Predictors of the use of dental services by older veterans

Strayer, Michael S.; Branch, Laurence G.; Jones, Judith A.; Adelson, R

doi:10.1111/j.1754-4505.1988.tb00737.x

Cited by 24 publications

(17 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Besides addressing clinical dental findings, dental professionals also should consider the patient’s or their family’s preferences during clinical treatment planning, because oral health care needs may vary in older adults with different educational levels, socioeconomic backgrounds and health care values. 27–29 From a policymaker’s perspective, it is necessary to develop a mechanism to minimize potentially unnecessary treatment and optimally use or allocate public resources to improve the quality of life for patients with terminal illnesses or advanced frailty.…”

Section: Discussionmentioning

confidence: 99%

Dental treatment intensity in frail older adults in the last year of life

Chen

Chen²,

Douglas³

et al. 2013

The Journal of the American Dental Association

View full text Add to dashboard Cite

Background Palliative care focusing on pain and infection is recommended for patients who are terminally ill. It is difficult to implement this strategy in practice because of the lack of clear guidelines. The authors conducted a study to examine dental treatment provided to a group of long-term care (LTC) residents in the last year of life. Methods The authors retrospectively followed 197 LTC residents (60 years or older) in the last year of life to death. On the basis of the dental services patients received between the new patient examination and death, the authors categorized the patients into three groups: no care (NC), limited care (LC) and usual care (UC). The authors developed a multivariable continuation ratio logit model with shared regression coefficients across two logits to identify the factors associated with the end-of-life dental care pattern. Results The authors found that 50.8 percent of the patients received NC before death. Among those who received treatment, 62.9 percent received UC, and 60.7 percent of the patients in the UC group had completed their treatment in the last three months of life. A three-month increment in survival and having dental insurance resulted in 1.74 (95 percent confidence interval [CI], 1.32–2.30) and 2.59 (95 percent CI, 1.03–6.52) times greater odds, respectively, of receiving some dental treatment before death. Neither survival nor dental insurance, however, was associated with dental care intensity in the last year of life (that is, UC versus LC). Conclusions While most of the patients who were in the last year of life received insufficient dental care, comprehensive treatment was provided commonly to frail patients at the end of life, raising questions about quality of care.

show abstract

Section: Discussionmentioning

confidence: 99%

Dental treatment intensity in frail older adults in the last year of life

Chen

Chen²,

Douglas³

et al. 2013

The Journal of the American Dental Association

View full text Add to dashboard Cite

show abstract

“…Os fatores associados à visita mais recente ao dentista entre idosos brasileiros foram semelhantes ao observado em estudos de populações idosas residentes em países desenvolvidos 10,11,13,15 , conforme será comentado em maiores detalhes a seguir.…”

Section: Discussionunclassified

“…Associações significantes e independentes foram também observadas para filiação a plano privado de saú-de. Esses resultados são consistentes com a literatura internacional sobre o tema, mostrando que maior escolaridade e maior renda são fortes preditores de maior freqüência de visitas ao dentista 10,11,13,22 , assim como a cobertura por plano ou seguro privado de saúde 10,12 . Em alguns estudos, conduzidos na Inglaterra 22 e Canadá 16 , observou-se que o local de residência era o preditor mais forte da utilização de serviços odontológicos.…”

Section: Discussionunclassified

“…Este modelo tem sido utilizado para estudar os fatores associados ao uso de serviços médicos, como consultas e hospitalizações e, mais recentemente, ao uso de serviços odontoló-gicos 10,11,12,13,14,15,16,17 . Neste modelo, três características são consideradas para explicar os diferenciais no uso de serviços de saúde, quais sejam, características de predisposição, de facilitação e de necessidade.…”

Section: Introductionunclassified

See 1 more Smart Citation

Tendência na utilização de serviços odontológicos entre idosos brasileiros e fatores associados: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (1998 e 2003)

Matos

Lima‐Costa

2007

Cad. Saúde Pública

View full text Add to dashboard Cite

show abstract

“…Other variables of interest in the analyses were the predisposing characteristics of sex (male, female); race/ethnicity (white, African American, Latino, Other); and age in years (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44), 45-54, 55-64, 65-74, 75, and older) [Note, this age categorization was based on the World Health Organization basic method (29). ]; the enabling characteristics of marital status (married, divorced/separated/widowed, never married); education (less than high school, high school graduate, some college or above); health insurance (yes, no); usual source of care (yes, no); activity limitation (yes, no); personal health behavior reflected in: body mass index (underweight/ normal, overweight, obese); physical activity (exercise, no), smoking (current, former, never), and alcohol use (heavy drinker, moderate, no alcohol use).…”

Section: Variable Definitionsmentioning

confidence: 99%

Rural Veterans' dental utilization, Behavioral Risk Factor Surveillance Survey, 2014

Wiener

Shen

Sambamoorthi

et al. 2017

J Public Health Dent

View full text Add to dashboard Cite

Introduction Rural residents are overrepresented in the military; however access to Veteran services is limited in rural areas. There is a need to identify rural Veteran healthcare utilization. This study addresses that need and has two purposes: 1) to determine if there is an association between rural dwelling and Veteran utilization of dental services; and, 2) to determine if there is an association between rural dwelling and the oral health outcome of missing teeth. Methods Data from the 2014 Behavioral Risk Factor Surveillance Survey (BRFSS) were used in this study. Chi square and logistic regression analyses were conducted. Findings Rural Veterans were less likely to have a dental visit during the previous year as compared with metropolitan Veterans in unadjusted analysis (Odds Ratio = 0.71, 95% Confidence Interval, 0.64, 0.77) and in adjusted analysis (0.87 [95% Confidence Interval, 0.78, 0.96]). In cases in which all teeth were missing, rural Veterans had an unadjusted odds ratio of 1.79 [95% Confidence Interval, 1.55, 2.08] and an adjusted odds ratio of 1.37 [95% Confidence Interval, 1.17, 1.62] as compared with metropolitan Veterans. Discussion and Policy Implications The Veterans Health Administration develops policies for establishing centers for care for Veterans. The policy development should take into consideration that rural veterans have not been as likely as urban Veterans to utilize dental services and have poorer oral health outcomes.

show abstract

Predictors of the use of dental services by older veterans

Cited by 24 publications

References 10 publications

Dental treatment intensity in frail older adults in the last year of life

Dental treatment intensity in frail older adults in the last year of life

Tendência na utilização de serviços odontológicos entre idosos brasileiros e fatores associados: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (1998 e 2003)

Rural Veterans' dental utilization, Behavioral Risk Factor Surveillance Survey, 2014

Contact Info

Product

Resources

About