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Table 2 Summary of identified indicators of interest and available data sources for the Victorian population by framework domain

From: Developing a model to assess community-level risk of oral diseases for planning public dental services in Australia

Domain

Element

Definition of Indicator

Data sources/sets

Determinants & Risk Factors

Policy

Local government

Proportion of Local Government areas with policies addressing oral health risk factors

CCV & DHSV/Oral Health Policy data

 

Setting: Schools and Kindergartens

Proportion of kinder gardens/schools with policies addressing oral health risk factors

DHSV/Smiles for Miles Oral Health Promotion Program

 

Health service: Hospitals

Proportion of hospitals with policies addressing oral health risk factors

CCV & DHSV/Oral Health Promotion Policy Data

System and Services

Financing care

Proportion of population eligible for free or low cost public dental services

ABS & DHS/Centrelink

 

Access to services

Distance to closest public clinic from census collection district centroid

DHSV/project specific

  

Practising dentist per 100,000 population by remoteness category of main practise

AIHW DSRU/National Dental Labour Force Collection AIHW/NHWDS DHSV/Workforce

  

Proportion of children in the area who access the public system

DHHS/Titanium

 

Waiting period

Waiting times (average period in months)

Proportion of population seen within the recommended waiting times

DHHS/Titanium

 

Organisational Practices: Recall period for children

Recall period for children (average period in months)

DHHS/Titanium

Environmental

Fluoridated water supply

Proportion of population with access to fluoridated water

DHHS

 

Geographical location

Australian Standard Geographic Classification of remoteness

ABS/Census

Socio-cultural

Socio-economic status

Socio Economic Index For Areas (SEIFA)-Index of Disadvantage

ABS/Census

 

Education level

Proportion of adult population who did not complete secondary school

ABS/Census

VCHWS

 

Ethnicity/cultural group

Proportion of adult population who do not speak English at home

ABS/Census

 

Household income

Health card holder status

ABS/Census

 

Migrant Status

Proportion of population (adults and children) who are migrants

ABS/Census

 

Indigenous Status

Proportion of population who are Indigenous

ABS/Census

Use of services

Dental attendance

Proportion of population receiving timely dental care (<12 months)

DHHS/TitaniumDET/VCHWSAIHW DSRU/NSAOH, NDTIS

 

Reason for attendance

Proportion of population attending for treatment vs check-up

AIHW DSRU/NSAOH, NDTISDHHS/Titanium

 

Dental General Anaesthetics (DGA)

Child DGA rates per 100,000 for removal and/or restoration

DHHS/VAED, AIHW/NHMD

 

Early detection/preventative

Proportion of population treated for early disease

DHHS/TitaniumAIHW DSRU/NSAOH

 

Care received

Proportion of population who received preventive care

DHHS/TitaniumAIHWDSRU/NSAOH

  

Courses of care by provider level: general/emergency/specialist

DHHS/Titanium

 

Emergency care

Ratio of emergency to general oral care provided by public oral health care service

DHHS/Titanium

 

Recall period for children

Recall period for children (average period in months at when children re-attend the public oral health service)

DHHS/Titanium

Behaviours

Oral hygiene practises

Proportion of children and adolescents who brush their teeth twice a day

DET/VCHWSAIHW DSRU/COHS

 

Tap water

Proportion of population who regularly drink tap water

DET/VCHWSDHHS/VPHS

 

Diet

Proportion of population who regularly drink sweet drinks

FaHCSIA & ABS/LSACDET/VCHWS

 

Alcohol consumption

Proportion of adults who drink alcohol at levels beyond that considered safe in the long term

DHHS/VPHS

 

Tobacco

Proportion of population who smoke tobacco

DHHS/VPHS

Outcomes:

   

Disease Children

Dental caries severity

Mean number of decayed, missing and filled primary (dmft/s) and permanent (DMFT/S) teeth/surfaces with caries experience

AIHW DSRU/CDHSDHHS/Titanium

 

Dental caries prevalence

Proportion of children experiencing dental caries (dmft/s > 0 and DMFT/S > 0)

AIHWDSRU/CDHSDHHS/Titanium

 

Untreated dental caries

Proportion of children with 1+ untreated dentine decayed teeth

AIHW DSRU/CDHSDHHS/Titanium

 

Dental Sealants

Proportion of children with dental sealants

AIHW DSRU/CDHSDHHS/Titanium

 

Oral health status

Proportion of children whose parents have concerns about their child’s oral health at school entry

DET/SEHQ

Adults

Dental caries severity

Mean number of decayed, missing and filled permanent (DMFT/S) teeth/surfaces with caries experience

AIHW DSRU/NSAOHDHHS/Titanium

 

Dental caries prevalence

Proportion of population experiencing dental caries (DMFT/S > 0)

AIHW DSRU/NSAOHDHHS/Titanium

 

Untreated dental caries

Proportion of population with 1+ untreated dentine decayed teeth

AIHW DSRU/NSAOHDHHS/Titanium

 

Non-Functional dentition

Proportion of edentulous adults

AIHW DSRU/NSAOHDHHS/Titanium

 

Functional dentition

Proportion of population with 21+ natural teeth

AIHW DSRU/NSAOH/NDTISDHHS/Titanium

 

Periodontal Disease Severity

Proportion of dentate adults with periodontal diseases -severity and extent-

AIHW DSRU/NSAOHDHHS/Titanium

 

Oral Cancer mucosal lesions

Annual incidence rates of oral cancer (cancer of the lip, oral cavity, pharynx) per 100,000 population

CCV/VCR, AIHW/ACD

Quality of Life

Experience of pain

Proportion of population who experience tooth ache regularly

AIHW DSRU/NDTIS, NSAOH

 

Psychosocial and functional impacts of oral illness

Proportion of adult population often or very often felt uncomfortable with the appearance of their teeth or dentures

AIHW DSRU/NDTIS, NSAOH

  1. Socio Economic Index For Areas (SEIFA): Index developed by ABS that ranks areas in Australia according to relative socioeconomic advantage/disadvantage