title: Rural and remote dental services shortages: filling the gaps through geo-spatial analysis evidence-based targeting.
abstract: 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.
  
  
  METHODS
  A total of 2,086 dental practices were located in country areas, covering a combined catchment area of 1.84 million 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.
  
  
  CONCLUSIONS
  The study identified potential location sites for dental clinics, to address the current inequity in accessing dental services in rural and remote Australia.
authors.affiliation: The University of Western Australia, Nedlands WA, Australia.
authors.forename: Yulia
authors.initials: Y
authors.lastname: Shiika
authors.affiliation: The University of Western Australia, Nedlands WA, Australia.
authors.forename: Estie
authors.initials: E
authors.lastname: Kruger
authors.affiliation: The University of Western Australia, Nedlands WA, Australia.
authors.forename: Marc
authors.initials: M
authors.lastname: Tennant
mesh_terms: D001315:Australia; D003752:Dental Health Services; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D062486:Public Health Surveillance; D019035:Rural Health Services; D062206:Spatial Analysis