This study is part of a larger project funded by the Office of Research and Demonstrations, US Health Care Financing Administration (HCFA), #95-C- 99165/9–01. The total (direct and indirect) costs of the six-year project, which ends April 30, 1994, are estimated to be $1,932,000. Total reimbursements for Medicare-waivered services were $404,300. HCFA is funding 100 percent of the total costs. Dr. Atchison was supported by the Bureau of Health Professions, Mid-Career Training Program in Geriatric Medicine and Dentistry. A Biomedical Research Support Grant provided through the UCLA School of Dentistry also supported this study. Disclaimer: Interpretations of the data are the authors' own and do not necessarily represent the official opinion of the Health Care Financing Administration.
Comparison of Oral Health Ratings by Dentists and Dentate Elders
Article first published online: 25 SEP 2007
Journal of Public Health Dentistry
Volume 53, Issue 4, pages 223–230, December 1993
How to Cite
Atchison, K. A., Matthias, R. E., Dolan, T. A., Lubben, J. E., De Jong, F., Schweitzer, S. O. and Mayer-Oakes, S. A. (1993), Comparison of Oral Health Ratings by Dentists and Dentate Elders. Journal of Public Health Dentistry, 53: 223–230. doi: 10.1111/j.1752-7325.1993.tb02708.x
- Issue published online: 25 SEP 2007
- Article first published online: 25 SEP 2007
- Manuscript received: 6/22/92; returned to authors for revision: 9/17/92; accepted for publication: 2/1 /93.
- patient rating of dental health;
- oral health status.
Previous studies suggest a discrepancy between the way dentists and patients measure oral health. The purpose of this study was to determine the relationship between a dentist's rating of an older dentate person's oral health and the patient self-rating using a single-item indicator, and to compare the clinical (i.e., number of teeth, caries, etc.) and subjective (problems with function, pain, etc.) factors that influence the rating. The study sample consisted of 776 older dentate people. Results showed that dentists judged subjects' oral health significantly more positively than the self-ratings. Approximately 30 percent of the elders rated their oral health identically to the dentist and half rated their oral health lower than the dentist. Bivariate comparisons showed that similar clinical and subjective variables were associated with the dentist and patient ratings. Multiple regression findings, however, highlighted differences in the factors that influenced the ratings. In addition, the proportion of variance accounted for by the clinical factors as opposed to the subjective factors was greater for the dentist rating (R2=.28 of.33) than the subject self-rating (R2=.18 of.43).