Patient Visits to Physician Offices and/or Emergency Rooms for Dental Problems

因牙科问题前往医生办公室和/或急诊室就诊的患者

基本信息

批准号：
7243474
负责人：
LEONARD A COHEN
金额：
$ 29.15万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-07-01 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7243474
关键词：
Accident and Emergency department Activities of Daily Living Address Adult Affect African American Age Caring Characteristics Child Client satisfaction Cognitive Condition Data Dental Dental Care Dental Clinics Dental General Practice Dentistry Dentists Development Economics Elderly Environment Face Focus Groups Frequencies Health Services Hispanics Hospitals Income Individual Interview Knowledge Lead Low income Measures Medicaid Minority Mouth Diseases Nature Not Hispanic or Latino Office Management Office of Management Oral health Orofacial Pain Pain Patients Patterns of Care Persons Physicians Physicians&apos Offices Police Population Private Practice Public Health Purpose Quality of life Research Research Design Research Personnel Resources Secure Services Severities Site Stress Survey Methodology Surveys System Telephone Telephone Interviews Time Tooth Diseases Toothache Training United States Visit base comparative cost experience follow-up health care service utilization oral condition programs response social sound treatment site

项目摘要

DESCRIPTION (provided by applicant): Project Summary: The Broad Objective of this project is to examine the use and correlates of patient visits to physician offices and/or hospital emergency departments (EDs) for the treatment of dental problems by low-income minority adults. Rationale: Poor and minority adults experience greater levels of dental disease and frequently face cost and other system-level barriers to accessing private dental practice. Therefore, these individuals may choose to receive care at alternative treatment sites, especially physician offices and EDs. However, since non-dentists receive little training in the management of dental problems, these sites may not be the most appropriate sites to receive treatment for individuals seeking definitive relief from dental problems. Specific Aims are to: 1. Determine frequency at which low-income non-Hispanic White, non-Hispanic African-American, and Hispanic adults as compared to higher income individuals utilized physician offices and/or EDs for the treatment of dental problems during the prior 6-month period; 2. Determine predisposing, enabling, and need-based factors that predict the use of physician offices and/or EDs for the treatment of dental problems; 3..Determine nature of treatment received in physician offices and EDs; 4. Determine appropriateness and quality of the treatment received; and 5. Determine patient satisfaction with the treatment received: Research Design: The research team will use a combination of focus group, cognitive interview, and cost-effective telephone survey methodologies to identify, contact, and secure responses from low-income non-Hispanic White, non-Hispanic African-American, and Hispanic adults (data on higher income individuals will be collected for comparative purposes). The focus groups and cognitive interviews will facilitate the development of a culturally sensitive and relevant telephone survey instrument. Relevance: There are culturally related predisposing, enabling, and need-based factors, specific to low- income/minority populations that contribute to the decision to use physician offices and EDs for the treatment of dental problems. These factors must be understood more completely if decision makers are to develop polices and plan programs that address the unique social and cultural conditions that affect utilization of health services among low income/minority populations. These issues will grow in importance with the aging of the population, as elderly individuals, in general, are more likely to visit a physician than a dentist.

描述（由申请人提供）：项目摘要：该项目的广泛目的是检查对医师办公室和/或医院急诊室（EDS）的使用和相关性，以治疗低收入少数民族成年人的牙齿问题。理由：贫穷和少数族裔成年人经历了更高的牙齿疾病，并且经常面临成本和其他系统级别的障碍，以获得私人牙科实践。因此，这些人可能会选择在替代治疗地点，尤其是医师办公室和ED上接受护理。但是，由于非善意人士对牙科问题的管理很少接受培训，因此这些站点可能不是最合适的地点，可以为寻求从牙科问题提供明确缓解的个人提供治疗。具体目的是：1。确定低收入非西班牙裔白人，非西班牙裔美国人和西班牙裔成年人与收入较高的人使用的医生办公室和/或ED在前6个月期间治疗牙科问题的频率； 2.确定诱发，启用和需求的因素，以预测医生办公室和/或ED用于治疗牙齿问题的因素； 3..在医师办公室和ED中获得的治疗的确定性； 4。确定接受治疗的适当性和质量；和5。确定患者对收到的治疗的满意：研究设计：研究团队将使用焦点小组，认知访谈和具有成本效益的电话调查方法的组合来识别，接触和确保低收入的非西班牙裔白人，非西班牙裔非裔美国人非裔美国人和较高收入的成年人的反应（对较高收入的人的数据，将获得比较的数据。焦点小组和认知访谈将有助于开发具有文化敏感和相关的电话调查工具。相关性：具有与低收入/少数族裔人群有关的易感性，实现和基于需求的因素，有助于决定使用医师办公室和ED来治疗牙科问题。如果决策者要制定政策和计划计划，以解决影响低收入/少数群体中卫生服务利用的独特社会和文化条件，则必须更彻底地理解这些因素。这些问题将随着人口的衰老而越来越重要，因为总的来说，老年人比牙医更有可能拜访医生。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Health literacy impact on patient-provider interactions involving the treatment of dental problems.

健康素养对涉及牙科问题治疗的医患互动产生影响。

DOI：
发表时间：
2011
期刊：
Journal of dental education
影响因子：
2.3
作者：
Cohen,LeonardA;Bonito,ArthurJ;Eicheldinger,Celia;Manski,RichardJ;Edwards,RobertR;Khanna,Niharika
通讯作者：
Khanna,Niharika

Low-income and minority patient satisfaction with visits to emergency departments and physician offices for dental problems.

低收入和少数族裔患者对因牙科问题前往急诊室和医生办公室就诊的满意度。

DOI：
发表时间：
2009
期刊：
The Journal of the American College of Dentists
影响因子：
0
作者：
Cohen,LeonardA;Harris,ShellyL;Bonito,ArthurJ;Manski,RichardJ;Macek,MarkD;Edwards,RobertR;Khanna,Niharika;Plowden,KeithO
通讯作者：
Plowden,KeithO

Comparison of patient centeredness of visits to emergency departments, physicians, and dentists for dental problems and injuries.

因牙齿问题和损伤而前往急诊室、医生和牙医就诊时以患者为中心的比较。

DOI：
发表时间：
2010
期刊：
The Journal of the American College of Dentists
影响因子：
0
作者：
Cohen,LeonardA;Bonito,ArthurJ;Eicheldinger,Celia;Manski,RichardJ;Macek,MarkD;Edwards,RobertR;Khanna,Niharika
通讯作者：
Khanna,Niharika