Future projections of child oral-related hospital admission rates in Western Australia
Alla Alsharif A , Estie Kruger A B and Marc Tennant AA International Research Collaborative – Oral Health and Equity, University of Western Australia, Nedlands, WA 6009, Australia.
B Corresponding author. Email: estie.kruger@uwa.edu.au
Australian Journal of Primary Health 22(6) 491-496 https://doi.org/10.1071/PY15132
Submitted: 19 August 2015 Accepted: 10 October 2015 Published: 11 January 2016
Abstract
This study aimed to project the hospital admission rates of Western Australian children for oral conditions, with a particular focus on dental caries, embedded and impacted teeth, and pulp and periapical conditions through to the year 2026. Two methods were used to generate projection data through to the year 2026, using the Western Australian Hospital Morbidity Dataset for the period 1999–2000 to 2008–2009. The projected admission rate increase in those children aged 14 years and younger from 2000 to 2026 was 43%. The admission rates are expected to more than double over time (7317 cases in 2026 compared to only 3008 cases in 2000) for those children living in metropolitan areas. Dental caries, embedded and impacted teeth, and pulp and periapical conditions will remain the top (mostly) preventable causes of admission throughout this time. Anticipating the future burden of oral-related hospital admissions in children, in terms of expected numbers of cases, is vital for optimising the resource allocation for early diagnosis, prevention and treatment. A concerted effort will be required by policymakers and oral healthcare communities to effect substantial change for the future.
Additional keywords: dental care for children, hospitalised child, oral health.
References
Almonailiene R, Balcinuniene I, Tutkuviene J (2010) Factors influencing permanent teeth eruption. Part one – general factors. Stomatologija 12, 67–72.Alsharif AT, Kruger E, Tennant M (2014a) A population-based-study of oral in-hospital treatment among Western Australian children. J Dent Res Vol 93C. International Association for Dental Research 54th Annual Scientific Meeting. Inequalities to Personalized Medicine: A Tale of Disparities Brisbane, 24–26 September 2014.
Alsharif AT, Kruger E, Tennant M (2014b) Disparities in dental insurance coverage among hospitalised Western Australian children. International Dental Journal 64, 252
| Disparities in dental insurance coverage among hospitalised Western Australian children.Crossref | GoogleScholarGoogle Scholar | 24835791PubMed |
Alsharif AT, Kruger E, Tennant M (2015a) Dental hospitalisation trends in Western Australian children under the age of 15 years: a decade of population-based study. International Journal of Paediatric Dentistry 25, 35–42.
| Dental hospitalisation trends in Western Australian children under the age of 15 years: a decade of population-based study.Crossref | GoogleScholarGoogle Scholar | 24460665PubMed |
Alsharif AT, Kruger E, Tennant M (2015b) A population-based cost description study of oral treatment of hospitalized Western Australian children aged younger than 15 years old. Journal of Public Health Dentistry.
| A population-based cost description study of oral treatment of hospitalized Western Australian children aged younger than 15 years old.Crossref | GoogleScholarGoogle Scholar | 25740273PubMed |
Australian Bureau of Statistics (ABS) (2013) Population projections, Australia, 2012 (base) to 2101. Available at http://www.abs.gov.au [Verified 6 February 2015]
Australian Institute of Health and Welfare (AIHW) (2008) Rural, regional and remote health: indicators of health status and determinants of health. Available at http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442459831 [Verified 7 February 2015]
Australian Institute of Health and Welfare (AIHW) (2013) Australian refined diagnosis-related group (AR-DRG) data cubes 2009–10. Available from http://www.aihw.gov.au/ar-drg-data-cubes/ [Verified 23 February 2015]
Australian Institute of Health and Welfare (AIHW) (2014) Radiation oncology areas of need: cancer incidence projections 2014–2024. Available at http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129547751 [Verified 6 February 2015]
Blinkhorn A, Davies RM (1996) Caries prevention: a continued need worldwide. International Dental Journal 46, 119–125.
Commonwealth Department of Health (2009) Epidemic projections in Western Australia. Available at www.health.gov.au [Verified 3 October 2015]
Commonwealth Department of Health and Aged Care (1998) Australian Refined Diagnosis Related Groups, version 4.1, Definitions Manual (Volumes 1–3). (Commonwealth Department of Health and Aged Care: Canberra) Available at http://www.aihw.gov.au/ar-drg-data-cubes [Verified 5 February 2015]
Gill L, Codde JP, Vasudaven M (1997) Estimating future demand for hospital services: a comparison of three projection models. Epidemiology occasional paper 1. (Department of Health, Western Australia: Perth)
Goss J (2008) Projection of Australian health care expenditure by disease, 2003 to 2033. Available at http://www.aihw.gov.au/publication-detail/?id=6442468187 [Verified 16 October 2015]
Health Workforce Australia (2014) Australia’s future health workforce – oral health – detailed report. Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/australias-future-health-workforce-oral-health [Verified 3 October 2015]
Kruger E, Dyson K, Tennant M (2006) Hospitalisation of Western Australian children for oral health related conditions: a 5–8 years follow-up. Australian Dental Journal 51, 231–236.
| Hospitalisation of Western Australian children for oral health related conditions: a 5–8 years follow-up.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28ngsFGhuw%3D%3D&md5=851f7cd330bcbc6499d33b0f235c0b86CAS | 17037889PubMed |
Madge A (2000) Long-term aged care: expenditure trends and projections. Available at http://www.pc.gov.au/research/completed/long-term-aged-care [Verified 16 October 2015]
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 | 1:STN:280:DC%2BD3MzgvVSktQ%3D%3D&md5=4b64fac249caa9e5553bd37324879ccfCAS | 11040576PubMed |
The Steering Committee for the Review of Government Service Provision (SCRGSP) (2010) Report on government services 2010. Available at http://www.pc.gov.au/research/ongoing/report-on-government-services/2010/2010 [Verified 16 October 2015].
World Health Organization (2015) What is the burden of oral disease? (World Health Organization: Geneva) Available at: www.who.int/oral_health/disease_burden/global [Verified 3 October 2015]
