Mission of Mercy patient characteristics and dental-related emergency department use

Paramore, Jolene O.; Herndon, Jill Boylston; Brown, Andrew B.

doi:10.1016/j.adaj.2017.11.029

Cited by 6 publications

(12 citation statements)

References 21 publications

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“…However, this finding could reflect that males wait longer for the disease process to reach a crisis level before seeking dental care. Our findings in terms of the proportion of individuals reporting that they visited the ED was somewhat consistent with that reported by Paramore et al, who reported that about 27% of attendees stated that they had visited the ED for a nontraumatic dental condition prior to attending MoM event 8…”

Section: Discussionsupporting

confidence: 91%

<p>Emergency department visits and dental procedures: Mission of Mercy, 2013–2016</p>

Okunseri

Zbin

Zheng

et al. 2019

CCIDE

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Objective: This study compared attendees at Wisconsin Mission of Mercy (MoM) events with and without prior emergency department (ED) visits for dental care in terms of demographic characteristics and dental procedures received. Methods: De-identified archival data available from the America’s Dentists Care Foundation (2013–2016) were analyzed. Summary statistics were calculated based on prior ED visit status for county-level characteristics and type of dental procedures received. Generalized estimating equation models with logistic links were fitted to examine associations between the predictor and independent variables. Results: Most attendees were White, adult females (mean age 37 years). Current dental pain was reported by 61% vs 33% of attendees with and without prior ED visit. Cleaning (57%) was the most common procedure received by attendees with no prior ED visits, while extractions (47%) were the most common for those with prior ED visits. Among MoM attendees, males had higher odds of prior ED visits compared to females. Compared to White, Black had higher odds and Hispanic had lower odds of having prior ED visits. In the multivariable analysis, dental pain (OR: 3.32; 95% CI: 2.75, 4.02) had the strongest association with prior ED visits. Attendees with prior ED visit history had higher odds of receiving extractions and restorative care, compared to cleaning after adjustment for person and county-level characteristics. Conclusion: Among MoM attendees, prior ED visits were associated with not being Hispanic, being male, and having dental pain. Compared to attendees with no prior ED visit, those with prior ED visits had higher odds of receiving restorative care and extractions.

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Section: Discussionsupporting

confidence: 91%

<p>Emergency department visits and dental procedures: Mission of Mercy, 2013–2016</p>

Okunseri

Zbin

Zheng

et al. 2019

CCIDE

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“…However, it is in sharp contrast to that published by Paramore et al (2018) in a study based on Florida's MoM data. Paramore et al (2018) reported that the mean age of attendees was 46 y. This contrast across the different states would seem plausible given that Florida possibly has a generally older population compared to Wisconsin and Maryland.…”

Section: Discussioncontrasting

confidence: 91%

“…This result is somewhat consistent with the analyzed data from Maryland published by Jackson et al (2018). However, it is in sharp contrast to that published by Paramore et al (2018) in a study based on Florida's MoM data. Paramore et al (2018) reported that the mean age of attendees was 46 y.…”

Section: Discussionsupporting

confidence: 89%

“…However, the Maryland General Assembly unanimously passed a bill, SB 284 in April 2018, which basically seeks the implementation of a pilot program to include adult dental coverage. In addition, Florida has a managed care program for dental care that offers expanded dental services (Paramore et al 2018). The goal for these expansions is to increase access to dental care and to provide a dental home for more citizens.…”

Section: Discussionmentioning

confidence: 99%

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Sociodemographic Characteristics of Mission of Mercy Attendees in Wisconsin

Okunseri

Eggert

Zheng

et al. 2019

JDR Clinical & Translational Research

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Objective: Mission of Mercy (MoM) events are scheduled to provide care to populations suffering from urgent needs and inadequate access to dental care in the United States. This study examined individual and county-level characteristics of MoM attendees and the factors associated with changes in the rate of attendance. Methods: Deidentified archival data for MoM events available from the America’s Dentists Care Foundation (2013–2016) were analyzed. Summary statistics were calculated separately for each year. Chi-square test was performed to identify changes in attendance distribution over time. Poisson regression analyses were conducted to test changes in the rate of attendance with and without adjustment for county-level characteristics and history of prior MoM events. Results: Total numbers of attendees at Wisconsin MoM events were 1,560, 1,635, 1,187, and 951 in 2013, 2014, 2015, and 2016, respectively. Attendees were mostly female (>50%) and White (58%–81%), and mean age ranged between 36.5 and 39.2 y. The average travel distance ranged between 27 and 80 miles. Residents of counties where MoM events were held in previous years were more likely to attend another MoM event after adjusting for county distance to current location. After adjusting for dentists-to-population ratio, event history, and county distance to event location, we found that there was no statistically significant change in the rate of attendance from 2013 to 2016. Conclusions: Previous attendees with experience of attending a MoM event in their counties of residence were more likely to attend another MoM event. Higher rates of attendance were associated with shorter travel distances to MoM events. Knowledge Transfer Statement: The Mission of Mercy (MoM) events are promoted by local dental organizations to highlight the issue of access to dental care and bring greater awareness to the problem by providing urgent dental care to populations in need. Through the data-sharing practices and analyses, policy makers, dental health advocates, and program organizers will have a better understanding of the impact and reach of the program. Findings from this study will help to expand program practices, promote efficiency, and aid in the identification of appropriate event locations, innovative strategies, and public policies relevant to addressing access to dental care.

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“…Mission of Mercy dental clinics are charitable events that are volunteer run and provide professional dental services, including endodontics, restorations and oral surgery for patients on a first come, first served basis. Such dental events occur in states across the country [[21], [22], [23]]. Typically, a line of hopeful patients begins the evening before the clinic opens.…”

Section: Methodsmentioning

confidence: 99%

Setting and motivation in the decision to participate: An approach to the engagement of diverse samples in mobile research

Passmore

Casper

Olgin

et al. 2019

Contemporary Clinical Trials Communications

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Internet and mobile based research are powerful tools in the creation of large, cohort studies (eCohort). However, recent analysis indicates that an underrepresentation of minority and low income groups in these studies might exceed that found in traditional research [1–5]. In this report, we present findings from an experiment in research engagement using the Eureka Research Platform developed to enroll diverse populations in support of biomedical clinical research. This experiment involved the recruitment of African American and Latino participants in a smartphone based survey at a temporary, charitable, dental event sponsored, in part, by the research team, in order to explore the impact of setting and approach on recruitment outcomes. 211 participants enrolled including a significant representation of African Americans (51%) and Latinos (31%) and those with education levels at high school or less (37%). Interviews conducted after the study confirmed that our recruitment efforts within the context of a service event affected the decision to participate. While further research is necessary, this experiment holds promise for the engagement of underrepresented groups in research.

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Mission of Mercy patient characteristics and dental-related emergency department use

Cited by 6 publications

References 21 publications

<p>Emergency department visits and dental procedures: Mission of Mercy, 2013–2016</p>

<p>Emergency department visits and dental procedures: Mission of Mercy, 2013–2016</p>

Sociodemographic Characteristics of Mission of Mercy Attendees in Wisconsin

Setting and motivation in the decision to participate: An approach to the engagement of diverse samples in mobile research

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