Carol Kunzel
Dados Biográficos
| ID | 385574 |
|---|---|
| NOME | Carol Kunzel |
| PRENOMES | Carol |
| SOBRENOME | Kunzel |
| ASSINATURA | KUNZEL C |
| AFILIAÇÕES | Columbia University |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 18 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1985 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2017 |
| ÍNDICE H | 2 |
Recruitment of racial/ethnic minority older adults through community sites for focus group discussions
This study adds to the literature in two important ways. First, we leveraged the social and physical infrastructure of an existing program to recruit participants through community sites where older adults gather. Second, we used the CFIR to guide the appraisal of the recruitment process, which underscored important considerations for both reaching and engaging this underserved population. This was especially true in terms of understanding the di…
Racial/Ethnic Minority Older Adults’ Perspectives on Proposed Medicaid Reforms’ Effects on Dental Care Access
To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and …
Third Places for Health Promotion with Older Adults
This study extends the concept of third places to include community sites where older adults gather, often for meals or companionship. The Consolidated Framework for Implementation Research guided program implementation and evaluation. Depending upon health promotion program needs, the physical infrastructure of a site is important, but a supportive director (champion) can often overcome identified deficits. Senior centers may be locally classifi…
A Community-Based Oral Public Health Approach to Promote Health Equity
Objectives. We explored the interrelationships among diabetes, hypertension, and missing teeth among underserved racial/ethnic minority elders. Methods. Self-reported sociodemographic characteristics and information about health and health care were provided by community-dwelling ElderSmile participants, aged 50 years and older, who took part in community-based oral health education and completed a screening questionnaire at senior centers in Man…
The ElderSmile TimeMap
Community-based programs are critical for locally targeted public health education and accessible service delivery. Deriving useful information from such programs is important for their own evaluation and improvement and may facilitate research collaboration with partners and experts. Here we present an interactive Web-based application designed for a community-based oral health outreach program called ElderSmile to demonstrate how data can be su…
Dentists’ Willingness to Provide Expanded HIV Screening in Oral Health Care Settings
Objectives. Using a nationally representative survey, we determined dentists’ willingness to provide oral rapid HIV screening in the oral health care setting. Methods. From November 2010 through November 2011, a nationally representative survey of general dentists (sampling frame obtained from American Dental Association Survey Center) examined barriers and facilitators to offering oral HIV rapid testing (n = 1802; 70.7% response). Multiple logis…
Integrating Oral and General Health Screening at Senior Centers for Minority Elders
Racial/ethnic and socioeconomic disparities regarding untreated oral disease exist for older adults, and poor oral health diminishes quality of life. The ElderSmile program integrated screening for diabetes and hypertension into its community-based oral health activities at senior centers in northern Manhattan. The program found a willingness among minority seniors (aged ≥ 50 years) to be screened for primary care sensitive conditions by dental p…
What contributes to self‐rated oral health among community‐dwelling older adults? Findings from the ElderSmile program
Recent dental care contributed to better self-rated oral health among community-dwelling older adults living in northern Manhattan. Significant gradients were evident in the caries experience and periodontal inflammation of dentate adults by self-rated oral health, suggesting that untreated oral disease contributes to poor self-rated oral health
Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City
Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insuranc…
Dentists’ Management of the Diabetic Patient
Objectives. We measured and contrasted general dentists’ and periodontists’ involvement in 3 areas of managing diabetic patients—assessment of health status, discussion of pertinent issues, and active management of patients—and identified and contrasted predictors of active management of diabetic patients. Methods. We conducted a cross-sectional mail survey of random samples of general dentists and periodontists in the northeastern United States …
Comparing Predictors of Willingness to Treat HIV+ Patients for New York City Male and Female General Practice Dentists 50 Years of Age or Younger
Findings are encouraging for further work in developing predictive models for clinician subpopulations, with an eye toward developing intervention strategies that reflect key predictive factors for each group
Predicting dentists' willingness to treat HIV-infected patients
Access to oral health care is extremely important for those infected with HIV, because oral findings can lead to early detection and improved staging and management of HIV infection. In addition, oral lesions associated with HIV infection are often debilitating, but can be managed effectively with proper oral health care. There is ample evidence that dentists have, at times, resisted accepting HIV positive patients (PHIV+). The intent of the rese…
Predicting dentists' perceived occupational risk for HIV infection
This study posed two questions: what is the level of perceived occupational risk among American general practice dentists (GPDs)? What factors influence perception of occupational risk for HIV infection among GPDs? In data obtained from a national mail survey of 1351 GPDs (response rate, 88%) 31% of American GPDs expressed disagreement with the statement that HIV+ individuals can be safely treated in their office settings. Of the 16 variables ent…
The use of direct mail to increase clinician knowledge
A probability sample of American general practitioner dentists, 40 years of age or older, in solo private practice, was the target of two direct mail interventions offered at two different times, to test whether knowledge regarding prophylaxis of patients at risk for infective endocarditis could be improved. Tests of knowledge were responses in a mail questionnaire to clinical vignettes, designed to elicit the content of antibiotic regimens used …
Professional life cycle changes and their effect on knowledge level of dental practitioners
Knowledge Acquisition Processes
We examined structural determinants of general practice dentists' knowledge of the most recent American Heart Association recommendations for the prevention of bacterial endocarditis. Using data from a 1986 national telephone survey of 578 respondents (response rate = 81%), we developed and analyzed a structural model, in which we investigated the contributions to knowledge by age, professional practice settings, colleague networks, and formal ed…
Dentists' consulting behavior and associated knowledge levels
Telephone interviews with stratified random samples of urban and rural dental general practitioners (GPU, n = 120; GPR, n = 97) and oral surgeons (OS, n = 105) in New York State indicated that requests for expertise, additional data, confirmation of patient's medical status, or medico-legal issues were frequent motives for requesting a consult. Those who consulted more frequently had lower mean knowledge scores than those who consulted less frequ…
Acquisition of Knowledge About an Innovation in Patient Management
This study focused on the impact of dentists' attitudes and orientations on acquisition of knowledge about the prevention of bacterial endocarditis. Excperts' recommenda tions for the prevention of the disease are periodically revissed: each succeeding revision therefore represents an innovation. Analysis of data collectedfrom a telephone survey revealed that orientations seemingly compatible with the innovation (preventive, innovative) were not …
Predictors of dentists' level of knowledge regarding the recommended prophylactic regimen for patients with rheumatic heart disease
Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City
Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insuranc…
Predicting dentists' perceived occupational risk for HIV infection
This study posed two questions: what is the level of perceived occupational risk among American general practice dentists (GPDs)? What factors influence perception of occupational risk for HIV infection among GPDs? In data obtained from a national mail survey of 1351 GPDs (response rate, 88%) 31% of American GPDs expressed disagreement with the statement that HIV+ individuals can be safely treated in their office settings. Of the 16 variables ent…
The use of direct mail to increase clinician knowledge
A probability sample of American general practitioner dentists, 40 years of age or older, in solo private practice, was the target of two direct mail interventions offered at two different times, to test whether knowledge regarding prophylaxis of patients at risk for infective endocarditis could be improved. Tests of knowledge were responses in a mail questionnaire to clinical vignettes, designed to elicit the content of antibiotic regimens used …
Professional life cycle changes and their effect on knowledge level of dental practitioners
Predictors of dentists' level of knowledge regarding the recommended prophylactic regimen for patients with rheumatic heart disease
Racial/Ethnic Minority Older Adults’ Perspectives on Proposed Medicaid Reforms’ Effects on Dental Care Access
To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and …
Third Places for Health Promotion with Older Adults
This study extends the concept of third places to include community sites where older adults gather, often for meals or companionship. The Consolidated Framework for Implementation Research guided program implementation and evaluation. Depending upon health promotion program needs, the physical infrastructure of a site is important, but a supportive director (champion) can often overcome identified deficits. Senior centers may be locally classifi…
A Community-Based Oral Public Health Approach to Promote Health Equity
Objectives. We explored the interrelationships among diabetes, hypertension, and missing teeth among underserved racial/ethnic minority elders. Methods. Self-reported sociodemographic characteristics and information about health and health care were provided by community-dwelling ElderSmile participants, aged 50 years and older, who took part in community-based oral health education and completed a screening questionnaire at senior centers in Man…
Integrating Oral and General Health Screening at Senior Centers for Minority Elders
Racial/ethnic and socioeconomic disparities regarding untreated oral disease exist for older adults, and poor oral health diminishes quality of life. The ElderSmile program integrated screening for diabetes and hypertension into its community-based oral health activities at senior centers in northern Manhattan. The program found a willingness among minority seniors (aged ≥ 50 years) to be screened for primary care sensitive conditions by dental p…
Knowledge Acquisition Processes
We examined structural determinants of general practice dentists' knowledge of the most recent American Heart Association recommendations for the prevention of bacterial endocarditis. Using data from a 1986 national telephone survey of 578 respondents (response rate = 81%), we developed and analyzed a structural model, in which we investigated the contributions to knowledge by age, professional practice settings, colleague networks, and formal ed…
Dentists' consulting behavior and associated knowledge levels
Telephone interviews with stratified random samples of urban and rural dental general practitioners (GPU, n = 120; GPR, n = 97) and oral surgeons (OS, n = 105) in New York State indicated that requests for expertise, additional data, confirmation of patient's medical status, or medico-legal issues were frequent motives for requesting a consult. Those who consulted more frequently had lower mean knowledge scores than those who consulted less frequ…
Predictors of dentists' level of knowledge regarding the recommended prophylactic regimen for patients with rheumatic heart disease
Acquisition of Knowledge About an Innovation in Patient Management
This study focused on the impact of dentists' attitudes and orientations on acquisition of knowledge about the prevention of bacterial endocarditis. Excperts' recommenda tions for the prevention of the disease are periodically revissed: each succeeding revision therefore represents an innovation. Analysis of data collectedfrom a telephone survey revealed that orientations seemingly compatible with the innovation (preventive, innovative) were not …
Dentists' consulting behavior and associated knowledge levels
Telephone interviews with stratified random samples of urban and rural dental general practitioners (GPU, n = 120; GPR, n = 97) and oral surgeons (OS, n = 105) in New York State indicated that requests for expertise, additional data, confirmation of patient's medical status, or medico-legal issues were frequent motives for requesting a consult. Those who consulted more frequently had lower mean knowledge scores than those who consulted less frequ…
Professional life cycle changes and their effect on knowledge level of dental practitioners
Knowledge Acquisition Processes
We examined structural determinants of general practice dentists' knowledge of the most recent American Heart Association recommendations for the prevention of bacterial endocarditis. Using data from a 1986 national telephone survey of 578 respondents (response rate = 81%), we developed and analyzed a structural model, in which we investigated the contributions to knowledge by age, professional practice settings, colleague networks, and formal ed…
The use of direct mail to increase clinician knowledge
A probability sample of American general practitioner dentists, 40 years of age or older, in solo private practice, was the target of two direct mail interventions offered at two different times, to test whether knowledge regarding prophylaxis of patients at risk for infective endocarditis could be improved. Tests of knowledge were responses in a mail questionnaire to clinical vignettes, designed to elicit the content of antibiotic regimens used …
Predicting dentists' perceived occupational risk for HIV infection
This study posed two questions: what is the level of perceived occupational risk among American general practice dentists (GPDs)? What factors influence perception of occupational risk for HIV infection among GPDs? In data obtained from a national mail survey of 1351 GPDs (response rate, 88%) 31% of American GPDs expressed disagreement with the statement that HIV+ individuals can be safely treated in their office settings. Of the 16 variables ent…
Predicting dentists' willingness to treat HIV-infected patients
Access to oral health care is extremely important for those infected with HIV, because oral findings can lead to early detection and improved staging and management of HIV infection. In addition, oral lesions associated with HIV infection are often debilitating, but can be managed effectively with proper oral health care. There is ample evidence that dentists have, at times, resisted accepting HIV positive patients (PHIV+). The intent of the rese…
Comparing Predictors of Willingness to Treat HIV+ Patients for New York City Male and Female General Practice Dentists 50 Years of Age or Younger
Findings are encouraging for further work in developing predictive models for clinician subpopulations, with an eye toward developing intervention strategies that reflect key predictive factors for each group
Dentists’ Management of the Diabetic Patient
Objectives. We measured and contrasted general dentists’ and periodontists’ involvement in 3 areas of managing diabetic patients—assessment of health status, discussion of pertinent issues, and active management of patients—and identified and contrasted predictors of active management of diabetic patients. Methods. We conducted a cross-sectional mail survey of random samples of general dentists and periodontists in the northeastern United States …
Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City
Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insuranc…
What contributes to self‐rated oral health among community‐dwelling older adults? Findings from the ElderSmile program
Recent dental care contributed to better self-rated oral health among community-dwelling older adults living in northern Manhattan. Significant gradients were evident in the caries experience and periodontal inflammation of dentate adults by self-rated oral health, suggesting that untreated oral disease contributes to poor self-rated oral health
Integrating Oral and General Health Screening at Senior Centers for Minority Elders
Racial/ethnic and socioeconomic disparities regarding untreated oral disease exist for older adults, and poor oral health diminishes quality of life. The ElderSmile program integrated screening for diabetes and hypertension into its community-based oral health activities at senior centers in northern Manhattan. The program found a willingness among minority seniors (aged ≥ 50 years) to be screened for primary care sensitive conditions by dental p…
Dentists’ Willingness to Provide Expanded HIV Screening in Oral Health Care Settings
Objectives. Using a nationally representative survey, we determined dentists’ willingness to provide oral rapid HIV screening in the oral health care setting. Methods. From November 2010 through November 2011, a nationally representative survey of general dentists (sampling frame obtained from American Dental Association Survey Center) examined barriers and facilitators to offering oral HIV rapid testing (n = 1802; 70.7% response). Multiple logis…
A Community-Based Oral Public Health Approach to Promote Health Equity
Objectives. We explored the interrelationships among diabetes, hypertension, and missing teeth among underserved racial/ethnic minority elders. Methods. Self-reported sociodemographic characteristics and information about health and health care were provided by community-dwelling ElderSmile participants, aged 50 years and older, who took part in community-based oral health education and completed a screening questionnaire at senior centers in Man…
The ElderSmile TimeMap
Community-based programs are critical for locally targeted public health education and accessible service delivery. Deriving useful information from such programs is important for their own evaluation and improvement and may facilitate research collaboration with partners and experts. Here we present an interactive Web-based application designed for a community-based oral health outreach program called ElderSmile to demonstrate how data can be su…
Third Places for Health Promotion with Older Adults
This study extends the concept of third places to include community sites where older adults gather, often for meals or companionship. The Consolidated Framework for Implementation Research guided program implementation and evaluation. Depending upon health promotion program needs, the physical infrastructure of a site is important, but a supportive director (champion) can often overcome identified deficits. Senior centers may be locally classifi…
Recruitment of racial/ethnic minority older adults through community sites for focus group discussions
This study adds to the literature in two important ways. First, we leveraged the social and physical infrastructure of an existing program to recruit participants through community sites where older adults gather. Second, we used the CFIR to guide the appraisal of the recruitment process, which underscored important considerations for both reaching and engaging this underserved population. This was especially true in terms of understanding the di…
Racial/Ethnic Minority Older Adults’ Perspectives on Proposed Medicaid Reforms’ Effects on Dental Care Access
To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and …
Medicine (18 obras) · Family medicine (14 obras) · Gerontology (10 obras) · Psychology (10 obras) · Nursing (8 obras) · Gerontology (6 obras) · Dental Health and Care Utilization (5 obras) · Environmental health (5 obras) · Ethnic group (4 obras) · Health care (4 obras)