{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:59:46Z","timestamp":1773406786873,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,5,20]],"date-time":"2015-05-20T00:00:00Z","timestamp":1432080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Nicholson Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2016,12]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>To describe emergency department (ED<\/jats:styled-content>) utilization for oral conditions (OCs<\/jats:styled-content>) focusing on total volume, costs, repeat utilization, small area predictors, and implications for dental and medical care coordination.<\/jats:p><\/jats:sec>Methods<\/jats:title>Administrative and demographic data for N<\/jats:styled-content>ew J<\/jats:styled-content>ersey were used to identify users of the ED<\/jats:styled-content> for OCs<\/jats:styled-content> and a group of \u201chigh users,\u201d defined as individuals with four or more ED<\/jats:styled-content> visits for OCs<\/jats:styled-content> during 2008\u20102010. Cost\u2010to\u2010charge ratios were used to estimate costs, and linear regression models applied to zip codes were used to determine strongest predictors of small area variation in ED<\/jats:styled-content> use for OCs<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>ED<\/jats:styled-content> visits for OC<\/jats:styled-content> generated $25.5 million in costs during 2008\u20102010. High users represented 4.2 percent of all users and 21.3 percent of ED<\/jats:styled-content> visits for OCs<\/jats:styled-content>. Almost all high users had a diagnosis of \u201cdental disorder not otherwise specified,\u201d and tobacco use disorder was the most common comorbid medical condition. Young adults (ages 19\u201034), non\u2010Hispanic blacks, and the medically uninsured were over\u2010represented among high users. High users routinely spread their use across multiple hospitals (e.g., 40 percent of them visited three or more hospitals). Local dentist supply and ED<\/jats:styled-content> use for other conditions were significant predictors of zip code\u2010level ED<\/jats:styled-content> use for OCs<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Coordination of medical and dental treatment might improve health and reduce costs if targeted to high user populations. Health\u2010care delivery reforms, such as accountable care organizations, could provide vehicles for achieving this coordination. Important challenges include fragmentation of ED<\/jats:styled-content> visits across hospitals, adequacy of dentist supply, and broader reliance on the ED<\/jats:styled-content> for health problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12103","type":"journal-article","created":{"date-parts":[[2015,5,20]],"date-time":"2015-05-20T18:29:36Z","timestamp":1432146576000},"page":"1-8","source":"Crossref","is-referenced-by-count":14,"title":["Patterns of emergency department use for dental and oral health care: implications for dental and medical care coordination"],"prefix":"10.1111","volume":"76","author":[{"given":"Derek","family":"DeLia","sequence":"first","affiliation":[{"name":"Center for State Health Policy Rutgers University New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Center for State Health Policy Rutgers University New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecile A.","family":"Feldman","sequence":"additional","affiliation":[{"name":"School of Dental Medicine Rutgers University Newark NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel C.","family":"Cantor","sequence":"additional","affiliation":[{"name":"Center for State Health Policy Rutgers University New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300965"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2003.234"},{"key":"e_1_2_6_4_1","unstructured":"SeuK HallKK MoyE.Emergency department visits for dental\u2010related conditions 2009. 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