Dental service use by older people living in long-term care facilities.

Since 1980, a mobile program has delivered dental care to 14 different long-term care facilities that care for frail and functionally dependent older persons. These facilities lie within a 60-mile radius of the University of Iowa College of Dentistry. This paper reports comparisons between characteristics of users versus nonusers of dental care in the program. Of the 853 residents in the long-term care facility who were screened, it was determined that 66% would benefit from some type of dental care. When the residents and their families were approached for treatment permission, 48% of those recommended permitted treatment; treatment was completed on 38% of those persons recommended for treatment. No differences were observed in the distribution or diagnoses of major medical problems for the users versus nonusers of care. Recommended treatment was similar for users and nonusers in nursing homes. The majority of nonusers refused treatment because they or their families did not perceive a need for dental care.

[1]  L. Branch,et al.  Factors affecting dental utilization of elders aged 75 years or older. , 1986, Journal of dental education.

[2]  H. Kiyak.  Explaining patterns of dental service utilization among the elderly. , 1986, Journal of dental education.

[3]  M. MacEntee,et al.  Oral health in a long-term care institution equipped with a dental service. , 1985, Community dentistry and oral epidemiology.

[4]  A. Thomas-Weintraub.  Dental needs and dental service use patterns of an elderly edentulous population. , 1985, The Journal of prosthetic dentistry.

[5]  J. Beck,et al.  Oral health status in the United States: problems of special patients. , 1985, Journal of dental education.

[6]  C. Sue,et al.  Use of dental service in a nursing home. , 1985, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[7]  L. Niessen,et al.  Dental treatment and demand for services in a Veterans Administration Nursing Home Care Unit. , 1984, Journal of public health dentistry.

[8]  E. Stoller.  Patterns of Physician Utilization by the Elderly: A Multivariate Analysis , 1982, Medical care.

[9]  D. Conrad,et al.  Factors related to utilization of dental services by the elderly. , 1982, American journal of public health.

[10]  H. Kiyak,et al.  Age differences in oral health attitudes and dental service utilization. , 1982, Journal of public health dentistry.

[11]  J. Beck,et al.  The new elderly: what can the dental profession expect? , 1982, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[12]  M. Minkler.  Health attitudes and beliefs of the urban elderly. , 1978, Public health reports.

[13]  J. Rise,et al.  Oral conditions and need for dental treatment in an elderly population in northern Norway. , 1978, Community dentistry and oral epidemiology.

[14]  R. Bagramian,et al.  Dental health assessment of a population of nursing home residents , 1977 .

[15]  L. Berkman,et al.  Social class, susceptibility and sickness. , 1976, American journal of epidemiology.

[16]  R. Ettinger,et al.  Dental status of the institutionalized elderly population of Edinburgh. , 1975, Community dentistry and oral epidemiology.

[17]  U. Bertram,et al.  Oral health status and need of dental treatment in the elderly Danish population. , 1975, Community dentistry and oral epidemiology.

[18]  B. Starfield,et al.  Economic Class and Use of Physician Services , 1973, Medical care.

[19]  Leake Jl,et al.  Oral health status in the three London, Ontario, homes for the aged. , 1971 .

[20]  C. Drake.  Dental needs of the chronically ill and aged. , 1970, Journal of public health dentistry.

[21]  M. Rein.  Social class and the utilization of medical care services: a study of British experience under the National Health Service. , 1969, Hospitals.

[22]  G. Gibson,et al.  Self perception of sickness and the seeking of medical care. , 1969, Journal of health and social behavior.

[23]  S. Kegeles,et al.  PREDICTING THE ACCEPTANCE OF DENTAL CARE BY RESIDENTS OF NURSING HOMES , 1966 .

[24]  S. Kegeles.  Why people seek dental care: a review of present knowledge. , 1961, American journal of public health and the nation's health.

[25]  L. Branch,et al.  Toward understanding the use of dental services by the elderly. , 1986, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.