Retrospective analysis of utilisation of the Australian Child Dental Benefit Scheme
Dina Eka Putri A , Estie Kruger A B and Marc Tennant AA International Research Collaborative – Oral Health and Equity, School of Human Sciences, The University of Western Australia, 35 Stirling Highway, M309, Perth, WA 6009, Australia. Email: dinaeka.p@gmail.com; marc.tennant@uwa.edu.au
B Corresponding author. Email: estie.kruger@uwa.edu.au
Australian Health Review 44(2) 304-309 https://doi.org/10.1071/AH19011
Submitted: 2 July 2018 Accepted: 15 April 2019 Published: 25 October 2019
Abstract
Objective The Child Dental Benefit Scheme (CDBS), which provides dental services for targeted children in Australia, was implemented in 2014. Currently there is no information available on the cost and utilisation patterns of this publicly funded scheme. This study aimed to analyse the pattern of dental visits under the CDBS, as well as the cost of the CDBS over the first 2 years of operation.
Methods This study was a retrospective descriptive analysis, using data from Medicare Statistics (an Australian Government website) from two calendar years (2014 and 2015).
Results Nationally, the number of CDBS patients declined by 16.3% after the first year, and patients were predominantly aged 5–14 years. Preventive services were the most used service, and contributed to approximately 30% of total expenditure.
Conclusion The utilisation of CDBS is considered to be low.
What is known about the topic? Previous government dental schemes in Australia resulted in inequalities in utilisation of the scheme by targeted groups. The CDBS was implemented with an extension of eligibility criteria and services offered as a means to improve access to dental care.
What does this paper add? There is no information available on the utilisation and cost patterns of the CDBS; hence, this study analysed the pattern of utilisation and the cost of the CDBS over the first 2 years of operation.
What are the implications for practitioners? It is important that practitioners promote the scheme among those eligible to enable targeted populations access to the scheme and to ultimately improve child oral health.
Additional keywords: Australia, children, dental scheme.
References
[1] Chrisopoulos S, Harford JE, Ellershaw A. Oral health and dental care in Australia: key facts and figures 2015. Canberra: Australian Institute of Health and Welfare; 2016. Available at: https://www.aihw.gov.au/getmedia/57922dca-62f3-4bf7-9ddc-6d8e550c7c58/19000.pdf.aspx?inline=true [verified 29 February 2016].[2] Australian Institute of Health and Welfare (AIHW). Oral health and dental care in Australia 2015: cost of dental care. Canberra: AIHW; 2016. Available at: https://www.aihw.gov.au/reports/web/104/oral-health-dental-care-in-australia-2015/contents/cost-of-dental-care [verified 14 April 2016].
[3] Biggs A. Overview of Commonwealth involvement in funding dental care. Canberra: Department of Parliamentary Services; 2008. Available at: http://www.rssfeeds.aph.gov.au/binaries/library/pubs/rp/2008-09/09rp01.pdf [verified 29 February 2016].
[4] Sendziuk P. The historical context of Australian oral health. In: Slade GD, Spencer AJ, Roberts-Thomson KF, editors. Australia’s dental generations. The national survey of Australian Oral Health 2004–06. Australian Institute of Health and Welfare (AIHW) Catalogue no. DEN165. Canberra: AIHW; 2007. pp. 60–61.
[5] Australian Government Department of Health. Report on the Review of the Dental Benefits Act 2008. Canberra: Australian Government Department of Health; 2016. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/Dental_Report_on_the_Review_of_the_Dental_Benefits_Act_2008 [verified 8 March 2016].
[6] Auditor General Victoria. Community dental services. No. 186 – session 1999–2002. Melbourne: Victorian Auditor-General’s Office; 2002. Available at: www.parliament.vic.gov.au/papers/govpub/VPARL1999-2002No186.pdf [verified 21 August 2017].
[7] Australian National Audit Office (ANAO). Administration of the Child Dental Benefits Schedule: ANAO report. Canberra: ANAO; 2013. Available at: https://www.anao.gov.au/work/performance-audit/administration-child-dental-benefits-schedule [verified 16 October 2019].
[8] Bishop LM, Laverty MJ. Filling the gap disparities in oral health access and outcomes in remote and rural Australia. Sydney: The Royal Flying Doctor Service; 2015. Available at: https://www.flyingdoctor.org.au/assets/files/Filling_the_gap_-_final_for_online_-_commas.pdf [verified 20 April 2016].
[9] Australian Government Department of Human Services. Medicare provider number for health professionals. Canberra: Australian Government Department of Human Services; 2018. Available at: https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/medicare-provider-number-health-professionals [verified 24 May 2018].
[10] Australian National Audit Office (ANAO). Administration of the child dental benefits schedule, Australian National Audit Office report. Canberra: ANAO; 2015. Available at: https://www.anao.gov.au/sites/g/files/net616/f/ANAO_Report_2015-2016_12.pdf [verified 10 April 2016].
[11] Medicare Statistics. Requested MBS category by group and subgroup processed from January 2014 to December 2014. Canberra: Australian Government, Department of Human Services; 2019. Available at: http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fmbs_group_standard_report&DRILL=on&GROUP=A&VAR=services&STAT=count&RPT_FMT=by+state&PTYPE=calyear&START_DT=201401&END_DT=201412 [verified 23 June 2019].
[12] Medicare Statistics. Requested MBS category by group and subgroup processed from January 2015 to December 2015. Canberra: Australian Government, Department of Human Services; 2019. Available at: http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fmbs_group_standard_report&DRILL=on&GROUP=A&VAR=services&STAT=count&RPT_FMT=by+state&PTYPE=calyear&START_DT=201501&END_DT=201512 [verified 23 June 2019].
[13] Medicare Statistics. Requested MBS category by group and subgroup processed from January 2014 to December 2014. Canberra: Australian Government, Department of Human Services; 2019. Available at: http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fmbs_group_standard_report&DRILL=on&GROUP=A&VAR=benefit&STAT=count&RPT_FMT=by+state&PTYPE=calyear&START_DT=201401&END_DT=201412 [verified 23 June 2019].
[14] Medicare Statistics. Requested MBS category by group and subgroup processed from January 2015 to December 2015. Canberra: Australian Government, Department of Human Services; 2019. Available at: http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fmbs_group_standard_report&DRILL=on&GROUP=A&VAR=benefit&STAT=count&RPT_FMT=by+state&PTYPE=calyear&START_DT=201501&END_DT=201512 [verified 23 June 2019].
[15] Department of Health. Guide to the Child Dental Benefits Schedule, version 7, 1 January 2018. Canberra: Australian Government; 2018. Available at: https://www.health.gov.au/internet/main/publishing.nsf/content/42FC28F2797C4A10CA257BF0001A35F6/$File/CDBS%20Guide%20v7%20-%201Jan2018.pdf [verified 23 June 2019].
[16] Australian Bureau of Statistics (ABS). Australian demographic statistics June quarter 2014. Canberra: ABS; 2014. Available at: http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/126E319BBCA7E237CA257DB1001620B4/$File/31010_jun%202014.pdf [verified 25 April 2018].
[17] Australian Bureau of Statistics (ABS). Australian demographic statistic June quarter 2015. Canberra: ABS; 2015. Available at: http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/801757AC98D5DE8FCA257F1D00142620/$File/31010_jun%202015.pdf [verified 25 April 2018].
[18] Armfield JM, Spencer AJ, Brennan DS. Dental health of Australia’s teenagers and pre-teen children: the Child Dental Health Survey, Australia 2003–04. Canberra: Australian Institute of Health and Welfare; 2009. Available at: https://www.aihw.gov.au/getmedia/573f89c0-f311-4959-9a0d-c93ca7e29d1d/10778-20120111.pdf.aspx [verified 25 August 2016].
[19] Do LG, Spencer AJ, editors. Oral health of Australian children: the National Child Oral Health Study 2012–14. Adelaide: University of Adelaide Press; 2016. Available at: https://www.adelaide.edu.au/press/titles/ncohs/ncohs-ebook.pdf [verified 7 September 2016].
[20] Chrisopoulos S, Harford JE. Oral health and dental care in Australia: key facts and figures 2012. Canberra: AIHW; 2013. Available at: https://pdfs.semanticscholar.org/a978/a4c9a47800452fdd0e24f9c4ff95edead9b2.pdf [verified 23 June 2019].
[21] Cane RJ, Butler DR. Developing primary health clinical teams for public oral health services in Tasmania. Aust Dent J 2004; 49 162–170.
| Developing primary health clinical teams for public oral health services in Tasmania.Crossref | GoogleScholarGoogle Scholar | 15762336PubMed |
[22] Australian Indigenous HealthInfoNet. Summary of Aboriginal and Torres Strait Islander health 2015. Perth: Australian Indigenous HealthInfoNet; 2016. Available at: https://healthinfonet.ecu.edu.au/uploads/docs/2015-summary.pdf [verified 1 October 2011].
[23] Jamieson LM, Bailie RS, Beneforti M, Koster CR, Spencer AJ. Dental self-care and dietary characteristics of remote-living Indigenous children. Rural Remote Health 2006; 6 503
| 16646637PubMed |
[24] The Commissioner for Children and Young People, Western Australia. The state of Western Australia’s children and young people – edition two. Perth: The Commissioner for Children and Young People, Western Australia; 2014. Available at: http://www.rdagreatsouthern.com.au/pdf/TheStateofWesternAustraliasChildrenandYoungPeople-EditionTwo-14July2014.pdf [verified 19 September 2016].
[25] Mejia G, Amarasena N, Ha DH, Roberts-Thomson K, Ellershaw A. Child Dental Health Survey Australia 2007: 30-year trends in child oral health. Canberra: AIHW; 2012. Available at: https://pdfs.semanticscholar.org/3c4c/d13d7cc6ce7dce43b5969e754dfd0d66b67b.pdf [verified 29 August 2016].
[26] Arrow P. Oral health of schoolchildren in Western Australia. Aust Dent J 2016; 61 333–41.
| Oral health of schoolchildren in Western Australia.Crossref | GoogleScholarGoogle Scholar | 26296432PubMed |
[27] Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, Ismail A, Kohn W, Siegal M, Simonsen R. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008; 139 257–68.
| Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs.Crossref | GoogleScholarGoogle Scholar | 18310730PubMed |
[28] O’Donnell JA, Modesto A, Oakley M, Polk DE, Valappil B, Spallek H. Sealants and dental caries: insight into dentists’ behaviors regarding implementation of clinical practice recommendations. J Am Dent Assoc 2013; 144 e24–30.
| 23543700PubMed |
[29] The Parliament of the Commonwealth of Australia. Bridging the dental gap: report on the inquiry into adult dental services. Canberra: House of Representatives Standing Committee on Health and Ageing; 2013. Available at: http://www.aph.gov.au/Parliamentary_Business/Committees/House_of_representatives_Committees?url=haa/dental/report.htm [verified 12 September 2016].
[30] Australian Dental Association (ADA). The Australian dental health plan. Achieving optimal oral health. Sydney: ADA; 2017. Available at: https://static.treasury.gov.au/uploads/sites/1/2017/06/C2016-052_Australian-Dental-Association.pdf [verified 5 September 2016].
[31] Australian Government Department of Health. The Child Dental Benefits Schedule. Canberra: Australian Government Department of Health; 2018. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/childdental [verified 3 April 2019].
[32] Guay AH. Access to dental care. J Am Dent Assoc 2004; 135 1599–605.
| Access to dental care.Crossref | GoogleScholarGoogle Scholar | 15622666PubMed |