Factors Associated with Emergency Department Use for Non-traumatic Dental Problems: Scoping Review.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the Canadian Dental Association Pub Date : 2019-03-01

Jacqueline R VanMalsen, Rafael Figueiredo, Heidi Rabie, Sharon M Compton

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引用次数: 0

Abstract

Objective: The use of hospital emergency departments (EDs) for non-traumatic dental problems places a significant strain on the health care system and resources. The objective of this scoping review was to identify factors associated with patients' use of EDs for such problems.

Methods: Embase, Medline-Ovid, Scopus and Web of Science databases were searched, and primary studies, systematic reviews and meta-analyses from Canada and the United States, published in English between 2007 and 2017 were selected for inclusion.

Results: Of 469 articles, 22 met our inclusion criteria: 6 were conducted in Canada and 16 in the United States. Identified factors associated with ED use for non-traumatic dental problems included patient demographics (age, gender, race/ethnicity, comorbidities, oral health status), accessibility (time of day, day of week, geographic location, access to dental practitioner), economic influences (insurance, inability to afford dental care, income) and social demographics (community language, homelessness, repeat use).

Conclusion: The factors identified in this review can inform future research studies and program planning to address ED use for non-traumatic dental problems.

本刊更多论文

与急诊部门使用非创伤性牙齿问题相关的因素:范围审查。

目的:使用医院急诊科(ed)的非创伤性牙齿问题，对卫生保健系统和资源造成了重大压力。本综述的目的是确定与患者使用急诊科治疗此类问题相关的因素。方法:检索Embase、Medline-Ovid、Scopus和Web of Science数据库，选择2007年至2017年间发表于加拿大和美国的英文原始研究、系统评价和荟萃分析。结果:469篇文章中，22篇符合我们的纳入标准:6篇在加拿大进行，16篇在美国进行。已确定的与使用ED治疗非创伤性牙齿问题相关的因素包括患者人口统计学(年龄、性别、种族/民族、合并症、口腔健康状况)、可及性(一天中的时间、一周中的哪一天、地理位置、看牙医的机会)、经济影响(保险、无力负担牙科护理、收入)和社会人口统计学(社区语言、无家可归、重复使用)。结论:本综述中确定的因素可以为未来的研究和项目规划提供信息，以解决ED用于非创伤性牙齿问题。

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 Canadian Dental Association 医学-牙科与口腔外科

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： JCDA.ca (Journal of the Canadian Dental Association) is the flagship scholarly, peer-reviewed publication of CDA, providing dialogue between the national association and the dental community. It is dedicated to publishing worthy scientific and clinical articles and informing dentists of issues significant to the profession. CDA has focused its recent efforts on knowledge, advocacy and practice support initiatives and JCDA.ca is an essential part of CDA''s knowledge strategy.