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Encounters and management of oral conditions at general medical practices in Australia

BACKGROUND: Poor oral health has been widely recognised as an ongoing public health issue. Patients with oral conditions may visit either a general practitioner (GP) or a dental practitioner for management. The aims of this study are to report (i) the GP management rate of oral health conditions by...

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Autores principales: Cheng, An-Lun, Eberhard, Joerg, Gordon, Julie, Balasubramanian, Madhan, Willink, Amber, Sohn, Woosung, Dai, Jennifer, Harrison, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361532/
https://www.ncbi.nlm.nih.gov/pubmed/35941685
http://dx.doi.org/10.1186/s12913-022-08299-2
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author Cheng, An-Lun
Eberhard, Joerg
Gordon, Julie
Balasubramanian, Madhan
Willink, Amber
Sohn, Woosung
Dai, Jennifer
Harrison, Christopher
author_facet Cheng, An-Lun
Eberhard, Joerg
Gordon, Julie
Balasubramanian, Madhan
Willink, Amber
Sohn, Woosung
Dai, Jennifer
Harrison, Christopher
author_sort Cheng, An-Lun
collection PubMed
description BACKGROUND: Poor oral health has been widely recognised as an ongoing public health issue. Patients with oral conditions may visit either a general practitioner (GP) or a dental practitioner for management. The aims of this study are to report (i) the GP management rate of oral health conditions by patient and GP demographics, (ii) what specific oral conditions were managed, and (iii) how GPs managed oral conditions. METHODS: Data from the Bettering the Evaluation and Care of Health study (2006 to 2016 inclusive) were analysed. Descriptive statistics with 95% confidence intervals around point estimates were used to summarise data. Multivariate logistic regression was performed to determine the independent effect of patient and GP characteristics. RESULTS: A total of 972,100 GP encounters were included in the dataset, with oral condition-related encounters managed at a rate of 1.19 oral conditions per 100 GP encounters. Patients who were aged 54 years or younger, resided in a socioeconomically disadvantaged area, came from a non-English speaking background or Indigenous background were more likely to have oral conditions managed by GPs. The most commonly reported oral conditions were dental and oral mucosa-related. Over 60% of oral conditions were managed by GPs through prescribed medications. CONCLUSIONS: This study provided an overview of management of oral conditions by GPs in Australia. Patients from certain vulnerable demographic groups were more likely to attend a GP for management of oral conditions. Common oral conditions and management approaches were identified. The findings of this study contribute to public health and health policy discussions around optimising primary care provision in oral health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08299-2.
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spelling pubmed-93615322022-08-10 Encounters and management of oral conditions at general medical practices in Australia Cheng, An-Lun Eberhard, Joerg Gordon, Julie Balasubramanian, Madhan Willink, Amber Sohn, Woosung Dai, Jennifer Harrison, Christopher BMC Health Serv Res Research BACKGROUND: Poor oral health has been widely recognised as an ongoing public health issue. Patients with oral conditions may visit either a general practitioner (GP) or a dental practitioner for management. The aims of this study are to report (i) the GP management rate of oral health conditions by patient and GP demographics, (ii) what specific oral conditions were managed, and (iii) how GPs managed oral conditions. METHODS: Data from the Bettering the Evaluation and Care of Health study (2006 to 2016 inclusive) were analysed. Descriptive statistics with 95% confidence intervals around point estimates were used to summarise data. Multivariate logistic regression was performed to determine the independent effect of patient and GP characteristics. RESULTS: A total of 972,100 GP encounters were included in the dataset, with oral condition-related encounters managed at a rate of 1.19 oral conditions per 100 GP encounters. Patients who were aged 54 years or younger, resided in a socioeconomically disadvantaged area, came from a non-English speaking background or Indigenous background were more likely to have oral conditions managed by GPs. The most commonly reported oral conditions were dental and oral mucosa-related. Over 60% of oral conditions were managed by GPs through prescribed medications. CONCLUSIONS: This study provided an overview of management of oral conditions by GPs in Australia. Patients from certain vulnerable demographic groups were more likely to attend a GP for management of oral conditions. Common oral conditions and management approaches were identified. The findings of this study contribute to public health and health policy discussions around optimising primary care provision in oral health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08299-2. BioMed Central 2022-08-08 /pmc/articles/PMC9361532/ /pubmed/35941685 http://dx.doi.org/10.1186/s12913-022-08299-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cheng, An-Lun
Eberhard, Joerg
Gordon, Julie
Balasubramanian, Madhan
Willink, Amber
Sohn, Woosung
Dai, Jennifer
Harrison, Christopher
Encounters and management of oral conditions at general medical practices in Australia
title Encounters and management of oral conditions at general medical practices in Australia
title_full Encounters and management of oral conditions at general medical practices in Australia
title_fullStr Encounters and management of oral conditions at general medical practices in Australia
title_full_unstemmed Encounters and management of oral conditions at general medical practices in Australia
title_short Encounters and management of oral conditions at general medical practices in Australia
title_sort encounters and management of oral conditions at general medical practices in australia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361532/
https://www.ncbi.nlm.nih.gov/pubmed/35941685
http://dx.doi.org/10.1186/s12913-022-08299-2
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