Journal article
Dental care after an emergency department visit for dental problems among adults enrolled in Medicaid
The Journal of the American Dental Association, Vol.147(2), pp.111-119
02/2016
DOI: 10.1016/j.adaj.2015.08.012
PMID: 26562729
Abstract
Dental emergency department (ED) visits are increasing nationally, but EDs provide only palliative care. The authors examine time to subsequent dentist visit within 6 months after the ED visit, as well as the effect of having a dentist visit in the prior year. Using 2010-2012 Iowa Medicaid claims data, the authors identified adults with an index dental ED visit. The authors examined the claims data for a subsequent dentist visit within the next 6 months. The authors used Kaplan-Meier curves and log-rank tests for bivariate analyses. The authors included a dentist visit in the year before the index ED visit, subsequent ED visits, and sociodemographic characteristics in a Cox multivariable regression model. A total of 2,430 adults enrolled in Medicaid satisfied the study inclusion criteria. Within 6 months, 52.4% had a subsequent dentist visit, 12.0% lost Medicaid eligibility, and 35.6% did not have subsequent dentist visit. Bivariate and multivariable analyses revealed that nonwhites, those without a dentist visit in the prior year, and those with subsequent ED visits had a significantly lower rate of subsequent dentist visits. Almost one-half of adults with a dental ED visit did not visit a dentist in the next 6 months. Adults who did not visit a dentist in the past year and those with repeated ED visits may be living with unresolved dental problems that can affect their quality of life. Adults without a dentist visit in the past year and those who visit ED repeatedly can be targeted by ED diversion programs because they are at higher risk of not receiving follow-up dental care.
Details
- Title: Subtitle
- Dental care after an emergency department visit for dental problems among adults enrolled in Medicaid
- Creators
- Astha SinghalElizabeth T MomanyMichael P JonesDaniel J CaplanRaymond A KuthyChristopher T BureshPeter C Damiano
- Resource Type
- Journal article
- Publication Details
- The Journal of the American Dental Association, Vol.147(2), pp.111-119
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.adaj.2015.08.012
- PMID
- 26562729
- ISSN
- 0002-8177
- eISSN
- 1943-4723
- Language
- English
- Date published
- 02/2016
- Academic Unit
- Statistics and Actuarial Science; Preventive and Community Dentistry; Health Management and Policy; Emergency Medicine; Biostatistics; Public Policy Center (Archive); University College Courses; Oral Health Policy Research
- Record Identifier
- 9983917668302771
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