Utilization of Hospital Emergency Departments for Non-Traumatic Dental Care in New Hampshire, 2001-2008

被引:29
作者
Anderson, Ludmila [1 ,2 ]
Cherala, Sai [1 ]
Traore, Elizabeth [1 ]
Martin, Nancy R. [1 ]
机构
[1] New Hampshire Dept Hlth & Human Serv, Div Publ Hlth Serv, Concord, NH 03301 USA
[2] Univ New Hampshire, Dept Hlth Management & Policy, Durham, NH 03824 USA
关键词
Emergency department; Dental care; Dental conditions;
D O I
10.1007/s10900-010-9335-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Hospital Emergency Departments (ED) provide a variety of medical care, some of which is for non-urgent, chronic conditions. We describe the statewide use of hospital ED for selected non-traumatic dental conditions that occurred during 2001-2008 in New Hampshire. Using the administrative hospital discharge dataset for 2001-2007, and provisional 2008 data, we identified all visits for selected dental conditions and calculated age-adjusted rates per 10,000 New Hampshire residents by several socio-demographic characteristics. The Spearman correlation coefficient was used to assess the statistical significance for trend over time. Emergency department visits for non-traumatic dental conditions increased significantly from 11,067 in 2001 to 16,238 visits in 2007 (P < 0.007). There were persistent differences in ED visits by age, county and primary payor, and varying difference by gender. Self-paying individuals and those 15-44 years old were the most frequent ED dental care users. The most frequent dental complains (46%) were diseases of the teeth and supporting structures, diagnostic code ICD-9-CM-525. Dental care associated ED visits have increased in New Hampshire. Individuals seeking dental treatment in ED are not receiving definitive treatment, and they misuse limited resources. Future studies need to determine the specific barriers to timely and effective dental care in dental offices. Ongoing consistent monitoring of ED use for non-traumatic dental conditions is essential.
引用
收藏
页码:513 / 516
页数:4
相关论文
共 9 条
[1]  
California Health Care foundation, 2009, EM DEP VIS PREV DENT
[2]  
Cohen LA, 2006, FAM MED, V38, P556
[3]  
CURTIN L, 1995, DIRECT STANDARDIZATI, P10
[4]   Doctor, my tooth hurts: the costs of incomplete dental care in the emergency room [J].
Davis, Elizabeth E. ;
Deinard, Amos S. ;
Maiga, Eugenie W. H. .
JOURNAL OF PUBLIC HEALTH DENTISTRY, 2010, 70 (03) :205-210
[5]  
Kilbreth B., 2010, ANAL EMERGENCY DEP U
[6]  
MICHAEL M, 1993, ACCESS HLTH CARE AM, P221
[7]  
National Center for Health Statistics, 2009, SPEC FEAT MED TECHN
[8]   Practical barriers to timely primary care access - Impact on adult use of emergency department services [J].
Rust, George ;
Ye, Jiali ;
Baltrus, Peter ;
Daniels, Elvan ;
Adesunloye, Bamidele ;
Fryer, George Edward .
ARCHIVES OF INTERNAL MEDICINE, 2008, 168 (15) :1705-1710
[9]  
Shortridge EF, 2009, J PUBLIC HEALTH MAN, V15, P238, DOI 10.1097/PHH.0b013e3181a1179f