非创伤性牙齿状况相关紧急情况的时间趋势变化。

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-05-31 DOI:10.1111/jphd.12528
Radhakrishnan Nagarajan PhD, Aloksagar Panny BDS, MS, Richard Berg MS, Amit Acharya BDS, MS, PhD, FAMIA, Greg Nycz BS
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引用次数: 0

摘要

目的:本研究的目的是调查急诊部(ED)、急诊部(UC)和向中等规模农村社区提供牙科服务的联邦合格医疗中心(FQHC)非创伤性牙齿状况(NTDC)相关急诊就诊的时间趋势。方法测定ED、UC、FQHC及FQHC周边地区9年间(2008-2016年)NTDC发病率的变化趋势。FQHC和UC在各时间点的NTDC就诊比例差异有统计学意义(α = 0.05)。结果在研究期间,非结核性疾病急诊科就诊比例相对稳定;而FQHC在2012年开始超过UC站点,并在2015-2016年显著高于UC站点(α = 0.05)。结论非传染性非结核性疾病是可预防的牙病,在紧急情况下治疗非结核性疾病所提供的护理是姑息性的,并没有解决导致不良结果的潜在条件。这些结果阐明了fqhc在显著减少NTDC访问量方面的关键作用。这些可能是NTDC求医行为潜在转变的前兆,并有望对口腔健康结果产生有利影响。
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Variations in temporal trends in non-traumatic dental condition related emergencies

Objective

The objective of the study was to investigate temporal trends in non-traumatic dental condition (NTDC) related emergency visits at Emergency Department (ED), urgent care (UC), and at a Federally Qualified Health Center (FQHC) that providing dental services to a mid-sized rural community.

Methods

Temporal trends over a 9-year period (2008–2016) in NTDC rates at ED, UC, FQHC and in a region around the FQHC were determined. Statistically significant changes (α = 0.05) in the proportion of NTDC visits between FQHC and UC across each of the time points were investigated.

Results

Proportion of NTDC ED visits was relatively stable over the study period; whereas those at FQHC exceeded those at UC site beginning 2012 and were significantly (α = 0.05) higher than that of UC subsequently (2015–2016).

Conclusions

NTDCs are preventable dental conditions and the care provided in treating NTDCs in emergency settings is palliative and does not address the underlying conditions resulting in poor outcomes. The results presented elucidate the critical role of FQHCs in significantly reducing NTDC visits. These might be precursors to a potential shift in NTDC care seeking behavior and expected to favorably impact oral health outcomes.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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