Serna Claudia A, Arevalo Oscar, Tomar Scott L
At the time of this study, Claudia A. Serna was a dental public health resident with New York University-Lutheran Dental Medicine, Brooklyn, NY. Oscar Arevalo is with the Pediatric Dentistry Residency Program, Nicklaus Children's Hospital, Doral, FL. Scott L. Tomar is with the Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville.
Am J Public Health. 2017 May;107(S1):S88-S93. doi: 10.2105/AJPH.2017.303746.
To examine differences between Hispanics and non-Hispanics in Florida in the dental-related use of hospital emergency departments (EDs).
We used ambulatory ED discharge records from 2013 to 2015 to compute rates of ED visits for dental complaints per 10 000 population, by region, age, gender, and the percentage distribution visits by primary payer, day of the week, and hour of arrival.
There were 64 100 ED visits for dental complaints by Hispanics and 425 162 by non-Hispanics. Medicaid was the most common primary payer for Hispanics (42.2%) and for non-Hispanics (38.1%). Rates of ED utilization for dental problems per 10 000 population were 45.5 for Hispanics and 95.2 for non-Hispanics.
Rates of ED utilization for dental problems were different between Hispanics and non-Hispanics. Public Health Implications. Effective interventions need to be developed in the context of a social-ecological model to better understand factors such as health, economics, and education, among others. Understanding and intervening with the individual, communities, and policy could help to modify behaviors and improve access to dental care.
研究佛罗里达州西班牙裔和非西班牙裔在医院急诊科（ED）牙科相关就诊方面的差异。
我们使用了2013年至2015年的门诊ED出院记录，按地区、年龄、性别以及主要支付方、一周中的日期和到达时间的就诊百分比分布，计算每10000人口中因牙科问题就诊ED的比率。
西班牙裔因牙科问题就诊ED的次数为64100次，非西班牙裔为425162次。医疗补助是西班牙裔（42.2%）和非西班牙裔（38.1%）最常见的主要支付方。每10000人口中因牙科问题使用ED的比率，西班牙裔为45.5，非西班牙裔为95.2。
西班牙裔和非西班牙裔因牙科问题使用ED的比率不同。对公共卫生的影响。需要在社会生态模型的背景下制定有效的干预措施，以更好地理解健康、经济和教育等因素。了解并干预个人、社区和政策有助于改变行为并改善牙科护理的可及性。
