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

Authors
  • VanMalsen, Jacqueline R
  • Figueiredo, Rafael
  • Rabie, Heidi
  • Compton, Sharon M
Type
Published Article
Journal
Journal (Canadian Dental Association)
Publication Date
Mar 01, 2019
Volume
84
Identifiers
PMID: 31199731
Source
Medline
Language
English
License
Unknown

Abstract

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

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