Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit
Identifieur interne : 00CF54 ( Main/Curation ); précédent : 00CF53; suivant : 00CF55Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit
Auteurs : Beth H. Benson [États-Unis] ; Linda C. Niessen ; Carl J. TogaSource :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 1984-09.
Descripteurs français
- Wicri :
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
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Linda C. Niessen<affiliation><wicri:noCountry code="subField">21902</wicri:noCountry>
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<affiliation><wicri:noCountry code="subField">02115</wicri:noCountry>
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<front><div type="abstract" xml: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.</div>
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