Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

Lutfiyya, M. Nawal; Gross, Andrew J.; Soffe, Burke W.; Lipsky, Martin S.

doi:10.1186/s12889-019-6590-y

Cited by 60 publications

(78 citation statements)

References 55 publications

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“…Women were less likely to visit dentist in period longer than 12 months compared to men (OR=0.70). According to the literature women more regularly visit a dentist than men 20 , which also confirm the survey results by developed countries such as Germany and United States 21,22 . In a cross-sectional study in Turkey 23 , women had more visits to the dentist compared to men during a previous 12-month period.…”

Section: Discussionsupporting

confidence: 81%

“…In regards to the place of residence in our research, we note that respondents who live in rural area tend to visit a dentist once in 12 months period or longer more frequently in comparison to residents of the city. This trend has been confirmed by a study conducted in the United States on the population age 18 9 years and older, where rural residency was shown as an independent factor associated with lower dental care utilization 22 . Research showed that the population of the rural area is most likely to visit a dentist only when they experience acute pain 27,28 .…”

Section: Discussionmentioning

confidence: 53%

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The association between the frequency of dental visits and independent factors among adults aged 20 years and over in Serbia

et al. 2021

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Background/AimThe aim of this study was to determine the link between dental visits and independent sociodemographic factors and smoking in the adult population in Serbia.Methods This cross-sectional study represents an analysis of 2013 National Health Survey for the population of Serbia (without data of Kosovo and Metohia population). Study included 13,404 adults 20 years and over. The mean age of participants was 51.7 years including 7,221 females (53.9%) and 6,183 males (46.1%). In order to determine possible predictors of a dental visit the multivariate logistic regression model was implemented.Visit to a dentist was dependent variable while the independent variables were: sex, age, marital status, type of settlement, region, education, employment status, Wealth Index and smoking status. Results Significant differences were observed between categories of dental visit and all independent variables except marital and smoking status. In multivariate model odds of visiting dentist in period "12 months or longer" vs. "in last 6 months" were the highest among older respondents (OR=1.03; 95%CI=1.02-1.04), from rural area (OR=1.17; 95%CI=1.03-1.32), with low (OR=2.55; 95%CI=2.12-3.07) and middle (OR=1.76; 95%CI=1.54-2.00) education level, unemployed (OR=1.20; 95%CI=1.06-1.37), who belong to poorer (OR=1.30; 95%CI=1.08-1.54) or the poorest class (OR=1.71; 95%CI=1.38-2.12) and smokers (OR=1.13; 95%CI= 1.01-1.26). Conclusion Study demonstrated that sociodemographic factors and smoking are important factors related to visit to a dentist. This study can help to advance regular visits to a dentist and programs of health education focusing on oral health and smoking cessation as well.Key words: visit to a dentist, adults, sociodemographic factors, smoking Apstrakt Uvod/Cilj Cilj ove studije bio je utvrĎivanje povezanosti izmeĎu posete stomatologu i nezavisnih socio-demografskih faktora i pušenja kod odrasle populacije u Srbiji. Metode Istraživanje predstavlja analizu podataka dobijenih u okviru Nacionalnog istraživanja zdravlja stanovništva Srbije koje je sprovedeno 2013. godine kao studija preseka na reprezentativnom uzorku odraslog stanovništva Srbije (bez podataka o stanovništvu Kosova i Metohije). Studija je obuhvatila 13404 ispitanika starosti 20 godina i više. Prosečna starost ispitanika bila je 51,7 godina, uključujući 7221 ženu (53,9%) i 6183 muškarca (46,1%). Prediktori učestalosti posete stomatologu analizirani su 4 multivarijantnom logističkom regresijom. Poseta stomatologu je bila zavisna promenljiva, dok su nezavisne promenljive bile: pol, starost, bračni status, tip naselja, region, obrazovanje, radni status, indeks blagostanja i pušački status. Rezultati Postoje značajne razlike izmeĎu kategorija posete stomatologu i svih nezavisnih promenljivih osim bračnog i pušačkog statusa. Rezultati multivarijantnog modela pokazali su da su šanse za posetu stomatologu u periodu "12 meseci ili duže" u odnosu na "u poslednjih 6 meseci" bile najveće kod starijih ispitanika (UO=1,03; 95%IP=1,02-1,04), onih koji žive u naselj...

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 53%

The association between the frequency of dental visits and independent factors among adults aged 20 years and over in Serbia

et al. 2021

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show abstract

“…One limitation of the present study is that it does not assess the oral and general health of the subjects (dental caries indices, complete or partial edentulism, periodontal status, presence of general diseases, and so on). Another limit is the social desirability bias meaning that a patient think it is a must to visit a medical or dental office at every six month or one a year, they can choose to answer desirably (to report a regular healthcare visit) even if this is not true (4).…”

Section: Discussionmentioning

confidence: 99%

“…For clinicians, there is a need to deliver comprehensive medical care in a patient-centered approach health, prioritizing the interventions towards increasing regular dental and general services use, considering the impact of health on individuals' lives (2,3). Regular medical care provides the opportunity for improved health outcomes, preventive treatments and early detection of dental and general diseases (4,5).…”

Section: Introductionmentioning

confidence: 99%

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Healthcare Services Use Among Dental Patients

Oancea

Sfeatcu

Maria³

et al. 2019

ARS Medica Tomitana

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Regular medical attendance proved to have a positive impact on health, therefore the aim of the study is to detect the reasons and frequency for health care use among a group of 110 urban dental patients aged between 33 and 75 years, 50% males. The subjects completed an anonymous questionnaire with items related to their medical visits patterns: reason (treatment/control and emergency) and frequency of healthcare services use; self-assessed oral and general health and socio-demographic data. Most of the patients were adults (81.8%) and with more than 12 years of study (50%). In terms of reason for attending the dental offi ce, 72% visited the dentist for emergency reasons, mainly men, elderly, patients with low level of education, and those who self-rated their oral health as satisfying or poor. Regarding medical visits, 54% from all patients attended healthcare for emergency reasons, regardless age, gender, education level and self-perceived general health. The results showed that worse healthcare services use is associated with low education level and gender, especially men visited the dentist when there is pain only. There is need to increase the number of individuals who use regular health care, for prevention and early detection of diseases.

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What Primary Care Innovation Teaches Us About Oral Health Integration

Greiner¹,

Glicken²

2022

AMA Journal of Ethics

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Integrating primary and oral health care is critical to improving population health and addressing health inequity exacerbated by the COVID-19 pandemic. Leaders of the patient-centered medical home (PCMH) movement focused on building consensus for the PCMH model among diverse stakeholders in order to enhance infrastructure investment, care innovation, and payment reforms that support access and equity. This article offers 5 lessons from the PCMH movement to inform primary and oral health care integration.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Patient-Centered Medical HomesConsumers want primary care that is accessible, comprehensive, coordinated, and responsive to overall health and well-being and that integrates oral and behavioral services. 1 However, despite the fact that comprehensive primary care improves population health and reduces inequity, 2,3,4 this care is hard for patients to find because of siloed payment, insurance, and delivery streams. The COVID-19 pandemic has further weakened primary care and exacerbated inequity. 5,6 Yet primary care innovators who have built momentum over the last decade might still help increase access to comprehensive care by creating patient-centered medical homes (PCMHs) 7 that can connect silos. PCMHs offer advanced primary care models that do the following:• Strengthen partnerships between primary care clinicians and patients • Deliver comprehensive services through team-based, proactive approaches • Leverage technology to track, target, and evaluate interventionsPCMHs have been widely adopted by commercial health plans, states, and federally qualified health centers (FQHCs). As of 2010, 44 states and the District of Columbia had passed 330 laws to support and incentivize medical homes. 8 White and Twiddy reported in 2017 that 45% of family physicians practice in a PCMH, 9 and the American Medical Association showed that 32% of physicians in 2018 participated in a medical home. 10,11

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Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

Cited by 60 publications

References 55 publications

The association between the frequency of dental visits and independent factors among adults aged 20 years and over in Serbia

The association between the frequency of dental visits and independent factors among adults aged 20 years and over in Serbia

Healthcare Services Use Among Dental Patients

What Primary Care Innovation Teaches Us About Oral Health Integration

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