Characteristics of Hospitals Employing Dentists, and Utilization of Dental Care Services for Hospitalized Patients in Japan: A Nationwide Cross-Sectional Study

Miho Ishimaru, Kento Taira, Takashi Zaitsu, Yuko Inoue, Shiho Kino, Hideto Takahashi and Nanako Tamiya
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Miho Ishimaru: Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo 113-8549, Tokyo, Japan
Kento Taira: Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Ibaraki, Japan
Takashi Zaitsu: Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo 113-8549, Tokyo, Japan
Yuko Inoue: Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo 113-8549, Tokyo, Japan
Shiho Kino: Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo 113-8549, Tokyo, Japan
Hideto Takahashi: National Institute of Public Health, Wako 351-0197, Saitama, Japan
Nanako Tamiya: Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Ibaraki, Japan

IJERPH, 2022, vol. 19, issue 11, 1-11

Abstract: Dental care for hospitalized patients can improve nutritional status and feeding function while reducing complications. However, such care in Japan is not uniformly provided. This investigation examined the presence and characteristics of hospitals where dentists work and the collaboration between medical and dental teams. This cross-sectional study involves 7205 hospitals using the administrative reports on the Hospital Bed Function of 2018. Indicators described were the proportion of hospitals employing dentists, those providing perioperative oral care, and those with a nutrition support team (NST) that included dentists. A two-level logistic regression model was performed using hospital-based and secondary medical area-based factors to identify factors associated with hospitals employing dentists and dental care services. Some hospitals had poor medical and dental collaboration, even those with dentists, and no-dentist hospitals had rare medical and dental collaboration. Factors positively associated with hospitals that employed dentists were diagnosis-procedure-combination-hospital types, the Japanese government-established hospitals compared with hospitals established by public organizations, among others. In conclusion, the present study found poor medical and dental collaboration was observed in some hospitals and that hospital type, region, and hospital founders were associated with the performance of collaborative medical and dental care.

Keywords: dental care; hospitalized patients; multidisciplinary collaboration (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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