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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Visiting the Emergency Department for Dental Problems: Trends in Utilization, 2001 to 2008</title><author><name sortKey="Lee, Helen H" sort="Lee, Helen H" uniqKey="Lee H" first="Helen H." last="Lee">Helen H. Lee</name></author><author><name sortKey="Lewis, Charlotte W" sort="Lewis, Charlotte W" uniqKey="Lewis C" first="Charlotte W." last="Lewis">Charlotte W. Lewis</name></author><author><name sortKey="Saltzman, Babette" sort="Saltzman, Babette" uniqKey="Saltzman B" first="Babette" last="Saltzman">Babette Saltzman</name></author><author><name sortKey="Starks, Helene" sort="Starks, Helene" uniqKey="Starks H" first="Helene" last="Starks">Helene Starks</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22994252</idno><idno type="pmc">3477981</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477981</idno><idno type="RBID">PMC:3477981</idno><idno type="doi">10.2105/AJPH.2012.300965</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000298</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000298</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Visiting the Emergency Department for Dental Problems: Trends in Utilization, 2001 to 2008</title><author><name sortKey="Lee, Helen H" sort="Lee, Helen H" uniqKey="Lee H" first="Helen H." last="Lee">Helen H. Lee</name></author><author><name sortKey="Lewis, Charlotte W" sort="Lewis, Charlotte W" uniqKey="Lewis C" first="Charlotte W." last="Lewis">Charlotte W. Lewis</name></author><author><name sortKey="Saltzman, Babette" sort="Saltzman, Babette" uniqKey="Saltzman B" first="Babette" last="Saltzman">Babette Saltzman</name></author><author><name sortKey="Starks, Helene" sort="Starks, Helene" uniqKey="Starks H" first="Helene" last="Starks">Helene Starks</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We tested the hypothesis that between 2001 and 2008, Americans increasingly relied upon emergency departments (EDs) for dental care.</p><p><italic>Methods.</italic> Data from 2001 through 2008 were collected from the National Hospital Ambulatory Medical Care Survey (NHAMCS). Population-based visit rates for dental problems, and, for comparison, asthma, were calculated using annual US Census Bureau estimates. As part of the analysis, we described patient characteristics associated with large increases in ED dental utilization.</p><p><italic>Results.</italic> Dental visit rates increased most dramatically for the following subpopulations: those aged 18 to 44 years (7.2–12.2 per 1000, <italic>P</italic> < .01); Blacks (6.0–10.4 per 1000, <italic>P</italic> < .01); and the uninsured (9.5–13.2 per 1000, <italic>P</italic> < .01). Asthma visit rates did not change although dental visit rates increased 59% from 2001 to 2008.</p><p><italic>Conclusions.</italic> There is an increasing trend in ED visits for dental issues, which was most pronounced among those aged 18 to 44 years, the uninsured, and Blacks. Dental visit rates increased significantly although there was no overall change in asthma visit rates. This suggests that community access to dental care compared with medical care is worsening over time.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22994252</article-id><article-id pub-id-type="pmc">3477981</article-id><article-id pub-id-type="publisher-id">300965</article-id><article-id pub-id-type="doi">10.2105/AJPH.2012.300965</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>36</subject><subject>37</subject><subject>38</subject><subject>74</subject></subj-group><subj-group subj-group-type="heading"><subject>Online Research and Practice</subject></subj-group></article-categories><title-group><article-title>Visiting the Emergency Department for Dental Problems: Trends in Utilization, 2001 to 2008</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname><given-names>Helen H.</given-names></name><degrees>MD, MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Lewis</surname><given-names>Charlotte W.</given-names></name><degrees>MD, MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Saltzman</surname><given-names>Babette</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Starks</surname><given-names>Helene</given-names></name><degrees>PhD, MPH</degrees></contrib><aff>Helen H. Lee is with the Department of Anesthesiology, University of Washington, Seattle. Charlotte W. Lewis is with the Department of Pediatrics, University of Washington. Babette Saltzman is with the Craniofacial Center, Seattle Children’s Hospital, Seattle, WA. Helene Starks is with the Department of Bioethics and Humanities, University of Washington.</aff></contrib-group><author-notes><corresp>Correspondence should be sent to Helen H. Lee, 4800 Sand Point Way NE, M/S W-9824, Seattle, WA 98105 (e-mail: <email>Helen.lee@seattlechildrens.org</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints” link.</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>H. H. Lee and C. W. Lewis conceptualized the study idea. H. H. Lee and B. Saltzman conducted primary data management and analysis with assistance from C. W. Lewis and H. Starks. H. H. Lee was the primary writer with assistance from B. Saltzman, C. W. Lewis, and H. Starks.</p></fn></author-notes><pub-date pub-type="ppub"><month>11</month><year>2012</year></pub-date><pub-date pub-type="epub"><month>11</month><year>2012</year></pub-date><volume>102</volume><issue>11</issue><fpage>e77</fpage><lpage>e83</lpage><history><date date-type="accepted"><day>21</day><month>6</month><year>2012</year></date></history><permissions><copyright-statement>© American Public Health Association 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2012.300965.pdf"></self-uri><abstract><p><italic>Objectives.</italic> We tested the hypothesis that between 2001 and 2008, Americans increasingly relied upon emergency departments (EDs) for dental care.</p><p><italic>Methods.</italic> Data from 2001 through 2008 were collected from the National Hospital Ambulatory Medical Care Survey (NHAMCS). Population-based visit rates for dental problems, and, for comparison, asthma, were calculated using annual US Census Bureau estimates. As part of the analysis, we described patient characteristics associated with large increases in ED dental utilization.</p><p><italic>Results.</italic> Dental visit rates increased most dramatically for the following subpopulations: those aged 18 to 44 years (7.2–12.2 per 1000, <italic>P</italic> < .01); Blacks (6.0–10.4 per 1000, <italic>P</italic> < .01); and the uninsured (9.5–13.2 per 1000, <italic>P</italic> < .01). Asthma visit rates did not change although dental visit rates increased 59% from 2001 to 2008.</p><p><italic>Conclusions.</italic> There is an increasing trend in ED visits for dental issues, which was most pronounced among those aged 18 to 44 years, the uninsured, and Blacks. Dental visit rates increased significantly although there was no overall change in asthma visit rates. This suggests that community access to dental care compared with medical care is worsening over time.</p></abstract><counts><page-count count="7"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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