The impact of teledentistry on travel distance and carbon emissions at a children's hospital.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
David O Danesh, Jennifer Luca, Skyler E Kalady, Janice A Townsend, Kim J Hammersmith, Beau D Meyer
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引用次数: 0

Abstract

Background: Health care emissions account for approximately 8.5% of total US domestic greenhouse gas emissions. Staff member and patient travel is the largest contributor to dental office-related emissions, and this number has been increasing. One approach to reduce such emissions is to use telehealth instead of in-person office visits.

Methods: This pilot retrospective cross-sectional study included all children who completed a teledentistry visit from November 15, 2022, through June 23, 2023 in a pediatric dentistry clinic. Electronic health record data collected included age, race and ethnicity, insurance type, preferred language, and street address. Patient miles and travel time saved were calculated using mapping software. Emissions prevented were calculated using a miles-per-gallon fuel efficiency of 25 miles per gallon and 8.82 kg of carbon dioxide (CO2) produced per gallon of gasoline consumed (standard US Environmental Protection Agency ratios).

Results: For the 101 patient visits, teledentistry saved 13,822.1 patient miles of round-trip travel distance, with a mean of 136.9 miles saved (range, 5.4-309.5 miles), and more than 15,000 minutes of round-trip drive time, with a mean of 150.3 minutes saved (range, 14.8-318.6 minutes), and resulted in 552.9 fewer gallons of gasoline consumed and 4,875.4 fewer kilograms of CO2 emissions from gasoline consumption than in-person clinic visits. Most reduced carbon emissions realized were contributed from patients living in rural communities.

Conclusions: Teledentistry consultations reduced patient miles traveled and drive time traveled and resulted in fewer kilograms of CO2 emissions and fewer gallons of gasoline used.

Practical implications: Teledentistry is a tool for patients and contributes to reducing greenhouse gas emissions and waste in dentistry.

远程门诊对一家儿童医院旅行距离和碳排放的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of the American Dental Association
Journal of the American Dental Association 医学-牙科与口腔外科
CiteScore
5.30
自引率
10.30%
发文量
221
审稿时长
34 days
期刊介绍: There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.
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