Distribution of Australian private dental practices: contributing underlining sociodemographics in the maldistribution of the dental workforce
Bree Graham A B , Marc Tennant A , Yulia Shiikha A and Estie Kruger AA International Research Collaborative – Oral Health and Equity, School of Health Science, The University of Western Australia, WA 6009, Australia.
B Corresponding author. Email: 21444854@student.uwa.edu.au
Australian Journal of Primary Health 25(1) 54-59 https://doi.org/10.1071/PY17177
Submitted: 5 December 2017 Accepted: 10 July 2018 Published: 24 January 2019
Abstract
The vast distances across Australia and the uneven population distribution form a challenging environment in providing the population with health and dental care. The Australian dental workforce distribution was analysed by using statistics from the open Census source available on the Australian Bureau of Statistics (ABS) website. This study aimed to construct a detailed analysis of the large differences in the practice-to-population (PtP) ratios across Australia, as well as the effect of maldistribution for rural and remote areas, where economics plays an important role. The national Census data at the level of Statistical Area Level 2 (SA2) (approximating suburbs) from 2011 was integrated with the location of all private dental practices in Australia (collected in late 2015) using modern geographic tools. All private dental practice (n = 7597) location coordinates were mapped nationwide, across 2157 statistical areas. The population in Australia without a dental practice in their area was 31.6%. The PtP ratio differed from one practice per 40 people to one practice per 27 773 people. The nationwide calculation of the PtP ratio shines light on issues about the dental workforce. The study results confirmed the uneven distribution of dental practices in rural and remote areas and socioeconomically disadvantaged areas.
Additional keywords: Geographical Information System (GIS), practice-to-population ratio.
References
Australian Bureau of Statistics (2011a) 1270.0.55.001 – Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital City Statistical Areas, July 2011. (ABS: Canberra, ACT, Australia) Available at www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/12 70.0.55.001 [Verified 23 June 2016]Australian Bureau of Statistics (2011b) 2033.0.55.001 – Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, 2011. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/2033.0.55.001 [Verified 23 June 2016]
Australian Bureau of Statistics (2013) 5673.0.55.003 – Wage and Salary Earner Statistics for Small Areas, Time Series, 2005–06 to 2010–11. (ABS: Canberra, ACT, Australia) Available at http://www.abs. gov.au/ausstats/abs@.nsf/mf/5673.0.55.003 [Verified 23 June 2016]
Australian Bureau of Statistics (2014) 4159.0 – General Social Survey: Summary Results, Australia, 2014. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/4159.0 [Verified 23 June 2016]
Australian Bureau of Statistics (2015) 3101.0 – Australian Demographic Statistics, Dec 2015. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/3101.0 [Verified 23 June 2016]
Chrisopoulos S, Harford JE, Ellershaw A (2016) Oral health and dental care in Australia: key facts and figures 2015. Catalogue number DEN 229. (Australian Institute of Health and Welfare: Canberra, ACT, Australia) Available at https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia-key-facts-and-figures-2015/contents/table-of-contents [Verified 23 June 2016]
Huang CS, Cher T-L, Lin C-P, Wu K-M (2013) Projection of the dental workforce from 2011 to 2020, based on the actual workload of 6762 dentists in 2010 in Taiwan. Journal of the Formosan Medical Association 112, 527–536.
| Projection of the dental workforce from 2011 to 2020, based on the actual workload of 6762 dentists in 2010 in Taiwan.Crossref | GoogleScholarGoogle Scholar | 23910070PubMed |
Humphries G (2007) Chapter 7 – Reforming patient assisted travel schemes. Parliament of Australia (Report). (Parliament of Australia: Canberra, ACT, Australia) Available at https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Completed_inquiries/2004-07/pats/report/c07 [Verified 23 June 2016]
Kirby S, Moore M, McGarron T, Johnstone P, Perkins D, Lyle D (2015) People living in remote communities can have best-practice diabetes care. Rural and Remote Health 15, 3203
Koletsi-Kounari H, Papaioannou W, Stefaniotis T (2011) Greece’s high dentist to population ratio: comparisons, causes, and effects. Journal of Dental Education 75, 1507–1515.
Mather T, Banks E, Joshy G, Bauman A, Phongsavan P, Korda RJ (2014) Variation in health inequalities according to measures of socioeconomic status and age. Australian and New Zealand Journal of Public Health 38, 436–440.
| Variation in health inequalities according to measures of socioeconomic status and age.Crossref | GoogleScholarGoogle Scholar | 24962890PubMed |
Pink B (2013) 2033.0.55.001 – census of population and housing: socio-economic indexes for areas (SEIFA), Australia, 2016. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/2033.0.55.001 [Verified 23 June 2016]
Steele L, Pacza T, Tennant M (2000) Rural and remote oral health, problems and models for improvement: a Western Australian perspective. The Australian Journal of Rural Health 8, 22–28.
| Rural and remote oral health, problems and models for improvement: a Western Australian perspective.Crossref | GoogleScholarGoogle Scholar | 11040576PubMed |
Tennant M, Kruger E (2013) A national audit of Australian dental practice distribution: do all Australians get a fair deal? International Dental Journal 63, 177–182.
| A national audit of Australian dental practice distribution: do all Australians get a fair deal?Crossref | GoogleScholarGoogle Scholar | 23879252PubMed |
Tennant M, Kruger E, Shiyha J (2013) Dentist-to-population and practice-to-population ratios: in a shortage environment with gross mal-distribution what should rural and remote communities focus their attention on? Rural and Remote Health 13, 2518
Teusner DN, Brennan DS, Gnanamanickam ES (2013) Individual dental expenditure by Australian adults. Australian Dental Journal 58, 498–506.
| Individual dental expenditure by Australian adults.Crossref | GoogleScholarGoogle Scholar | 24320908PubMed |
Tudor Hart J (1971) The inverse care law. Lancet 1, 405–412.
| The inverse care law.Crossref | GoogleScholarGoogle Scholar |
Wakerman J, Humphreys JS (2013) Sustainable workforce and sustainable health systems for rural and remote Australia. The Medical Journal of Australia 199, S14–17.
| Sustainable workforce and sustainable health systems for rural and remote Australia.Crossref | GoogleScholarGoogle Scholar | 25370086PubMed |