Abstract：
OBJECTIVES:This study aims to examine the charges and frequency of return visits for treating dental health problems in hospital emergency rooms (ERs) in order to provide a basis for policy discussion concerning cost-effective and appropriate treatment for those without access to private dental services. METHODS:Records were abstracted from hospital administrative data systems for dental-related ER visits from five major hospital systems in the Minneapolis-St. Paul metropolitan area during a 1-year period. Data on the number of visits and charges were analyzed by age and type of payor (public or private). Similar data were obtained from records for a commercially insured population from a single large employer. RESULTS:There were over 10,000 visits to ERs for dental-related problems with total charges reaching nearly $5 million in 1 year, mainly charged to public programs and reimbursed at about 50 percent. The frequency of repeat visits suggests that while acute pain and infection were treated by the ER physicians, the underlying dental problem often was not resolved. In contrast, a population with commercial dental insurance rarely used hospital ERs for dental problems. CONCLUSIONS:Access to preventive and restorative dental care is a critical public health problem in the United States, particularly for those without insurance and those covered by public programs. Public health policy initiatives such as the use of dental therapists should be expanded to improve access and to provide alternatives that offer more complete and less costly care for oral health problems than do hospital ERs.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Davis EE,Deinard AS,Maïga EWdoi
10.1111/j.1752-7325.2010.00166.xsubject
Has Abstractpub_date
2010-07-01 00:00:00pages
205-10issue
3eissn
0022-4006issn
1752-7325pii
JPHD166journal_volume
70pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. MATERIAL AND METHODS:A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variabl...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00056.x
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVES:The purpose of our study was to examine the association between rurality and select oral health care metrics: teeth condition, decay, and access measures such as preventive dental care among children in the United States. METHODS:We conducted a cross-sectional study with a sample of 20,842 respondents from ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12444
更新日期：2021-01-27 00:00:00
abstract：:The widespread availability of fluoride from many sources is accepted as a major reason for the caries decline among children in developed countries. There is still controversy, however, about its principal mode of action. This article reviews the evidence on fluoride's preeruptive and posteruptive effects, and sugges...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1988.tb03204.x
更新日期：1988-10-01 00:00:00
abstract：:A tooth-oriented caries measure has limitations in depicting the caries experience in the primary dentition for a population. Caries patterns based on the child have been presented previously and quantified. The purpose of this study was to explore proportional changes in caries patterns of the primary dentition in tw...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1987.tb01951.x
更新日期：1987-01-01 00:00:00
abstract：OBJECTIVES:Dentistry is increasingly challenged by payers and the public to demonstrate quality measurement (QM) activities that substantiate value. Unknown is how various components of the US oral health-care financing and delivery systems have adopted QM. The objective of this study is to explore QM activities by US ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12117
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:This study examines the relationships between stated restorative treatment thresholds of 16 dentists and both their restorative decisions and caries depth determinations for approximal tooth surfaces based on bitewing radiographs. METHODS:Sixteen dentists independently examined 15 pairs of experimental bitew...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02433.x
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:To compare perceptions of general health versus oral health within two populations. METHODS:Secondary analysis of cross-sectional survey data obtained from representative samples of dentate adults in Australia and the United States. Australian data were collected in the 2002 National Dental Telephone Intervi...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb04078.x
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to consider the association between developmental enamel defects and dental caries in children from areas with different levels of fluoride in their drinking water. METHODS:children (mean age = 14.1 +/- 0.3 years) were examined from areas with less than 0.1 ppm (n = 267) and 0....
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02400.x
更新日期：1996-04-01 00:00:00
abstract：OBJECTIVE:To explore whether there are socioeconomic, ethnic, and geographical inequalities in dental caries among 12-year-old Chinese children. METHODS:Data from 2,307 12-year-old children living in Guangxi, Hubei, Jilin, and Shanxi and who participated in the Third National Oral Health Survey in China were used for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12091
更新日期：2015-07-01 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：OBJECTIVE:It has been speculated that amoxicillin use could be associated with enamel defects, but there have been few studies of this possible relationship. This study assessed the association between amoxicillin use during the first year of life and primary tooth fluorosis. METHODS:Subjects (n = 490) were recruited ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2004.tb02724.x
更新日期：2004-01-01 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：OBJECTIVE:The aim of this study was to analyze the relationship between oral health behaviors and general health behaviors in adults. METHODS:A total of 2,467 adults (1,208 men and 1,259 women aged 20-59 years) who consulted dentists in Chiba City were administered a questionnaire. RESULTS:Women, older participants, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2003.tb03508.x
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVE:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity. METHODS:In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding-hours worked, practice size, payment and patient mix, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00180.x
更新日期：2010-10-01 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：:Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12303
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVES:We determined the knowledge level of water plant operators who fluoridate drinking water, and we compared small and large water plants. METHODS:A pretested survey was sent to 2,381 water plant operators in 12 states that adjust the fluoride concentration of drinking water. A z-test for proportion was used t...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2001.tb03372.x
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVES:To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those placed by dentists. METHODS:Between July 1, 2007, and June 30, 2008, we matched 455 restorations placed by RFAs working at HealthPartners Dental Group with the same number placed by dentists. Restorations we...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00291.x
更新日期：2012-04-01 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：:This assessment compared routine data on selected clinical services provided within the Oklahoma City Area of the Indian Health Service during the first six months of fiscal year 1984, prior to implementation of a program emphasizing oral health promotion and disease prevention, to comparable data from 1987. The asses...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1989.tb02023.x
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12262
更新日期：2018-06-01 00:00:00
abstract：:National health insurance is reemerging as an important issue on the national health policy scene. The continuing escalation of health care costs in the US and increasing numbers of individuals without access to health services are stimulating a variety of proposals to redesign the structure and financing of the Ameri...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02225.x
更新日期：1991-10-01 00:00:00
abstract：:The dental restorative treatment needs of Mexican-American children, aged 1-17 years, were assessed from the 1982-83 Southwestern US Hispanic Health and Nutrition Examination Survey (HHANES). This report analyzed those needs and applied a dollar cost to them, using 1982 median fees of US general practitioners. The tot...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02215.x
更新日期：1991-10-01 00:00:00
abstract：:The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1985.tb01125.x
更新日期：1985-07-01 00:00:00
abstract：:Ten- to 13-year-old children were examined annually for three years to determine the caries activity in the proximal and occlusal surfaces of first permanent molars. Almost every tooth with an unsound (carious or filled) proximal surface also had an unsound occlusal surface. Caries scores in proximal surfaces remained...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1988.tb03154.x
更新日期：1988-01-01 00:00:00
abstract：:Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1984.tb03077.x
更新日期：1984-10-01 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：OBJECTIVE:Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (E...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00369.x
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVES:To test the feasibility of colocating registered dental hygienists (RDHs) into medical practices and to evaluate parent/caregiver oral health characteristics. METHODS:From December 2008 to April 2009, we colocated five RDHs into five medical practices identified for their service to low-income children. Dua...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12010
更新日期：2013-07-01 00:00:00
abstract：:Grand Rapids, the first city in the world to implement controlled water fluoridation, has served as a model for thousands of other communities. Fluoridation is one of the greatest public health and disease-preventive measures of all time. Its advantages include effectiveness for all, ease of delivery, safety, equity, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1996.tb02448.x
更新日期：1996-01-01 00:00:00
