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

Geriatrics ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 102
Author(s):  
Wisam Kamil ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Oral Health ◽  
Older People ◽  
Cost Model ◽  
Geographic Location ◽  
Dental Service ◽  
Service Utilisation ◽  
Ageing Population ◽  
Dental Services ◽  
Australian Census ◽  
Natural Dentition

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.

scholarly journals Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254310
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Arthur de Almeida Medeiros ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Oral Health ◽  
Multilevel Analysis ◽  
Behavioral Model ◽  
Dental Service ◽  
Individual Factors ◽  
Service Utilisation ◽  
Health Coverage ◽  
Dental Services ◽  
Cross Sectional ◽  
Public Dental Service

Background This study verified the association between contextual and individual factors and public dental services utilisation in Brazil. Methods The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey– 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was ‘public dental service utilisation’, and Andersen’s behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level. Results The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care. Conclusions Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.

Planning dental services for an ageing population

2011 ◽  
Vol 2 (3) ◽  
pp. 100-103
Author(s):  
Eric Rooney
Keyword(s):  
Oral Health ◽  
Older People ◽  
Old Age ◽  
Ageing Population ◽  
Dental Services ◽  
Prevention And Treatment ◽  
The Future ◽  
Dental Professionals

Older people are living longer, keeping their teeth for longer but increasingly facing diseases associated with ageing, including dementia. The ability of older people to maintain good oral health, and the ability of dental professionals to maintain their heavily restored dentitions, presents a challenge in planning services for the future. There needs to be a focus on personal prevention for those who will move into old age over the next 20 years. We must also develop services which address the complexity of delivering professional prevention and treatment to those who need to be supported in their later years.

Designing clinical networks to manage the oral health of older people

2011 ◽  
Vol 2 (3) ◽  
pp. 118-122
Author(s):  
Vanita Brookes
Keyword(s):  
Oral Health ◽  
Older People ◽  
Total Population ◽  
Ageing Population ◽  
Clinical Networks ◽  
The Uk ◽  
Older Citizens

The UK has an ageing population. The population of older people is increasing in both absolute and relative terms, with older people forming a larger proportion of the population. In 1984, 15% of the population was over 65. By 2034 this will increase to 23%. Between 2009 and 2034 the number of people over the age of 85 is projected to more than double, accounting for 5% of the total population by that time.1 Dental clinical networks can, and no doubt will, play a major role in caring for our older citizens.

scholarly journals Profile of users of the oral health service in Comendador Levy Gasparian/RJ

2020 ◽  
pp. 73-91
Author(s):  
Renata Patrícia Pereira de Melo ◽  
Natália Leal da Silva ◽  
Fátima Lúcia Cartaxo Machado ◽  
Rafael de Souza
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
The Elderly ◽  
Dental Service ◽  
Descriptive Statistics ◽  
Urban Center ◽  
Dental Services ◽  
Study Population ◽  
Basic Health Units

The health of teeth and the oral cavity affects people’s quality of life, as it interferes with the ability to eat, communicate, aesthetics and prevent other diseases. The aim of this research is to identify the profile of users of oral health services in basic health units in the municipality of Comendador Levy Gasparian/RJ. The study population was composed of all users of the dental service of the municipality and the sample size for collection used a nonparametric sampling of the type for convenience. The research was carried out using the quantitative approach and data analysis using Descriptive Statistics. To facilitate analysis and compression, graphs were constructed with univary and bidata data. The results showed women, young people, the elderly, people of the yellow race and patients with Higher Education represent groups that least use the dental services of the municipality and strategies that attract such audiences can increase access to the service. The units near the urban center of the municipality received a larger number of participants.

scholarly journals Demand organization in public oral health services: analysis of a traditional model

2016 ◽  
Vol 64 (4) ◽  
pp. 393-401 ◽  
Author(s):  
Angelo Giuseppe RONCALLI ◽  
Suzely Adas Saliba MOIMAZ ◽  
Adrielle Mendes de Paula GOMES ◽  
Cléa Adas Saliba GARBIN ◽  
Nemre Adas SALIBA
Keyword(s):  
Public Schools ◽  
Oral Health ◽  
School Attendance ◽  
Dental Service ◽  
Access To Services ◽  
Dental Services ◽  
Unified Health System ◽  
Documentary Analysis ◽  
Equity In Access ◽  
Basic Network

ABSTRACT Objective: To discuss the municipal experience of the organization and the demand for dental services, based on the guidelines of the Unified Health System (UHS), which point to the structuring of an assistance model based on universality and integrality of care and equity in access to services. Methods: The research, realized in Araçatuba/SP, was based on documentary analysis and interviews with key-informants of the UHS dental service. The traditional court model has a care system for schoolchildren and a basic network with priority for pregnant women. Results: In total, the network has 59 dental surgeons, 31 oral health auxiliaries and 17 Oral Health Teams; however, the school attendance model persists, with 10 professionals attending public schools. Based on the discussions, it is concluded that there are no established criteria for the organization of demand. Conclusion: Most of the attendance occurs by free demand, and the reference and counter-referral system is incipient, damaging the service's resoluteness.

Improving the oral health of older people

2018 ◽  
Vol 22 (4) ◽  
pp. 189-197 ◽  
Author(s):  
A. Tinker ◽  
J. Gallagher ◽  
T. Awojobi ◽  
A. Ahilan ◽  
A. Al Dahwy ◽  
...  
Keyword(s):  
Oral Health ◽  
Older People ◽  
Health Centre ◽  
Ethnic Origin ◽  
Dental Service ◽  
Dental Students ◽  
Original Research ◽  
Physical And Mental Health ◽  
Content Type ◽  
Delivery Of Care

Purpose The purpose of this paper is to explore how adults may be supported in maintaining their oral health and to provide dental students with better knowledge of how the oral health of community living older people can be maintained and to make recommendations. Design/methodology/approach A pilot qualitative study involving eight dental students in three workshops in a Health Centre in South West London with 17 older adults whose ages ranged from 63 to 94 years with 82 percent female and 42 percent white. Findings For the older people, findings confirm previous research highlighting issues around prevention, delivery of care and access. However, other issues such as the use of fluoride and safety around tooth whitening were important. There was concern about the increasing privatisation of the dental service and problems in finding a dentist. For the dental students they valued time with older people and felt that they had a better understanding of them and research. Research limitations/implications The research was in one part of London and interviews were with only 17 older people. However, they were a mixed group in terms of age and ethnic origin. Practical implications These include the need to give older people more information and the value of simplicity e.g. through leaflets. Social implications Good oral health is important for physical and mental health and can help social participation and wellbeing. Originality/value Yes, this is original research.

Strategies to improve access to and uptake of dental care by people experiencing homelessness in Australia: a grey literature review

2020 ◽  
Vol 44 (2) ◽  
pp. 297
Author(s):  
Jacqueline Goode ◽  
Ha Hoang ◽  
Leonard Crocombe
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Service Providers ◽  
Grey Literature ◽  
Homeless People ◽  
Dental Service ◽  
Dental Services ◽  
Free Care ◽  
Improve Access

Objectives The poor oral health of Australians experiencing homelessness negatively affects their quality of life. Better oral health is associated with having annual dental check-ups. Because there is limited peer-reviewed literature describing strategies that improve access to and uptake of dental care by homeless people, in this study we searched the grey literature to discover what strategies are used. Methods The Informit database and Google and Bing search engines were searched using the keywords ‘homeless and oral and dental services’. Bing and Google were searched unrestricted by site and Google was searched for sites ending in ‘org.au’. Searches were restricted to Australia from June 2008 to June 2018. The first 300 websites were read, and those describing or linking to pages describing a strategy that improved access to or uptake of dental care were included in the study. The content of the webpages was evaluated and summarised, with common strategies reported as a narrative description. Results Nineteen programs were described. Common strategies were providing free care, in-reach care, outreach care and the need to work closely with support organisations. Conclusions To improve access to and uptake of dental care by people experiencing homelessness, dental services need to be free and organised in collaboration with support organisations. What is known about the topic? The peer-reviewed literature describing strategies used to improve access to and uptake of dental care by people experiencing homelessness in Australia is limited. The authors could only locate two such studies, one based in Melbourne and one in Brisbane. Both programs had a similar aim, but used different strategies to achieve it, suggesting a lack of consensus about the best way to encourage dental visiting by people experiencing homelessness. What does this paper add? This paper used the grey literature to describe common strategies used in Australia to improve access to and uptake of dental care by people experiencing homelessness. What are the implications for practitioners? Dental service providers aiming to increase access to and uptake of dental care by people experiencing homelessness need to work collaboratively with support organisations and provide care free of charge.

scholarly journals Oral health for an ageing population: the importance of a natural dentition in older adults

2017 ◽  
Vol 67 ◽  
pp. 7-13 ◽  
Author(s):  
Frauke Müller ◽  
Yoshihiro Shimazaki ◽  
Febronia Kahabuka ◽  
Martin Schimmel
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Ageing Population ◽  
Natural Dentition

scholarly journals Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Household Income ◽  
Multinomial Logistic Regression ◽  
Adult Population ◽  
Population Sample ◽  
Dental Service ◽  
Service Utilisation ◽  
Oral Health Promotion ◽  
Negatively Associated

Abstract Background Prompt dental service utilisation (DSU) is needed for the prevention and treatment of oral diseases, and it is therefore important to determine the facilitators and barriers of DSU. There is, however, scarce information available on DSU in Sudan. Therefore, this study aimed to investigate the prevalence and associated factors of DSU in a general population-based survey among 18–69 year-old persons in Sudan. Methods Cross-sectional nationally representative data of 7,722 18–69 year-old persons (36 years median age) from the 2016 Sudan Stepwise approach to surveillance (STEPS) survey were analysed. Using questionnaire, anthropometric and biochemical measures, predisposing, enabling and health and lifestyle factors of DSU were assessed. Multinomial logistic regression was conducted to estimate the predictors of DSU (> 12 months and past 12 months, with never DSU as the reference category). Results About two-thirds of the participants (64.6%) had never DSU, 22.0% had more than 12-month DSU, and 13.4% had past 12- month DSU. Among those who had ever DSU, the main reason for the last DSU was pain or trouble with teeth, gums, or mouth (66.9%), treatment or follow-up treatment 22.3%, and routine check-up treatment 5.0%. In adjusted multinomial logistic regression analysis, higher education (p < 0.001), urban residence (p < 0.001), screened for blood pressure (p < 0.001), raised total cholesterol (p < 0.05), poor SROH (p < 0.001), pain in teeth or mouth (p < 0.001), and not working because of teeth or mouth (p < 0.01) were positively and not knowing their household income (p < 0.01), high physical activity (p < 0.05), and having 20 or more teeth (p < 0.001), were negatively associated with both > 12 months and past 12 months DSU. Higher household income (p < 0.001), overweight/obesity (p < 0.05), using tooth paste (p < 0.001), and difficulty chewing (p < 0.001), were positively, and male sex (p < 0.01), and teeth cleaning twice or more times a day (p < 0.05), were negatively associated with > 12 months or past 12 months DSU. Conclusion More than one in ten participants had past 12 months DSU and several factors were detected which could be targeted in intervention activities. Study findings suggest to improve oral health awareness, in particular stressing the relevance of regular dental check-ups, by using different modalities of oral health promotion.

scholarly journals Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation

2021 ◽  
Author(s):  
Emilie Bryne ◽  
Sarah Catherine Patricia Duff Hean ◽  
Kjersti Berge Evensen ◽  
Vibeke Hervik Bull
Keyword(s):  
Oral Health ◽  
Patient Group ◽  
Dental Anxiety ◽  
Psychosocial Health ◽  
Realist Evaluation ◽  
Dental Service ◽  
Dimensional Structure ◽  
Service Access ◽  
Torture Survivors ◽  
Dental Services

Abstract Background: Torture, abuse and dental phobia are often precursors to developing a pathological relationship with dental care due to elevated anxiety and the risk for re-traumatisation. Consequently, this patient group tends to avoid dental services, leaving them with severe tooth decay that affects both their general and psychosocial health. Norwegian dental services have implemented a specific dental service targeting this patient group, aiming to both alleviate their dental anxiety and restore their oral health. The outcomes of this service have been positive, but for this model to be transferrable to other national contexts, it is necessary not just to understand whether the service works, but also how and why it works. Therefore, this study developed theories on how the structure of the service alleviates dental anxiety and restores patients’ oral health. Although developed specifically in a Norwegian context, these theories may be applicable to other national and international contexts. Methods: This realist evaluation comprised sequential, multiple methods encompassing a review of service and policy documentation (n=12), followed by realist interviews with service developers and deliverers (n=12). Guided by a retroductive approach consisting of coding, cataloguing and configuring through content analyses and context-mechanism-outcome (CMO) heuristics, the analyses generated four programme theories.Results: First, the state-subsidised dental service affects service access and service uptake. Second, this service can be adapted and tailored to regional resources to meet the needs of the heterogenous patient group. Third, regional service teams are cohesive because of a lack of national communication and cooperative practice. Fourth, the complexity of migration processes and poor dissemination practices leads to poor recruitment of torture survivors to the service. Conclusions: The service follows a hybrid bottom-up, top-down approach, allowing teams to practise discretion and tailor their approach to meet individual needs. With its bi-dimensional structure, the service reaches a patient population that would otherwise avoid dental services. Service uptake is beneficial as patients report experiencing improved quality of life. However, the service is struggling to reach torture survivors, which may be attributable to multiple contextual factors. More research is therefore required to understand the lack of service uptake among torture survivors.

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