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Rural and remote dental services shortages: Filling the gaps through geo-spatial analysis evidence-based targeting

机译:农村和偏远牙科服务短缺:通过基于地理空间分析的循证定位来填补空白

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Background: Australia has a significant mal-distribution of its limited dental workforce. Outside the major capital cities, the distribution of accessible dental care is at best patchy. Objective: This study applied geo-spatial analysis technology to locate gaps in dental service accessibility for rural and remote dwelling Australians, in order to test the hypothesis that there are a few key location points in Australia where further dental services could make a significant contribution to ameliorating the immediate shortage crisis. Method: A total of 2,086 dental practices were located in country areas, covering a combined catchment area of 1.84million square kilometers, based on 50 km catchment zones around each clinic. Geo-spatial analysis technology was used to identify gaps in the accessibility of dental services for rural and remote dwelling Australians. An extraction of data was obtained to analyse the integrated geographically-aligned database. Results: Resolution of the lack of dental practices for 74 townships (of greater than 500 residents) across Australia could potentially address access for 104,000 people. An examination of the socio-economic mix found that the majority of the dental practices (84%) are located in areas classified as less disadvantaged. Output from the study provided a cohesive national map that has identified locations that could have health improvement via the targeting of dental services to that location. Conclusion: The study identified potential location sites for dental clinics, to address the current inequity in accessing dental services in rural and remote Australia.
机译:背景:澳大利亚的有限牙科劳动力分布不均。在主要首都以外的地区,可获得的牙科护理服务的分布最多都是零散的。目的:本研究应用地理空间分析技术来定位农村和偏远澳大利亚人在牙科服务可及性方面的差距,以检验以下假设:澳大利亚有几个关键位置,进一步的牙科服务可对以下几个方面做出重大贡献缓解当前的短缺危机。方法:根据每个诊所周围50公里的集水区,总共在乡村地区设置了2,086个牙科诊所,覆盖的集水区总面积为184万平方公里。地理空间分析技术用于确定农村和偏远澳大利亚居民在牙科服务可及性方面的差距。获得数据提取以分析集成的地理对齐数据库。结果:解决澳大利亚74个乡镇(超过500个居民)缺乏牙科实践的问题,有可能解决104,000人的牙齿获取问题。对社会经济混合体的检查发现,大多数牙科诊所(84%)位于被归类为弱势群体的地区。该研究的结果提供了一个具有凝聚力的全国地图,该地图确定了可以通过将牙科服务定位到该位置来改善健康的位置。结论:该研究确定了牙科诊所的潜在地点,以解决当前在澳大利亚农村和偏远地区获得牙科服务的不平等现象。

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