Centre for Rural and Remote Oral Health, The University of Western Australia, Nedlands, Western Australia.
Int Dent J. 2010 Jun;60(3):190-6.
This study aimed to assess the temporal and spatial changes in the demand for general anaesthesia, relative to disease incidence, in 0-19-year-olds.
Hospitalisation data were obtained from the Western Australian Morbidity Data System for the financial years 1999/2000 to 2004/2005, and principal diagnosis was obtained from every patient discharged from a public or private hospital. Hospitalisation data was correlated with socioeconomic status and the geographical location of primary residence.
In the public hospital sector, there were greater rates of people residing in Statistical Local Areas (SLAs) with decreasing accessibility to healthcare services utilising the option of treatment of dental caries under general anaesthetic (GA) compared to people living within highly accessible areas. In the private sector, children who resided in SLAs with the greatest access to healthcare facilities had a greater rate of being hospitalised for the treatment of dental caries under GA.
The results demonstrated distinct patterns of trends in demand for general anaesthetic care among different SES groups and geographical location of primary residence. There was an overall emerging trend of increasing demand placed on public sector both among dental care users among high and low SES. Moreover, the results demonstrated the potential application of geographic modelling as a service planning tool for estimating the future demand for GA care for dental caries in addition to the timely need for focused attention on preventive services for early identification, prevention and control of dental caries among children.
本研究旨在评估 0-19 岁儿童全身麻醉需求的时间和空间变化与疾病发病率的关系。
从 1999/2000 财政年度到 2004/2005 财政年度，我们从西澳大利亚州疾病数据系统中获取了住院数据，每个从公立医院或私立医院出院的患者的主要诊断都从该系统中获取。住院数据与社会经济地位和主要居住地的地理位置相关联。
在公立医院部门，与居住在高度可及地区的人相比，居住在统计区域（SLAs）且获得医疗服务的机会减少的人，接受全麻下治疗龋齿的治疗选择的比例更高。在私立部门，居住在可获得最多医疗设施的 SLAs 的儿童，接受全麻下治疗龋齿的住院率更高。
结果表明，不同社会经济地位群体和主要居住地地理位置之间对全身麻醉护理的需求存在明显的趋势模式。在高 SES 和低 SES 的牙科保健使用者中，公共部门对全身麻醉护理的总体需求呈上升趋势。此外，结果表明地理建模具有潜在的应用价值，可作为一种服务规划工具，用于估算未来全麻治疗龋齿的需求，以及及时关注预防服务，以便早期发现、预防和控制儿童龋齿。
