Distribution of Australian dental practices in relation to the ageing population

Kamil, Wisam Alaa; Kruger, Estie; McGeachie, John K.; Jean, Gillian; Tennant, Marc

doi:10.1111/ger.12585

Cited by 10 publications

(12 citation statements)

References 32 publications

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“…Our result indicated Tas with the lowest number of dental visits compared to other states. However, it has the highest percentage of elderly people who live more than 5 km from private and public dental practices and a higher aging population that resides outside of the Greater Capital City areas [ 29 ]. The cost of dental treatment is another factor that may impose a barrier against the utilisation of dental services [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Utilisation of Dental Services of Older People in Australia: An Economic Explanatory Model Based on Cost and Geographic Location

2021

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The increased percentage of older people retaining their natural dentition was associated with a burden of poor oral health and increased service demands. This study analyses the dental service utilisation of the ageing population in Australia and develops a modelled cost design that estimates the dental expenditure required to cover dental services for the aged population. Using the Australian Census of Population and Housing, ageing population and socioeconomic data were mapped to geographic boundaries and integrated with dental service provision data to estimate a model for the utilisation of dental services. The estimated financial cost of dental services was calculated based on the mean fees as per the Australian Dental Association’s Dental Fees Survey. The utilisation of the services varied considerably across the states and also by type of service, with limited numbers using periodontic services. However, there was an increase in cost for replacement and restorative services (5020 million AUD), most evident in the socioeconomic deprivation areas. In addition, the average dental services utilisation cost increased noticeably in the lower socioeconomic deciles of all regions outside major cities. The geographic maldistribution of older people significantly affects the utilisation of dental services, especially among disadvantaged communities. A predicted cost model of 6385 million AUD would cover the oral health needs of older Australians.

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Section: Discussionmentioning

confidence: 99%

Utilisation of Dental Services of Older People in Australia: An Economic Explanatory Model Based on Cost and Geographic Location

2021

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“…Geographic information systems have been demonstrated as useful tools to assess healthcare accessibility. The literature demonstrates how these techniques can assess gaps in healthcare accessibility in both static analyses [ 7 – 10 ] and interactive interfaces [ 11 – 14 ]. The Clinic Planning tool described here builds on this body of work to provide an interactive interface to compare a current state of healthcare locations with a potential future state, providing evidence for the inclusion of healthcare services at new locations.…”

Section: Discussionmentioning

confidence: 99%

“…Kamil, W et al . [ 10 ] use a similar model of accessibility in the Australian context, by making use of the SEIFA measures provided by the ABS to combine both spatial and socio-demographic data. Further research has highlighted the utility of interactive platforms for this field.…”

Section: Introductionmentioning

confidence: 99%

An interactive geographic information system to inform optimal locations for healthcare services

2023

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Large health datasets can provide evidence for the equitable allocation of healthcare resources and access to care. Geographic information systems (GIS) can help to present this data in a useful way, aiding in health service delivery. An interactive GIS was developed for the adult congenital heart disease service (ACHD) in New South Wales, Australia to demonstrate its feasibility for health service planning. Datasets describing geographic boundaries, area-level demographics, hospital driving times, and the current ACHD patient population were collected, linked, and displayed in an interactive clinic planning tool. The current ACHD service locations were mapped, and tools to compare current and potential locations were provided. Three locations for new clinics in rural areas were selected to demonstrate the application. Introducing new clinics changed the number of rural patients within a 1-hour drive of their nearest clinic from 44·38% to 55.07% (79 patients) and reduced the average driving time from rural areas to the nearest clinic from 2·4 hours to 1·8 hours. The longest driving time was changed from 10·9 hours to 8·9 hours. A de-identified public version of the GIS clinic planning tool is deployed at https://cbdrh.shinyapps.io/ACHD_Dashboard/. This application demonstrates how a freely available and interactive GIS can be used to aid in health service planning. In the context of ACHD, GIS research has shown that adherence to best practice care is impacted by patients’ accessibility to specialist services. This project builds on this research by providing opensource tools to build more accessible healthcare services.

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“…However, the recorded hospitalisation growth in our study could be an indicator of a lack of timely and appropriate intervention in the primary care sector. A recent study by Kamil et al also reported an uneven spatial distribution of dental practices in relation to the ageing population, resulting in access issues for some [ 44 ]. Increasing rates of dental hospitalisations among older people could also be an indicator of lack of skills and knowledge in geriatric dentistry among the dental workforces.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization for Oral Health-Related Conditions of the Australian Ageing Population: Two Decades of Analysis

et al. 2021

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The burden of oral health care increases among older people, with a profound challenge in utilising dental services in primary dental care settings. This study aimed to analyse two decades of nationwide hospital separation patterns due to oral health-related conditions among older people. Ageing population data were obtained from the Australian Bureau of Statistics, including people aged 65 years and older. All principal diagnoses of oral health conditions (ICD-10AM) were analysed in this study. The hospitalisation data included all separations of older people for the financial years 1998–1999 to 2018–2019. A total of 205,461 hospital separations were recorded for older people over a period of twenty-one years. More than 60% of these separations were collectively attributed to dental caries, disorders of teeth and supporting structures, diseases of the jaws, diseases of the pulp, and periapical tissues. However, the average rate of separations per 10,000 people due to dental caries was the highest among the dental conditions (8.68). Furthermore, the remaining oral health-related conditions predict an annual percentage increase in the rate that would compromise their oral health quality of life. Dental caries and its sequela seem to be the leading cause for oral health-related hospital admissions in Australia for people aged 65 and older. This could be an indicator of the inadequacy of disease management in the primary dental care setting.

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Distribution of Australian dental practices in relation to the ageing population

Cited by 10 publications

References 32 publications

Utilisation of Dental Services of Older People in Australia: An Economic Explanatory Model Based on Cost and Geographic Location

Utilisation of Dental Services of Older People in Australia: An Economic Explanatory Model Based on Cost and Geographic Location

An interactive geographic information system to inform optimal locations for healthcare services

Hospitalization for Oral Health-Related Conditions of the Australian Ageing Population: Two Decades of Analysis

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