Effect of Dental Practice Characteristics on Racial Disparities in Patient-Specific Tooth Loss
Bibliographic Data
| ID | 9102414 |
|---|---|
| Authors | Gregg H Gilbert (0000-0003-2017-625X, corresponding author), Richard M Shewchuk (0000-0001-5946-4692, Department of Health Services), Mark S Litaker (0000-0002-6869-3857, corresponding author) |
| Year | 2006 |
| Volume | 44 |
| Issue | 5 |
| Pages | 414-420 |
| Publication date | 2006-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000207491.28719.93 |
| PMID | 16641659 |
| OpenAlex | W1975154073 |
| Language | EN |
| Citations received | 3 |
| References cited | 30 |
OBJECTIVE: The objective of this study was to test the hypothesis that dental practice characteristics are associated with tooth loss incidence with both tooth-specific and patient-specific characteristics already taken into account. RESEARCH DESIGN: A population-based prospective cohort study was conducted. In-person interviews and clinical examinations were done at baseline, 24, and 48 months, with telephone interviews every 6 months. Practices that coincidentally served participants in the study completed practice characteristics questionnaires. To increase inferential power when testing practice-level effects, detailed tooth-specific and patient-specific data were simultaneously taken into account in tests for association between practice-level effects and tooth loss. SETTING: Data were from the Florida Dental Care Study. The key health outcome was tooth loss, a leading measure of a population's oral health. PARTICIPANTS: Eight hundred seventy-three African-Americans and non-Hispanic whites who had at least 1 tooth. RESULTS: Certain practice characteristics were associated with tooth loss, including the racial mix of the practice's patient population; persons who attended practices with higher percentages of African-Americans were more likely to receive a dental extraction regardless of the individual patient's race. CONCLUSIONS: This is the first longitudinal report of increased risk for tooth loss resulting from practice-level effects. Although a patient-level racial disparity remained evident, and even with detailed tooth-specific and patient-level characteristics taken into account, racial differences in characteristics of practices attended independently contributed to the patient-level racial disparity in health
Dental practice · Environmental health · Family medicine · Health care · Oral health · Population · Prospective cohort study · Tooth loss · Dental Health and Care Utilization · Dentistry · Medicine · Oral microbiology and periodontitis research · Pediatric health and respiratory diseases · Gerontology
Racial and Ethnic Variation in the Provision of Dental Procedures
Patient‐Level and Practice‐Level Characteristics Associated with Receipt of Preventive Dental Services
Racial Differences in Baseline Treatment Preference as Predictors of Receiving a Dental Extraction Versus Root Canal Therapy During 48 Months of Follow‐Up
Regression Diagnostics
Racial and ethnic disparities in the use of health services
Inequality in Quality
Effectiveness of dental services in facilitating recovery from oral disadvantage
The “supply hypothesis” and medical practice variation in primary care
Evaluation of Bias and Logistics in a Survey of Adults at Increased Risk for Oral Health Decrements
Patient–Physician Relationships and Racial Disparities in the Quality of Health Care
Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization
Paved With Good Intentions
The Paradox of Dental Need in a Population-Based Study of Dentate Adults
Multidimensionality of Oral Health in Dentate Adults
Personal, Organizational, and Market Level Influences on Physicians’ Practice Patterns
Dental Health Attitudes Among Dentate Black and White Adults
Physician Utilization
Patterns of Change in Self-Reported Oral Health Among Dentate Adults
Determinants of dental care use in dentate adults
Professional uncertainty and the problem of supplier-induced demand
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,16 |
| Citation span | 2007 - 2008 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |