June 2010

Volume 27, Issue 2

A health equity methodology for auditing oral health and NHS General Dental Services in Sheffield, England.

Authors: T.A. Dyer J. Skinner D. Canning J.R. Green
doi: 10.1922/CDH_2387Dyer06


Objectives To describe a method used in a health equity audit (HEA) of oral health and National Health Service (NHS) General Dental Services. Methods Need, demand and provision of NHS General Dental Services were estimated by electoral ward using readily available data. Need was estimated using five-year-old dmft data. Scheduled and unscheduled demand were differentiated; scheduled demand was estimated using NHS dental registration data and unscheduled demand using emergency clinic and NHS Direct call activity data. Provision was estimated using self-declared dentist NHS hours and NHS Units of Dental Activity practice allocations. All variables were correlated with socioeconomic deprivation in each electoral ward, estimated by rates of receipt of Income Support. Setting Sheffield, England. Results Estimated need in electoral wards varied and correlated positively with increasing socio-economic deprivation. Scheduled demand tended to be lower and unscheduled demand higher in more deprived wards. Estimates of NHS General Dental Service provision indicated marginally higher provision in more deprived wards, though the correlation was weak. A synthesis of the findings estimated where need was least well met by provision. Conclusion A HEA of oral health and NHS General Dental Services can be undertaken using readily available data. However, data used to estimate need, demand or provision may have to change for future audits as the data routinely collected changes. Key words: Audit, demand, dental service provision, deprivation, equity, need


Other articles in this issue

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Editorial - Use of qualitative data in oral health research 66-67 Download
A health equity methodology for auditing oral health and NHS General Dental Services in Sheffield, England. 68-73 Download
Effectiveness of structured comprehensive paediatric oral health education for parents of children less than two years of age in Germany 74-80 Download
An assessment of nutritional information in oral health education leaflets 81-88 Download
Reliability analysis of visual examinations carried out by schoolteachers and a dental assistant in the detection of dental caries. 89-93 Download
Oral health in children in Denmark under different public dental health care schemes 94-101 Download
Caries experience and oral health behaviour among 11 – 13-year-olds: an ecological study of data from 27 European countries, Israel, Canada and USA 102-108 Download
Caries prevalence and intra-oral pattern among young children in Ajman. 109-113 Download
Endodontic treatment completion following emergency pulpectomy 114-117 Download
Prevalence of cleft lip and palate in births from 2003 – 2006 in Iran. 118-121 Download
Development of a measure of childhood information learning experiences related to dental anxiety 122-128 Download


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