Distribution of Specialist Orthodontic Service Provision Across South Australia According to Socio-Economic Status and Remoteness

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-04-11 DOI:10.1111/ajr.70040

Andrew Wang, Maurice J. Meade, Gustavo H. Soares, Pedro H. R. Santiago, Dandara G. Haag, Lisa M. Jamieson

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引用次数: 0

Abstract

Objective

To determine how access to specialist orthodontic services (SOS) varies across South Australia (SA) according to socio-economic status and remoteness.

Design and Setting

A cross-sectional telephone survey of 92 specialist orthodontic practice locations across SA.

Main Outcome Measures

The number of full-time equivalent (FTE) specialist orthodontists (orthodontists) and auxiliaries working at each location. The ratio of 12-year-old (yo) population to one FTE orthodontist (12yo:1 FTEO) at the local government area (LGA) level to indicate availability of SOS. The average distance required from each LGA to access at least one FTE orthodontist (D1FTEO) as an indication of accessibility of SOS Quantum Geographic Information System (QGIS) 3.24.2-Tisler (https://www.qgis.org). The variance in availability and accessibility of SOS according to remoteness and socio-economic status.

Results

The response rate was 93.48%. The 12 yo:1 FTEO in SA was 564.62. The mean (SD) D1FTEO was 138 km (173 km). Across SA there was a general trend of decreased availability and accessibility of SOS in areas outside of major cities and in areas of lower socio-economic status.

Conclusions

The absence of orthodontists in nonmajor city or poorer locations in SA was not compensated by an increased presence of orthodontic auxiliaries. Further research in other Australian states and territories may be warranted to confirm whether similar shortages in SOS exist in nonmajor city locations or areas of lower socio-economic status.

Abstract Image

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根据社会经济地位和偏远程度，南澳大利亚州专科正畸服务提供的分布

目的了解南澳大利亚州（SA）不同地区的社会经济状况和偏远程度对专科正畸服务（SOS）的影响。设计与设置对南澳92个专科正畸诊所进行横断面电话调查。主要结果测量在每个地点工作的全职等值专科正畸医师（正畸医师）和辅助医师的人数。在地方政府区域（LGA）一级，12岁（yo）人口与一名FTE正畸医生（12yo:1 FTEO）的比率，以表明SOS的可用性。SOS量子地理信息系统（QGIS） 3.24.2-Tisler （https://www.qgis.org）表示从每个LGA到至少一名FTE正畸医生（D1FTEO）所需的平均距离。根据偏远地区和社会经济状况，SOS的可用性和可及性存在差异。结果总有效率为93.48%。SA的12∶1 FTEO为564.62。平均（SD） D1FTEO为138 km （173 km）。在整个南澳，在主要城市以外的地区和社会经济地位较低的地区，SOS的可用性和可及性总体呈下降趋势。结论SA非主要城市或贫困地区正畸医生的缺失并不能通过增加正畸辅助设备的存在来弥补。可能有必要在澳大利亚其他州和地区进行进一步研究，以确认在非主要城市地点或社会经济地位较低的地区是否存在类似的SOS短缺。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.