Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit
Identifieur interne : 001102 ( Istex/Corpus ); précédent : 001101; suivant : 001103Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit
Auteurs : Beth H. Benson ; Linda C. Niessen ; Carl J. TogaSource :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 1984-09.
English descriptors
- KwdEn :
- Dent, Dent assoc, Dental, Dental attitude, Dental care, Dental chart, Dental clinic, Dental demand, Dental program, Dental service, Dental services, Dental status, Dental treatment, Dental treatment status, Dentulous patients, Denture, Denture construction, Dhhs publ, Edentulism, Edentulism rate, Edentulous, Edentulous patients, Elderly population, Exam, Greater need, Greatest number, Group percent, Harvard school, Health care, Health care system, Health statistics, Human services, Kansas city, Less nursing assistance, Level percent, Massachusetts nursing homes, Mental disabilities, More teeth, National academy, National center, Nhcu, Nhcu patients, Nhcu resident, Nhcu residents, Nursing, Nursing home, Nursing home care unit, Nursing home population, Nursing home resident, Nursing home residents, Nursing homes, Older americans, Operative procedures, Operative treatment, Oral health, Oral health status, Oral prophylaxis, Patient demand, Prosthodontic, Public health dentistry, Refusal rate, Removable, Removable prosthodontic, Removable prosthodontic services, Removable prosthodontics, Significant difference, Staff time, Study percent, Total veteran population, Treatment plan, Treatment planning, Vermont nursing home residents, Veterans administration, Veterans administration nursing home care unit, Year group, Year group services, Years figure.
- Teeft :
- Dent, Dent assoc, Dental, Dental attitude, Dental care, Dental chart, Dental clinic, Dental demand, Dental program, Dental service, Dental services, Dental status, Dental treatment, Dental treatment status, Dentulous patients, Denture, Denture construction, Dhhs publ, Edentulism, Edentulism rate, Edentulous, Edentulous patients, Elderly population, Exam, Greater need, Greatest number, Group percent, Harvard school, Health care, Health care system, Health statistics, Human services, Kansas city, Less nursing assistance, Level percent, Massachusetts nursing homes, Mental disabilities, More teeth, National academy, National center, Nhcu, Nhcu patients, Nhcu resident, Nhcu residents, Nursing, Nursing home, Nursing home care unit, Nursing home population, Nursing home resident, Nursing home residents, Nursing homes, Older americans, Operative procedures, Operative treatment, Oral health, Oral health status, Oral prophylaxis, Patient demand, Prosthodontic, Public health dentistry, Refusal rate, Removable, Removable prosthodontic, Removable prosthodontic services, Removable prosthodontics, Significant difference, Staff time, Study percent, Total veteran population, Treatment plan, Treatment planning, Vermont nursing home residents, Veterans administration, Veterans administration nursing home care unit, Year group, Year group services, Years figure.
Abstract
Planning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetimes.
Url:
DOI: 10.1111/j.1752-7325.1984.tb03076.x
Links to Exploration step
ISTEX:229369955BEDE489FF9A5B297E833F50F9A7544DLe document en format XML
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Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. 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Toga DMD</name><affiliations><json:string>VAMC, Bedford, MA and Harvard School of Dental Medicine Boston, MA 02115</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Institutional elderly</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental treatment needs</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>treatment demands</value></json:item></subject><articleId><json:string>JPHD147</json:string></articleId><arkIstex>ark:/67375/WNG-9DRKG3WG-W</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Planning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. 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Toga</json:string><json:string>Examiners</json:string><json:string>Time Distribution</json:string></persName><placeName><json:string>TX</json:string><json:string>Bedford</json:string><json:string>United States</json:string><json:string>Finland</json:string><json:string>Dallas</json:string><json:string>Australia</json:string><json:string>Kansas City</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Marcus et al.</json:string><json:string>Iowa (1980)</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-9DRKG3WG-W</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - public, environmental & occupational health</json:string><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - 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Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetimes.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1"><hi rend="italic">Institutional elderly</hi></term><term xml:id="k2"><hi rend="italic">dental treatment needs</hi></term><term xml:id="k3"><hi rend="italic">treatment demands</hi></term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/229369955BEDE489FF9A5B297E833F50F9A7544D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1752-7325</doi><issn type="print">0022-4006</issn><issn type="electronic">1752-7325</issn><idGroup><id type="product" value="JPHD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF PUBLIC HEALTH DENTISTRY">Journal of Public Health Dentistry</title></titleGroup></publicationMeta><publicationMeta level="part" position="09004"><doi origin="wiley">10.1111/jphd.1984.44.issue-4</doi><numberingGroup><numbering type="journalVolume" number="44">44</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="1984-09">September 1984</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0014700" status="forIssue"><doi origin="wiley">10.1111/j.1752-7325.1984.tb03076.x</doi><idGroup><id type="unit" value="JPHD147"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><eventGroup><event type="firstOnline" date="2007-04-27"></event><event type="publishedOnlineFinalForm" date="2007-04-27"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-10"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="147">147</numbering><numbering type="pageLast" number="155">155</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:JPHD.JPHD147.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="referenceTotal" number="25"></count><count type="linksCrossRef" number="4"></count></countGroup><titleGroup><title type="main">Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit<link href="#fn1">*</link></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Beth H.</givenNames><familyName>Benson</familyName><degrees>DMD, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Linda C.</givenNames><familyName>Niessen</familyName><degrees>DMD, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Carl J.</givenNames><familyName>Toga</familyName><degrees>DMD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Vanderbilt University Hospital Nashville, TN</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Veterans Administration Medical Center Perry Point, MD 21902</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>VAMC, Bedford, MA and Harvard School of Dental Medicine Boston, MA 02115</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1"><i>Institutional elderly</i></keyword><keyword xml:id="k2"><i>dental treatment needs</i></keyword><keyword xml:id="k3"><i>treatment demands</i></keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Planning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetimes.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><label>*</label><p>Presented at the 111th Annual Meeting, American Public Health Association, Dallas, TX, November 15, 1983.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit*</title></titleInfo><name type="personal"><namePart type="given">Beth H.</namePart><namePart type="family">Benson</namePart><namePart type="termsOfAddress">DMD, MPH</namePart><affiliation>Vanderbilt University Hospital Nashville, TN</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Linda C.</namePart><namePart type="family">Niessen</namePart><namePart type="termsOfAddress">DMD, MPH</namePart><affiliation>Veterans Administration Medical Center Perry Point, MD 21902</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carl J.</namePart><namePart type="family">Toga</namePart><namePart type="termsOfAddress">DMD</namePart><affiliation>VAMC, Bedford, MA and Harvard School of Dental Medicine Boston, MA 02115</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1984-09</dateIssued><copyrightDate encoding="w3cdtf">1984</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">25</extent><extent unit="linksCrossRef">4</extent></physicalDescription><abstract lang="en">Planning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetimes.</abstract><note type="content">*Presented at the 111th Annual Meeting, American Public Health Association, Dallas, TX, November 15, 1983.</note><subject lang="en"><genre>keywords</genre><topic>Institutional elderly</topic><topic>dental treatment needs</topic><topic>treatment demands</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Public Health Dentistry</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0022-4006</identifier><identifier type="eISSN">1752-7325</identifier><identifier type="DOI">10.1111/(ISSN)1752-7325</identifier><identifier type="PublisherID">JPHD</identifier><part><date>1984</date><detail type="volume"><caption>vol.</caption><number>44</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>147</start><end>155</end><total>9</total></extent></part></relatedItem><identifier type="istex">229369955BEDE489FF9A5B297E833F50F9A7544D</identifier><identifier type="ark">ark:/67375/WNG-9DRKG3WG-W</identifier><identifier type="DOI">10.1111/j.1752-7325.1984.tb03076.x</identifier><identifier type="ArticleID">JPHD147</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/229369955BEDE489FF9A5B297E833F50F9A7544D/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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