CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Australian Journal of Primary Health   
Australian Journal of Primary Health
http://www.latrobe.edu.au/aipca/
  The issues influencing community health services and primary health care
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Board
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Instructions to Authors
Submit Article
Open Access
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates

blue arrow e-Alerts
blank image
Subscribe to our email Early Alert or RSS feeds for the latest journal papers.

red arrow Connect with CP
blank image
facebook twitter youtube

 

Article << Previous     |     Next >>   Contents Vol 16(4)

Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia

Estie Kruger A B , Irosha Perera A and Marc Tennant A

A The Centre for Rural and Remote Oral Health, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia.
B Corresponding author. Email: ekruger@meddent.uwa.edu.au

Australian Journal of Primary Health 16(4) 291-295 http://dx.doi.org/10.1071/PY10028
Submitted: 14 July 2010  Accepted: 21 October 2010   Published: 3 December 2010


 
PDF (150 KB) $25
 Export Citation
 Print
  
Abstract

Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.

Additional keywords:culturally appropriate, dental services, Indigenous, rural.


References

Armstrong R (2006) Perspectives on Aboriginal community controlled health services. The Medical Journal of Australia 184, 526
| PubMed |

Australian Bureau of Statistics (2004) Demography, Western Australia 3311.5.55.001. Available at http://www.abs.gov.au/Ausstats/abs@.nsf/0/d6c18bf1a2f09e4eca256e8a0077abe7?OpenDocument [Verified 6 October 2010]

Australian Bureau of Statistics (2005) The health and welfare of Australian Aboriginal and Torres Strait Islander people. Health services: provision, access and use. Available at http://www.abs.gov.au/ausstats/abs@.nsf/0/30334bb2021a983eca25709900129f91?OpenDocument [Verified 7 October 2010]

Australian Bureau of Statistics (2010) The health and welfare of Australia’s Aboriginal and Torres Strait Islander Peoples, 4704.0. Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4704.0Main+Features12010?OpenDocument [Verified 6 October 2010]

Australian Dental Association (2002) ‘The Australian schedule of dental services and glossary.’ 7th edn. (Australian Dental Association: St Leonards, NSW)

Australian Government (2009) Department of Veterans’ Affairs. Fee schedule of dental services for local dental officers and dental specialists. Australian Government, Canberra.

Austrailan Health Ministers’ Conference, National Advisory Committee on Oral Health, South Australia Department of Health (2004) Australia’s national oral health plan 2004. Healthy mouths, healthy lives. Prepared by the National Advisory Committee on Oral Health, Australian Health Ministers’ Conference. Government of South Australia, Adelaide.

Australian Indigenous Health InfoNet (2010) Summary of Australian Indigenous health. Centre for Indigenous Australian Education and Research, Mt Lawley, WA. Available at http://www.healthinfonet.ecu.edu.au/health-facts/summary [Verified 15 October 2010]

Australian Institute of Health and Welfare (2005) Rural, regional and remote health: indicators of health. AIHW Cat. no. PHE 59. AIHW, Canberra.

Australian Institute of Health and Welfare (2010a) Access to health services. Available at http://www.aihw.gov.au/indigenous/health/access.cfm [Verified 5 October 2010]

Australian Institute of Health and Welfare (2010b) Aboriginal and Torres Strait Islander health services report, 2008–09: OATSIH services reporting – key results. Cat. no. IHW 31. Australian Institute of Health and Welfare, Canberra.

Brennan DS, Spencer AJ (2004) Oral health trends among adult public dental patients. AIHW cat. no. DEN 127. Dental Statistics and Research Series No. 30. Australian Institute of Health and Welfare, Canberra.

Brennan DS, Roberts-Thomson KF, Spencer AJ (2007) Oral health of Indigenous adult public health patients in Australia. Australian Dental Journal 52, 322–328.
CrossRef | CAS | PubMed |

Casamassimo PS (2004) Oral health in primary care medicine: practice and policy challenges. American Family Physician 70, 2113–2120.
| PubMed |

Davis MM, Hilton TJ, Benson S, Schott J, Howard A, McGinnis P, Fagnan L (2010) Unmet dental needs in rural primary care: a clinic-, community-, and practice-based research network collaborative. Journal of the American Board of Family Medicine 23, 514–522.
CrossRef | PubMed |

General Medical Services Committee (1994) ‘Patients presenting with dental problems.’ (British Medical Association: London)

Hoy WE, Davey RL, Sharma S, Hoy PW, Smith JM, Kondalsamy–Chennakesavan S (2010) Chronic disease profiles in remote Aboriginal settings and implications for health services planning. Australian and New Zealand Journal of Public Health 34, 11–18.
CrossRef | PubMed |

Jamieson LM, Parker EJ, Armfield JM (2007) Indigenous child oral health at a regional and state level. Journal of Paediatrics and Child Health 43, 117–121.
CrossRef | PubMed |

Jamieson LM, Sayers SM, Roberts-Thomson KF (2010) Clinical oral health outcomes in young Australian Aboriginal adults compared with national-level counterparts. The Medical Journal of Australia 192, 558–561.
| PubMed |

Kingon A (2009) Solving dental problems in general practice. Australian Family Physician 38, 211–216.
| PubMed |

Lockhart PB, Mason DK, Konen JC, Kent ML, Gibson J (2000) Prevalence and nature of orofacial and dental problems in family medicine. Archives of Family Medicine 9, 1009–1012.
CrossRef | CAS | PubMed |

Mejia GC, Parker EJ, Jamieson LM (2010) An introduction to oral health inequalities among Indigenous and non-Indigenous populations. International Dental Journal 60, 212–215.
| PubMed |

Ring I, Brown N (2002) Indigenous health: chronically inadequate responses to damning statistics. The Medical Journal of Australia 177, 629–631.
| PubMed |

Roberts-Thomson K, Spencer AJ, Jamieson LM (2008) Oral health of Aboriginal and Torres Strait Islander Australians. The Medical Journal of Australia 188, 592–593.
| PubMed |

Smith K, Tennant M (2006) Demographic analysis of currently registered dentists in Western Australia: Rural urban divide. The Australian Journal of Rural Health 14, 126–128.
CrossRef | PubMed |

Steele L, Pacza T, Tennant M (2000) Rural and remote oral health, problems and models for improvements: a Western Australian perspective. The Australian Journal of Rural Health 8, 22–28.
CrossRef | CAS | PubMed |

Teusner D (2005) Geographic distribution of the dentist labour force. Australian Dental Journal 50, 119–122.
CrossRef | PubMed |


   
Subscriber Login
Username:
Password:  

 
    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2014