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University of North Dakota

Indigenous Health Faculty Publications

Emergency departments

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Emergency Department And Dental Clinic Perceptions Of Appropriate, And Preventable, Use Of The Ed For Non-Traumatic Dental Conditions In Hot-Spot Counties: A Mixed Methods Study, Shawnda Schroeder, Judy Beck, Nick Medalen, Anastasia Stepanov Jan 2024

Emergency Department And Dental Clinic Perceptions Of Appropriate, And Preventable, Use Of The Ed For Non-Traumatic Dental Conditions In Hot-Spot Counties: A Mixed Methods Study, Shawnda Schroeder, Judy Beck, Nick Medalen, Anastasia Stepanov

Indigenous Health Faculty Publications

Objectives:Frequency of emergency department (ED) use for nontraumatic dental conditions (NTDC) is a well-researched community health concern. However, research predominately relies on ambulatory ED discharge records. This explanatory sequential mixed methods study reviewed NTDC ED use in hot-spot counties and assessed perceptions around preventable and appropriate use among EDs and dental clinics.

Methods:Tooth pain data (2015-2021) were drawn from State Medicaid, and the Early Notification of Community-Based Epidemics (ESSENCE). NTDC data were compiled using International Classification of Disease, Ninth and Tenth Revisions. Employing extreme case sampling, providers in counties with the highest per-capita NTDC ED use were interviewed.

Results:North Dakota …