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Rural and remote dental care: Patient characteristics and health care provision

Gardiner, Fergus; Richardson, Alice; Gale, Lauren; Bishop, Lara; Harwood, Abby; Lucas, Robyn; Strickland, Lorika; Taylor, Sandra; Laverty, Martin

Description

Objective: To describe the characteristics of patients who used the Royal Flying Doctor Service dental clinics and determine Royal Flying Doctor Service and nonRoyal Flying Doctor Service dental service provision in mainland Australia. Design: A prospective cohort study. Setting: All Royal Flying Doctor Service dental clinics located throughout rural and remote Australia. Participants: All patients who accessed an Royal Flying Doctor Service dental clinic from April 2017 to September 2018....[Show more]

dc.contributor.authorGardiner, Fergus
dc.contributor.authorRichardson, Alice
dc.contributor.authorGale, Lauren
dc.contributor.authorBishop, Lara
dc.contributor.authorHarwood, Abby
dc.contributor.authorLucas, Robyn
dc.contributor.authorStrickland, Lorika
dc.contributor.authorTaylor, Sandra
dc.contributor.authorLaverty, Martin
dc.date.accessioned2020-12-18T03:07:23Z
dc.identifier.citationGardiner FW, Richardson A, Gale L, et al. Rural and remote dental care: Patient characteristics and health care provision. Aust J Rural Health. 2020;28:292–300. https://doi.org/10.1111/ ajr.12631
dc.identifier.issn1038-5282
dc.identifier.urihttp://hdl.handle.net/1885/217386
dc.description.abstractObjective: To describe the characteristics of patients who used the Royal Flying Doctor Service dental clinics and determine Royal Flying Doctor Service and nonRoyal Flying Doctor Service dental service provision in mainland Australia. Design: A prospective cohort study. Setting: All Royal Flying Doctor Service dental clinics located throughout rural and remote Australia. Participants: All patients who accessed an Royal Flying Doctor Service dental clinic from April 2017 to September 2018. Interventions: Royal Flying Doctor Service mobile dental clinics. Main outcome measures: Patient demographics and dental procedures conducted (by age, sex and Indigenous status); and the dental service provision and coverage (Royal Flying Doctor Service and non-Royal Flying Doctor Service) within mainland rural and remote Australia. Results: There were 8992 patient episodes comprising 3407 individual patients with 27 897 services completed. There were 920 (27%) Indigenous and 1465 (43%) nonIndigenous patients (n = 1022 missing ethnicity data). The mean (SD) age was 31.5 (24.8) years; the age groups 5-9 years and 10-14 years received 17.6% and 15.1% of the services, respectively. There were 1124 (33%) men and 1295 (38%) women (n = 988 with missing sex data). Women were more likely (all P < .05) to receive preventive services, diagnostic services, restorative services, general services, endodontics and periodontics. Men were more likely (both P < .05) to receive oral surgery and prosthodontics. There are many rural and remote people required to travel more than 60 minutes by vehicle to access dental care. Conclusion: Without increasing dental provision and preventive services in rural areas, it seems likely that there are and will be unnecessary oral emergencies and hospitalisations.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBlackwell Science Asia
dc.rights© 2020 National Rural Health Alliance Ltd.
dc.sourceAustralian Journal of Rural Health
dc.subjectAboriginal health
dc.subjectaccess issues
dc.subjectdental health
dc.subjectremote health delivery
dc.subjectyouth health
dc.titleRural and remote dental care: Patient characteristics and health care provision
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume28
dcterms.dateAccepted2020-04-14
dc.date.issued2020-05-27
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationa383154xPUB13548
local.publisher.urlhttps://onlinelibrary.wiley.com/
local.type.statusPublished Version
local.contributor.affiliationGardiner, Fergus, College of Health and Medicine, ANU
local.contributor.affiliationRichardson, Alice, Administrative Portfolio, ANU
local.contributor.affiliationGale, Lauren, Royal Flying Doctor Service of Australia
local.contributor.affiliationBishop, Lara, Royal Flying Doctor Service
local.contributor.affiliationHarwood, Abby, Royal Flying Doctor Service
local.contributor.affiliationLucas, Robyn, College of Health and Medicine, ANU
local.contributor.affiliationStrickland, Lorika, The Royal Flying Doctor Service
local.contributor.affiliationTaylor, Sandra, The Royal Flying Doctor Service
local.contributor.affiliationLaverty, Martin, Royal Flying Doctor Service of Australia
local.description.embargo2099-12-31
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage292
local.bibliographicCitation.lastpage300
local.identifier.doi10.1111/ajr.12631
local.identifier.absseo920204 - Evaluation of Health Outcomes
dc.date.updated2020-09-06T08:18:41Z
CollectionsANU Research Publications

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