Canadian Journal of Public Health
Volume 108, Issue 3, 2017, Pages e246-e250

Trends in emergency department visits for non-traumatic dental conditions in ontario from 2006 to 2014 (Article)

Singhal S.* , McLaren L. , Quiñonez C.
  • a Dental Public Health, University of Toronto, Toronto, ON, Canada, Health Promotion, Chronic Disease and Injury Prevention Department, Public Health Ontario, Toronto, ON, Canada
  • b Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada
  • c Dental Public Health, University of Toronto, Toronto, ON, Canada

Abstract

OBJECTIVE: In Canada, non-traumatic dental conditions (NTDCs) presenting in emergency departments (EDs) are dealt with by non-dental professionals who are generally not equipped to deal with such emergencies, resulting in an inefficient usage of heath care resources. This study aimed to assess the burden of ED visits for NTDCs in Ontario by observing trends from 2006 to 2014. METHODS: Aggregate data for Ontario were obtained from the Canadian Institute for Health Information’s National Ambulatory Care Reporting System. Data were examined for the whole of Ontario and stratified by 14 Local Health Integration Networks. Descriptive analysis was conducted for both number of people and number of visits, stratified by sex and age groups (0-5, 6-18, 19-64, and 65+ years). Numbers were also examined by neighbourhood stratifications, including urban/rural, income quintile and immigrant tercile. RESULTS: Over the study period, an upward trend of visiting EDs for NTDCs was observed. Approximately 403 628 people in Ontario made 482 565 visits over the period of nine years. On average, 341 per 100 000 people, per year, visited. Young children, people living in neighbourhoods with lower income and higher immigrant concentration, and people living in the rural regions, visited EDs more for NTDCs during 2006-2014. CONCLUSION: The upward and inequitable trends of utilization of EDs for NTDCs reinforce recognition of the important need for both universal and targeted approaches for primary prevention of dental conditions. To enhance equitable access to dental care, policy advocacy is required for publicly funding essential and emergency dental services for all. © 2017 Canadian Public Health Association or its licensor.

Author Keywords

Emergency service Health status disparities Dental care Hospital

Index Keywords

immigrant mouth disease demography poverty health disparity human trends middle aged statistics and numerical data rural population Aged emergency ward funding Stomatognathic Diseases groups by age neighborhood dental procedure Residence Characteristics Young Adult Humans migrant Adolescent Infant, Newborn male stratification preschool child Emigrants and Immigrants Infant Child, Preschool primary prevention newborn socioeconomics Socioeconomic Factors female medical information Article Ontario adult emergency health service age Age Factors utilization ambulatory care Poverty Areas hospital emergency service Emergency Service, Hospital Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029677800&doi=10.17269%2fCJPH.108.5950&partnerID=40&md5=751cdc95d1c774af7684750db0bc1542

DOI: 10.17269/CJPH.108.5950
ISSN: 00084263
Cited by: 4
Original Language: English