Encounters And Management Of Oral Conditions At General Medical Practices In Australia (original) (raw)
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Oral health and dental care in Australia: key facts and figures 2015
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Incidence and management of oral conditions in general practice
The British journal of general practice : the journal of the Royal College of General Practitioners, 2003
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Background: As the proportion and number of older people in Australia continue to grow, innovative means to tackle primary care and prevention are necessary to combat the individual, social and economic challenges of non-communicable diseases. Objective: To assess risk factors (or predictors) for oral and general health outcomes and quality of life of older people (75+ yrs.) attending general practice (GP) clinics in South Australia. Methods: Data were collected from older people attending 48 GP clinics in metropolitan South Australia. Age, sex, education, living arrangement, material standards, chronic conditions and nutrition were assessed as risk factors. Global self-rated oral and general health and quality of life (OHIP Severity and EQ-5D Utility) were included as outcome measures. Results: A total of 459 participants completed the study; response rate was 78%. In the adjusted models, high satisfaction with material standards and good nutritional health were positively associated with all four oral and general health measures. Sex (β=-0.07), age (β=-0.09) and number of chronic conditions (β=-0.13) were negatively associated with EQ-5D, while living arrangement (β=0.06) was positively associated. Further, education level (PR:0.78), living arrangement (PR:0.75) and chronic conditions (PR:1.54) were signi cantly associated with self-rated general health. Conclusion: Satisfaction with material standards and nutritional risk were consistent predictors for oral and general health outcomes and quality of life of older people visiting GP clinics. Primary care teams involving general practitioners, nurses and allied health practitioners are well poised to assess risk factors for older people, and work alongside the dental team.
A four-year retrospective study of adult hospitalization for oral diseases in Western Australia
Australian Dental Journal, 2006
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Gerodontology, 2021
BackgroundAs the proportion and number of older people in Australia continue to grow, innovative means to tackle primary care and prevention are necessary to combat the individual, social and economic challenges of non‐communicable diseases.ObjectiveTo assess risk factors (or predictors) for oral and general health outcomes and quality of life of older people (75+ years.) attending general practice (GP) clinics in South Australia.MethodsData were collected from older people attending 48 GP clinics in metropolitan South Australia. Age, sex, education, living arrangement, material standards, chronic conditions and nutrition were assessed as risk factors. Global self‐rated oral and general health and quality of life (OHIP Severity and EQ‐5D Utility) were included as outcome measures.ResultsA total of 459 participants completed the study; response rate was 78%. In the adjusted models, high satisfaction with material standards and good nutritional health were positively associated with a...
British Dental Journal, 1999
RESEARCH epidemiology ing with dental problems. 4 While there is evidence that patients with dental problems are presenting at family medical practitioners the scale of the problem and the types of presenting complaint have not been separately investigated. The General Practice Morbidity Database was established in 1992 as an attempt to develop baseline information on morbidity at health authority, district and all-Wales levels, by aggregating data which are routinely collected by participating family medical practices across Wales. The data are essentially patient record data with the details of any consultations (such as the reason for attendance, or the prescriptions given) attached to each patient record. The 1996 dataset represents over a million attendances from the populations registered at 30 general practices, and therefore offers a unique opportunity to analyse in detail the problem of dental attendances. The aims of this study were threefold. Firstly, to quantify the extent of the problem of dental attendance at general medical practices. Secondly, for the first time, to characterise the type of patient who generally seeks help from their doctor for oral and dental problems. Finally, the study sought to determine whether attendance at family medical practitioners with dental problems was related to area-level indicators of dental disease or the accessibility of local dental services. Methods Data were analysed from the Welsh General Practice Morbidity Database. Participating practices included in the survey all satisfied the following selection criteria: fully computerised practices, all consultations recorded, with diagnostic data for at least 1 year, using a nationally-recognised coding system and agreement to share (practice and patient) anonymised data throughout the NHS in Wales. In 1996 this database represented a registered population of 313,284 (or 10.7% of the population in Wales) and with an age-structure similar to that of the overall population in Wales. 5 The data analysed represented 30 participating practices. Diagnoses were classified using the Read Clinical Classification System. 6,7 The computer systems at the practices employed AMSyS, Vamp, AAH Meditel, and EMIS software packages. Data extraction from the computers in the general practices was performed as previously described. 8 Data validation procedures were used to check the range of fields and comparisons with standard tables from the practice systems confirmed the reliability of the extraction methodologies. Attendances were classed primarily according to whether the Read codes indicated an 'oral or dental problem' as one of the reasons for attending (Read code: 'J0...', ie 'Oral/Salivary/Jaw diseases'), and the subset of these attendances which included a 'tooth-related' reason for attendance. Where specific dental con