Its relationship to literacy theory is analyzed to establish content and face validity. Implications for construct validity are examined by an...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12033
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVES:This review updates the evidence regarding caries risk assessment for infants, toddlers, and preschool children and formulates recommendations for preventive strategies for WIC, Head Start, and Early Head Start. METHODS:Literature on caries risk assessment and preventive strategies for infants, toddlers, an...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析
doi：10.1111/j.1752-7325.2000.tb03330.x
更新日期：2000-07-01 00:00:00
abstract：:This paper presents a background discussion of the estimation of normative need for dental care. Definitions are given which differentiate normative need for dental care from perceived need, demand, or utilization. Four different approaches to obtaining estimates of normative need for dental care are outlined. They ar...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1980.tb01049.x
更新日期：1980-10-01 00:00:00
abstract：:In order to investigate the similarity and differences between male and female dental students, the Bentler inventories, which utilize both self and peer report formats, were administered to first year students at U.C.L.A. Results indicated that male and female dental students are basically similar in terms of a wide ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1978.tb03742.x
更新日期：1978-07-01 00:00:00
abstract：OBJECTIVES:In Canada and the United States, professionally applied topical fluorides (PATF) are usually applied as a gel or foam. However, fluoride varnish has also been found to be effective for caries prevention and may be a preferred method because less time is required and fluoride exposure can be better controlled...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2004.tb02736.x
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1997.tb02469.x
更新日期：1997-01-01 00:00:00
abstract：:In 1986, the Columbus (Ohio) Health Department conducted an oral health survey of children in grades 1, 2, 6, and 7. The World Health Organization's Pathfinder methodology served as the basis for survey design. The survey was made possible through collaboration and sharing resources among the local and state health de...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1988.tb03178.x
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVES:Few health literacy instruments are available to clinicians to help understand the implications of patient difficulty understanding health information. Those that do exist are lengthy and would not be conducive to use in a busy clinical setting. Long-term dental and medical outcomes may improve if health car...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12005
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVES:Information about the oral health status of the homeless is limited. The purpose of this study is to characterize the dental caries status among users of a dental treatment and referral program at homeless shelters in Boston, MA. METHODS:Persons attending the program during a one-year period were assessed f...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1995.tb02328.x
更新日期：1995-01-01 00:00:00
abstract：:Information concerning dental hygienists' job and career satisfaction is dated and incomplete. Because satisfaction may be important in retention of dental hygienists, a survey of all active dental hygienists in private practices in North Carolina was performed to ascertain dimensions and levels of job and career sati...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02242.x
更新日期：1992-01-01 00:00:00
abstract：:Until a few years ago, the results of most surveys of the prevalence of dental caries among school-age children in the United States, particularly those done in the south, showed that black children had a lower prevalence of dental caries than did white children who lived in the same community.4-6,11,16,19,20-23,25 Ho...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1976.tb02853.x
更新日期：1976-04-01 00:00:00
abstract：OBJECTIVES:In Australia, the majority of dental patients attend the private sector, while those with means tested eligibility for government assistance may attend the public sector. The aims of this study were to compare dental caries among persons who last visited private and public clinics, controlling for age, sex, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00199.x
更新日期：2011-01-01 00:00:00
abstract：:It was the purpose of this study to investigate several variables in family structure which might influence the caries experience in 3-12-year-old children for Central Oklahoma. These variables, which included parental age at marriage and at birth of the child for both mother and father, birth rank, family size, and a...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1982.tb04056.x
更新日期：1982-04-01 00:00:00
abstract：BACKGROUND:Dental coverage is provided for all children with Medicaid in Washington State. The goal of this study was to illuminate the characteristics of a sample of Medicaid-enrolled children with high dental expenses. METHODS:Dental care utilization data for a 33-month period were obtained from Washington State's M...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00046.x
更新日期：2007-10-01 00:00:00
abstract：:The high prevalence of disorders in the mouths of elderly residents in long-term care (LTC) facilities suggests that the dental services available to the residents are inadequate. A questionnaire was sent to most of the dentists practicing in Vancouver (British Columbia) to solicit their opinions on treating older pat...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02280.x
更新日期：1992-07-01 00:00:00
abstract：:The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12412
更新日期：2020-09-01 00:00:00
abstract：:This study surveyed a proportionate random sample of licensed dental hygienists in five states and the District of Columbia, to assess their antitobacco use behaviors and attitudes. The response rate was 79.4 percent. Descriptive data as well as chi-square, analysis of variance (ANOVA), and Duncan's multiple range tes...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1990.tb02111.x
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). METHODS:The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly a...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00315.x
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVES:The study explored the options for accreditation of educational programs to prepare a new oral health provider, the dental therapist. METHODS:A literature review and interviews of 10 content experts were conducted. The content experts represented a wide array of interests, including individuals associated w...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00269.x
更新日期：2011-04-01 00:00:00
abstract：:When used properly, sealants result in improved dental health. However, their use on all occlusal tooth surfaces for preventive reasons will result in wasted dental care resources. To optimize the preventive effects of sealants, a delivery model should be initiated that uses specially trained dental hygienists or dent...
journal_title：Journal of public health dentistry
pub_type： 评论,杂志文章,评审
doi：10.1111/j.1752-7325.1995.tb02384.x
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:We describe service patterns and compare changes in program expenditures with the Consumer Price Index over eight years in a dental program with a controlled-fee schedule offered to Canadian First Nations and Inuit people. METHODS:We obtained the computerized records of dental services for the period from 19...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2005.tb02805.x
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVES:The purposes of this study were to develop a work stress inventory for dental assistants (WSI-DA) in Jordan and examine its psychometric properties and to describe potentially stressful work-related conditions related to the profession of dental assistance in Jordan. METHODS:A total of 542 dental assistants...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2008.00094.x
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:This evaluation assesses the Medical Oral Expanded Care (MORE Care) initiative in four states that focused on oral health integration into primary care practices located in dental shortage areas. METHODS:This analysis is conducted using self-reported primary data collected from each of the participating MORE...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12407
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12435
更新日期：2020-12-06 00:00:00
abstract：:This study investigated the prevalence of decayed, missing, and filled teeth (DMFT) in a state prison system, using the opening of a new institution as an opportunity to examine a cross-section of the state male inmate population routinely. A representative sample of 178 male inmates was examined by a single dentist, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1989.tb02031.x
更新日期：1989-04-01 00:00:00
abstract：OBJECTIVE:This article provides an overview of statistical mediation analysis methods in the evaluation of public health dentistry interventions. METHODS AND RESULTS:First, reasons for conducting mediation analysis are outlined, followed by a discussion of the link between the mediation model and theoretical bases of ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00252.x
更新日期：2011-01-01 00:00:00
