ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03069.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03070.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03071.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03073.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03074.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

AbstractThe planning and implementation of a community‐based outreach program for older adults is described. Objectives of the program were to provide dental health education to older persons at their place of residence, to improve access to dental care for that population, and to increase the number of older adults treated at a dental facility administered by the Department of Community Dentistry, University of Michigan. Data collected during encounters with participants are reported to supplement the description of the program. In the first year, 98 older adults (mean age 71.3 years)participated in the outreach program which was directed by a dental hygienist. Of those persons whose initial encounter was with the outreach program, 47 percent eventually contacted the dental care facility and 36 percent completed treatment. Persons who elected to seek treatment averaged 3.9 encounters with the hygienist during the program; persons who did not seek treatment averaged 2.2 encounters. Strengths and weaknesses of the program are discusse

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03075.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

AbstractPlanning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of long‐term care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetime

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03076.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

AbstractBenefit‐cost analysis and cost‐effectiveness analysis can be used to evaluate preventive regimens and aid policy‐makers in making resource‐allocation decisions. This paper demonstrates the application of benefit‐cost and cost‐effectiveness analyses to preventive dental programs. The two analyses are defined and described, and the purpose of each technic is compared. For a hypothetical community, four dental preventive programs are described: community water flouridation, school water fluoridation, weekly school‐based mouthrinses, and school‐based sealants. Benefit‐cost ratios and cost‐effectiveness ratios are calculated for each program first assuming steady‐state conditions, i.e., maximum caries reduction, and then for a 20‐year period. Both explicit and implicit costs are included. Underlying assumptions and limitations, as well as the effects of changes in caries rates, differential attack rates, and discount rates on the outcome, are discussed. The analysis reveals that community water fluoridation yields the greatest net benefits and most favorable B/C and C/E ratios. School water fluoridation and mouthrinsing programs are the next most cost‐effective, with similar B/C and C/E ratios when the implicit cost of teachers' time is omitted from the calculations. The school‐based sealant program y

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03077.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03078.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Book Reviews in this article:Pappas, C.N. THE LIFE AND TIMES OF G. V. BLACKWoefel, J. B. DENTAL ANATOMY: ITS CORRELATION WITH DENTAL HEALTH SERVICES

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1984.tb03079.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY