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Type: Journal article
Title: Service provision patterns by main diagnoses and characteristics of patients
Author: Brennan, D.
Spencer, A.
Szuster, F.
Citation: Community Dentistry and Oral Epidemiology, 2000; 28(3):225-233
Publisher: Blackwell Munksgaard
Issue Date: 2000
ISSN: 0301-5661
Abstract: Service provision patterns may be influenced not only by clinical oral health status leading to a diagnosis and treatment plan, but also by other variables such as patient characteristics. The main aim of this study was to investigate whether associations between services provided and patient factors would persist after controlling for the main presenting diagnosis or condition. A random sample of dentists surveyed in 1993-94 provided a response rate of 74%. Private general practitioners recorded service provision data from logs of 1-2 typical days of practice. Caries (26.5%) was the most prevalent diagnosis, followed by recall/maintenance care (19.0%), pulpal/periapical infection (10.9%), and failed restorations (10.4%). Diagnoses were associated with variation in the percentage of patients receiving services in main areas of service, and also with insurance status, sex and age distributions of patients, and type of visit (chi-square; P< 0.05). Logistic regressions of receipt of services indicated statistically significant associations with patient characteristics and diagnosis categories. Controlling for diagnosis, uninsured patients and those visiting for emergencies had less favourable service patterns (e.g., higher odds of extractions, but lower odds of preventive and crown and bridge services) compared to patients who had dental insurance or visited for check-ups or other non-emergency dental problems. The influence of these factors on services provided has implications of public health importance in terms of appropriateness of care and social inequality.
Keywords: Humans
Emergency Treatment
Logistic Models
Odds Ratio
Cross-Sectional Studies
Sampling Studies
Dental Care
Diagnosis, Oral
General Practice, Dental
Age Factors
Sex Factors
Middle Aged
Child, Preschool
Insurance, Dental
Private Practice
Practice Patterns, Dentists'
DOI: 10.1034/j.1600-0528.2000.280309.x
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Dentistry publications

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