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Relevant bibliographies by topics / Dental public health Australia

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Academic literature on the topic 'Dental public health Australia'

Author: Grafiati

Published: 4 June 2021

Last updated: 20 February 2023

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Journal articles on the topic "Dental public health Australia"

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Graham, Bree, Marc Tennant, Yulia Shiikha, and Estie Kruger. "Distribution of Australian private dental practices: contributing underlining sociodemographics in the maldistribution of the dental workforce." Australian Journal of Primary Health 25, no. 1 (2019): 54. http://dx.doi.org/10.1071/py17177.

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The vast distances across Australia and the uneven population distribution form a challenging environment in providing the population with health and dental care. The Australian dental workforce distribution was analysed by using statistics from the open Census source available on the Australian Bureau of Statistics (ABS) website. This study aimed to construct a detailed analysis of the large differences in the practice-to-population (PtP) ratios across Australia, as well as the effect of maldistribution for rural and remote areas, where economics plays an important role. The national Census data at the level of Statistical Area Level 2 (SA2) (approximating suburbs) from 2011 was integrated with the location of all private dental practices in Australia (collected in late 2015) using modern geographic tools. All private dental practice (n=7597) location coordinates were mapped nationwide, across 2157 statistical areas. The population in Australia without a dental practice in their area was 31.6%. The PtP ratio differed from one practice per 40 people to one practice per 27773 people. The nationwide calculation of the PtP ratio shines light on issues about the dental workforce. The study results confirmed the uneven distribution of dental practices in rural and remote areas and socioeconomically disadvantaged areas.

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Dudko, Yevgeni, Estie Kruger, and Marc Tennant. "National dental waitlists: what would it take to reset to zero?" Australian Health Review 40, no. 3 (2016): 277. http://dx.doi.org/10.1071/ah15025.

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Objective Over the years, long public dental waitlists across Australia have received much attention from the media. The issue for eligible patients, namely a further deterioration of dental health because of not being able to address dental concerns relatively quickly, has been the subject of several state and Federal initiatives. The present study provides a cost model for eliminating public dental waitlists across Australia and compares these results with the cost of contracting out public dental care to private clinics. Methods Waitlist data from across Australia were collected from publicly available sources and confirmed through direct communication with each individual State or Territory Dental Health body. Average costs associated with employing key dental personnel and performance figures were used from previously published data to estimate the potential financial commitment and probable public benefits. Results The cost model suggests that, on average, it would be more than twice as expensive to contract the work out to private dental clinics as to treat eligible patients within public dental clinics. It is estimated that the cost of eliminating the legacy dental waiting lists (over 12 months) would be between A$50 and A$100 million depending on the method adopted. The effort would require some 360 dental teams. Conclusion The design of the Australian public dental care system that is targeted at meeting the needs of eligible patients into the future, in addition to being effective and sustainable, must also offer a level of protection to the taxpayer. The ability to address waitlist backlog identified in the present study clearly would require a mix of service models depending on service availability at different locations. Further research is needed to optimise the mix of service providers to address community needs. What is known about the topic? Long public dental waitlists across Australia have received much attention from the media. The topic has been the subject of debate at the government level and, over the years, has seen an increase in allocation of public funds in an effort to address the policy needs. What does this paper add? This study calculates the actual number of people on the public dental waitlist, provides a detailed analysis of the distribution of the demand for the services and offers a cost model for resetting public dental waitlists across Australia. What are the implications for practitioners? This study carries no implications for individual practitioners at the clinical level. However, at the state and national levels, this model offers direction to a more cost-effective allocation of public funds and human resources.

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Brennan, DS, KF Roberts-Thomson, and AJ Spencer. "Oral health of Indigenous adult public dental patients in Australia." Australian Dental Journal 52, no. 4 (2007): 322–28. http://dx.doi.org/10.1111/j.1834-7819.2007.tb00509.x.

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Dudko, Yevgeni, Dennis E. Robey, Estie Kruger, and Marc Tennant. "Identifying and Ranking Areas of Relative Need for New Public Dental Clinics Using a State-of-the-Art Data Simulation Approach." Asia Pacific Journal of Health Management 12, no. 1 (2017): 11–16. http://dx.doi.org/10.24083/apjhm.v12i1.91.

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Background: Lower socioeconomic groups and country residents are more likely to experience dental disease. Previous research has found that it is generally more cost effective to provide subsidised dental care through publically employed dentists when compared to subcontracting the work out to the private sector. Objective: The primary objective of this study was to identify and rank areas of relative need for new public dental care facilities across Australia. The secondary objective was to gauge how many of these areas arelocated in the vicinity of an existing public hospital (medical) with a view to utilise existing infrastructure for future service rollout. Methods: Usual resident population, employment status and socioeconomic distribution data was downloaded from the Australian Bureau of Statistics website at Statistical Area 1 level. A mathematical weighing formula was applied to those variables, which subsequently allowed for ranking of the results based on magnitude of the product values. The findings were considered in terms of proximity to existing public health infrastructure. Results: A total of 49 SA1 areas were identified and preselected as potential sites for new public dental clinics across Australia. Eighty per cent of the identified areas of relative need were located outside metropolitanareas. Fifty per cent of those were found to be in close proximity to an existing public hospital (medical). Conclusion: Offering subsidised dental care through existing public hospitals may be an option. Such an approach has a potential to improve access to subsidised dental care in regional centres while minimising capitalexpenditure on infrastructure. Abbreviations: ABS – Australian Bureau of Statistics; ASGS – Australian Statistical Geography Standard; SEIFA – Socio-Economic Indexes for Areas

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McMichael, A. J., and G. D. Slade. "An element of dental health? Fluoride and dental disease in contemporary Australia." Australian Journal of Public Health 15, no. 2 (2010): 80–83. http://dx.doi.org/10.1111/j.1753-6405.1991.tb00314.x.

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Armfield, Jason M., Gary D. Slade, and A. John Spencer. "Dental fear and adult oral health in Australia." Community Dentistry and Oral Epidemiology 37, no. 3 (2009): 220–30. http://dx.doi.org/10.1111/j.1600-0528.2009.00468.x.

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Rocha, Carla M., Estie Kruger, Shane McGuire, and Marc Tennant. "Role of public transport in accessibility to emergency dental care in Melbourne, Australia." Australian Journal of Primary Health 21, no. 2 (2015): 227. http://dx.doi.org/10.1071/py13102.

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The aim of this study was to develop a method for the analysis of the influence of public transport supply in a large city (Melbourne) on the access to emergency dental treatment. Geographic Information Systems (GIS) tools were used to associate the geographical distribution of patients (and their socioeconomic status) with accessibility (through public transport supply, i.e. bus, tram and/or train) to emergency dental care. The methodology used allowed analysis of the socioeconomic status of patient residential areas and both spatial location and supply frequency of public transport by using existing data from patient records, census and transport departments. In metropolitan Melbourne, a total of 13 784 patients met the inclusion criteria for the study sample, of which 95% (n = 13 077) were living within a 50 km radius of the Royal Dental Hospital of Melbourne. Low socioeconomic areas had a higher demand for dental emergency care in the Royal Dental Hospital of Melbourne. Public transport supply was similar across the various socioeconomic strata in the population, with 80% of patients having good access to public transport. However, when considering only high-frequency bus stops, the percentage of patients living within 400 m from a bus stop dropped to 65%. Despite this, the number of patients (adjusted to the population) coming from areas not supplied by public transport, and from areas with good or poor public transport supply, was similar. The methodology applied in the present study highlights the importance of evaluating not only the spatial distribution but also the frequency of public transport supply when studying access to services. This methodology can be extrapolated to other settings to identity transport/access patterns for a variety of services.

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Almado, Haidar, Estie Kruger, and Marc Tennant. "Application of spatial analysis technology to the planning of access to oral health care for at-risk populations in Australian capital cities." Australian Journal of Primary Health 21, no. 2 (2015): 221. http://dx.doi.org/10.1071/py13141.

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Australians are one of the healthiest populations in the world but there is strong evidence that health inequalities exist. Australia has 23.1 million people spread very unevenly over ~20 million square kilometres. This study aimed to apply spatial analysis tools to measure the spatial distribution of fixed adult public dental clinics in the eight metropolitan capital cities of Australia. All population data for metropolitan areas of the eight capital cities were integrated with socioeconomic data and health-service locations, using Geographic Information Systems, and then analysed. The adult population was divided into three subgroups according to age, consisting of 15-year-olds and over (n = 7.2 million), retirees 65 years and over (n = 1.2 million), and the elderly, who were 85 years and over (n = 0.15 million). It was evident that the States fell into two groups; Tasmania, Northern Territory, Australian Capital Territory and Western Australia in one cluster, and Victoria, New South Wales, Queensland and South Australia in the other. In the first group, the average proportion of the population of low socioeconomic status living in metropolitan areas within 2.5 km of a government dental clinic is 13%, while for the other cluster, it is 42%. The clustering remains true at 5 km from the clinics. The first cluster finds that almost half (46%) of the poorest 30% of the population live within 5 km of a government dental clinic. The other cluster of States finds nearly double that proportion (86%). The results from this study indicated that access distances to government dental services differ substantially in metropolitan areas of the major Australian capital cities.

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Balasubramanian, Madhan, David S. Brennan, A. John Spencer, Keith Watkins, and Stephanie D. Short. "Overseas-qualified dentists’ experiences and perceptions of the Australian Dental Council assessment and examination process: the importance of support structures." Australian Health Review 38, no. 4 (2014): 412. http://dx.doi.org/10.1071/ah14022.

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Objective The Australian Dental Council is responsible for the assessment of overseas-qualified dentists seeking to practice dentistry in Australia. The aim of this paper is to reflect on the Council’s assessment and examination process through the experiences and perceptions of overseas-qualified dentists in Australia. Methods Qualitative methods were used. Life stories of 49 overseas-qualified dentists from 22 nationalities were analysed to discern significant themes and patterns. We focused on their overall as well as specific experiences of various stages of the examination. The analysis was consistent with a hermeneutic phenomenological approach to social scientific research. Results Most participants referred to ‘cost’ of the examination process in terms of lost income, expenses and time. The examination itself was perceived as a tough assessment process. Some participants seemed to recognise the need for a strenuous assessment due to differences in patient management systems in Australia compared with their own country. Significantly, most of the participants stressed the importance of support structures for overseas-qualified dentists involved in or planning to undertake the examination. These considerations about the examination experience were brought together in two themes: (1) ‘a tough stressful examination’; and (2) ‘need for support.’ Conclusion This paper highlights the importance of support structures for overseas-qualified dentists. Appropriate support (improved information on the examination process, direction for preparation and training, further counselling advice) by recognised bodies may prevent potential exploitation of overseas-qualified dentists. Avenues that have been successful in providing necessary support, such as public sector schemes, offer policy options for limited recruitment of overseas-qualified dentists in Areas of Need locations. Such policies should also be in line with the local concerns and do not reduce opportunities for Australian-qualified dentists. What is known about the topic? During the past decade there has been a substantial increase in the number of overseas-qualified dentists migrating to Australia. Currently, one in every four dentists in Australia qualified overseas. It is likely that approximately three-quarter of migrating dentists in a given year enter through the Australian Dental Council’s examination process. To date, there is no published scholarly evidence on the experiences of overseas-qualified dentists involved in the Council’s assessment and examination process. Because more overseas-qualified dentists are being examined by the Council, it is important to reflect on the examination process so as to identify areas for future improvement. What does this paper add? This paper highlights the importance of support structures for overseas-qualified dentists involved in or planning to undertake the Australian Dental Council’s examination process. Appropriate support (improved information on the examination process, direction for preparation and training, further counselling advice) by recognised bodies may prevent potential exploitation of overseas-qualified dentists. What are the implications for practitioners? A possible implication of the findings of this study for dentists migrating to Australia and intending to take the Australian Dental Council’s examination process would be to consider the advantages of the public sector dental schemes that have been brought to light in this study. Policy makers should also be certain that although recruitment of overseas-qualified dentists reduces the gap in service provision in rural areas, it does not constrain opportunities for Australian-qualified graduates.

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Harford, Jane, and A. John Spencer. "Government subsidies for dental care in Australia." Australian and New Zealand Journal of Public Health 28, no. 4 (2004): 363–68. http://dx.doi.org/10.1111/j.1467-842x.2004.tb00445.x.

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Dissertations / Theses on the topic "Dental public health Australia"

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White, Jasmin. "Oral health problems of elderly women in Australia : an holistic approach." Thesis, The University of Sydney, 1996. http://hdl.handle.net/2123/4630.

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Przezdziecka, Krystyna. "Profile of Australian dentistry." Thesis, The University of Sydney, 1995. http://hdl.handle.net/2123/4687.

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Chalmers, Jane. "The oral health of older adults with dementia." Title page, contents and abstract only, 2001. http://web4.library.adelaide.edu.au/theses/09PH/09phc438.pdf.

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Bibliography: leaves 347-361. Presents results of 2 longitudinal studies investigating the oral health of older adults with dementia, using questionnaires and clinical inspections at baseline and one year. Groups studied were nursing home residents and those living in the community, with moderate to severe dementia or no dementia diagnosis. Caries experience was related to dementias severity and not to specific dementia diagnoses. Coronal and root caries experience was higher in dementia participants with moderate-severe dementia, the socio-economically disadvantaged, more functionally dependent, taking neuroleptic medications with high anticholinergic adverse effects, with eating and swallowing problems, were not attending the dentist, who needed assistance and were behaviourally difficult during oral hygiene care and whose carers were burdened.

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Satur, Julie, and julie satur@deakin edu au. "Australian dental policy reform and the use of dental therapists and hygienists." Deakin University. School of Health Sciences, 2002. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20061207.115552.

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Oral diseases including dental caries and periodontal disease are among the most prevalent and costly diseases in Australia today. Around 5.4% of Australias health dollar is spent on dental services totalling around $2.6 billion, 84% of which are delivered through the private sector (AIHW 2001). The other 16% is spent providing public sector services in varied and inadequate ways. While disease rates among school children have declined significantly in the past 20 years the gains made among children are not flowing on to adult dentitions and our aging population will place increasing demands on an inadequate system into the future (AHMAC 2001). Around 50% of adults do not received regular care and this has implications for widening health inequalities as the greatest burden falls on lower income groups (AIHW DSRU 2001). The National Competition Policy agenda has initiated, Australia-wide, reviews of dental legislation applying to delivery of services by dentists, dental specialists, dental therapists and hygienists and dental technicians and prosthetists. The review of the Victorian Dentists Act 1972, was completed first in 1999, followed by the other Australian states with Queensland, the ACT and the Northern Territory still developing legislation. One of the objectives of the new Victorian Act is to promote access to dental care. This study has grown out of the need to know more about how dental therapists and hygienists might be utilised to achieve this and the legislative frameworks that could enable such roles. This study used qualitative methods to explore dental health policy making associated with strategies that may increase access to dental care using dental therapists and hygienists. The study used a multiple case study design to critically examine the dental policy development process around the Review of the Dentists Act 1972 in Victoria; to assess legislative and regulatory dental policy reforms in other states in Australia and to conduct a comparative analysis of dental health policy as it relates to dental auxiliary practice internationally. Data collection has involved (I) semi-structured interviews with key participants and stakeholders in the policy development processes in Victoria, interstate and overseas, and (ii) analysis of documentary data sources. The study has taken a grounded theory approach whereby theoretical issues that emerged from the Victorian case study were further developed and challenged in the subsequent interstate and international case studies. A component of this study has required the development of indicators in regulatory models for dental hygienists and therapists that will increase access to dental care for the community. These indicators have been used to analyse regulation reform and the likely impacts in each setting. Despite evidence of need, evidence of the effectiveness and efficiency of dental therapists and hygienists, and the National Competition Policy agenda of increasing efficiency, the legislation reviews have mostly produces only minor changes. Results show that almost all Australian states have regulated dental therapists and hygienists in more prescriptive ways than they do dentists. The study has found that dental policy making is still dominated by the views of private practice dentists under elitist models that largely protect dentist authority, autonomy and sovereignty. The influence of dentist professional dominance has meant that governments have been reluctant to make sweeping changes. The study has demonstrated alternative models of regulation for dental therapists and hygienists, which would allow wider utilisation of their skills, more effective use of public sector funding, increased access to services and a grater focus on preventive care. In the light of theses outcomes, there is a need to continue to advocate for changes that will increase the public health focus of oral health care.

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Webb, Bettine Constance. "The availability of data in relation to needs and resources within the School Dental Service, Western Metropolitan Health Region, N.S.W." Thesis, The University of Sydney, 1987. http://hdl.handle.net/2123/4776.

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Dyjakon, Malgorzata. "Dental Health Insurance In Australia." Thesis, Faculty of Dentistry, 1996. http://hdl.handle.net/2123/4577.

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Oliveira, Deise Cruz. "Minimally invasive dentistry approach in dental public health." Thesis, University of Iowa, 2011. https://ir.uiowa.edu/etd/1047.

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Dental caries is the main reason for placement and replacement of restorations (Keene, 1981). More than 60 percent of dentists' restorative time is spent replacing existing restorations. The replacement of restorations can result in a cavity preparation larger than its predecessor which leads to weakening of the remaining tooth structure (Mjör, 1993). Considering the traditional surgical dental caries management philosophy, it was based on "extension for prevention" and restorative material needs rather than on preserving the healthy tooth structure (Black, 1908). In the 1970s, the surgical dental paradigm began shifting to a new approach for caries management: Minimally Invasive Dentistry (MID). It was based on the medical model that prioritizes caries risk assessment, early caries detection, remineralization of tooth structure, and especially preservation of tooth structure through minimal intervention in the placement and replacement of restorations (Yamaga et al, 1972). The minimal intervention paradigm emphasizes use of adhesive restorative materials in order to minimize the size of cavity preparation (Murdoch-Kinch & McLean, 2003). Hence, a cross-sectional study using an online survey instrument (30-item) was conducted among National Network for Oral Health Access (NNOHA) and American Association Community Dental Programs (AACDP) members. Besides demographics, the survey addressed the following items using a 5-point Likert scale: knowledge, attitudes and behavior concerning MID among general practitioners. Specific questions focused on practitioner and practice characteristics, previous training and knowledge of MID, knowledge use of restorative, diagnostic and preventive techniques and whether MID was considered to meet the standard of care in the U.S., which was the main outcome of the study. Chi-square, Fisher's exact test, Wilcoxon rank-sum test, and two-Sample t-test were used to identify factors associated with beliefs that MID meets the standard of care. Overall, 86% believed MID met the standard of care for primary teeth, and 77% believed this for permanent teeth. The study found that those with more favorable opinions of fluoride to be more likely to believe MID met the standard of care, but no demographic or practice characteristics were associated MID standard of care beliefs.

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Al-Mashhadani, Ali. "Dental Public Health Training For Dentists In Iraq." Thesis, Faculty of Dentistry, 1986. http://hdl.handle.net/2123/4582.

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Thorson, Rhonda R. "Dunn County comprehensive health assessment Phase II physical and dental health /." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002thorsonr.pdf.

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Koopu, Pauline Irihaere, and n/a. "Kia pakari mai nga niho : oral health outcomes, self-report oral health measures and oral health service utilisation among Maori and non-Maori." University of Otago. School of Dentistry, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070502.152634.

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Health is determined by the past as well as the present; the health status of indigenous peoples has been strongly influnced by the experience of colonisation and their subsequent efforts to participate as minorities in contemporary society while retaining their own ethnic and cultural identities. Colonial journays may have led to innovation and adaptation for Maori, but they have also created pain and suffering from which full recovery has yet to be felt (Durie, 2001). The oral health area can be described as having considerable and unacceptable disparities between Maori and non-Maori (Broughton 1995; Thomson, Ayers and Broughton 2003). Few reports have been conducted concerning Maori and patterns of oral health service utilisation, however a lower service utilisation among Maori than non-Maori has been noted (TPK 1996; Broughton and Koopu 1996). Overall, Maori oral health is largely unknown due to a paucity of appropriate research. This research aims to provide new information by describing Maori oral health outcomes over the life course, within a Kaupapa Maori Research (KMR) methodology. In general, the basic tenets presented for KMR are: (1) to prioritise Maori - from the margin to the centre; (2) to be Maori controlled - by Maori, for Maori; (3) to reject �victim-blame� theories; and (4) to be a step towards action and change in order to improve Maori oral health outcomes. The aims of this research are to: 1. Describe the occurrence of caris at ages 5, 15, 18 and 26 and periodontal disease at age 26 years for Maori. 2. Describe self-reported oral health, self-reported dental aesthetics and oral health service utilisation among Maori at ages 5, 15, 18 and 26. 3. Compare the above oral health characteristics between Maori and non-Maori . 4. Investigate the determinants of any differences in oral health outcomes between Māori and non-Maori using a KMR methodology. The investigation involves a secondary analysis of data from the Dunedin multidisciplinary Health and Development study (DMHDS). The existing data-set was statistically analysed using SPSS (SPSS Inc, Chicago, USA). Descriptive statistics were generated. The levels of statistical significance were set at P< 0.05. Chi-square tests were used to compare proportions and independent sample t-tests or ANOVA were used for comparing means. A summary of the Maori/non-Maori analysis shows that, for a cohort of New Zealanders followed over their life-course, the oral health features of caries prevalence, caries severity, and periodonal disease prevalence are higher among Maori compared to non-Maori. In particular, it appears that while Maori females did not always have the highest prevalence of dental caries, this group most often had a higher dmfs/DMFS for dental caries, compared to non-Maori. As adolescents and adults, self-reported results of oral health and dental appearance indicate that Maori males were more likely to report below average oral health and below average dental appearance, when compared to non-Maori. However, at age 26, non-Maori males made up the highest proportion of episodic users of oral health services. This study has a number of health implications: these relate specifically to the management of dental caries, the access to oral health services, and Maori oral health and the elimination of disparities. These are multi-levelled and have implications for health services across the continuum of care from child to adult services; they also have public health implications that involve preventive measures and the broader determinants of health; and involve KMR principles than can be applied to oral health interventions and dental health research in general. Dental diseases and oral health outcomes, such as dental anxiety and episodic use of services, are a common problem in a cohort of New Zealanders with results demonstrating ethnic disparities between Maori and on-Maori. As an area of dentistry that has had very little research in New Zealand, the findings of this study provide important information with which to help plan for population needs. The KMR approach prioritises Maori and specifically seeks to address Maori oral health needs and the elimination of disparities in oral health outcomes. While the issues that are raised may be seen as the more difficult to address, they are also more likely to achieve oral health gains for Maori and contribute to the elimination of disparities.

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Books on the topic "Dental public health Australia"

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Armfield, J. M. Dental health of Australia's teenagers and pre-teen children: The Child Dental Health Survey, Australia 2003-04. Australian Institute of Health and Welfare, 2009.

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Armfield, J. M. Socioeconomic differences in children's dental health: The Child Dental Health Survey, Australia 2001. Australian Institute of Health and Welfare, 2006.

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Armfield, JM. Dental health differences between boys and girls: The child dental health survey, Australia 2000. AIHW Dental Statistics and Research Unit, 2004.

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Committee, Western Australia Parliament Legislative Assembly Education and Health Standing. Adequacy and availability of dental services in regional, rural and remote Western Australia. Legislative Assembly, 2002.

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Teusner, Dana N. Geographic distribution of the Australian dental labour force, 2003. Australian Institute of Health and Welfare, 2007.

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Brennan, D. S. Adult access to dental care: Indigenous Australians. AIHW Dental Statistics and Research Unit, University of Adelaide, 1998.

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Dooland, Martin. Improving dental health in Australia. National Health Strategy, 1992.

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Jill, Mason, ed. Concepts in dental public health. 2nd ed. Lippincott Williams & Wilkins, 2010.

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Downer, M. C. Introduction to dental public health. FDI world DentalPress Ltd, 1994.

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Principles of dental public health. 4th ed. Harvard University Press, 1986.

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Book chapters on the topic "Dental public health Australia"

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Guarnizo-Herreño, Carol C., Paulo Frazão, and Paulo Capel Narvai. "Epidemiology, Politics, and Dental Public Health." In Textbooks in Contemporary Dentistry. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-50123-5_28.

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"Dental Health." In Encyclopedia of Public Health. Springer Netherlands, 2008. http://dx.doi.org/10.1007/978-1-4020-5614-7_750.

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Peters, Edward S., and Lin Li. "Dental Public Health." In Dental Secrets. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-323-26278-1.00013-1.

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Robinson, Peter G., and Zoe Marshman. "Dental public health." In Oxford Textbook of Global Public Health. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199661756.003.0208.

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Mohamed, Amira S., and Peter G. Robinson. "Dental public health." In Oxford Textbook of Global Public Health, edited by Roger Detels, Quarraisha Abdool Karim, Fran Baum, Liming Li, and Alastair H. Leyland. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198816805.003.0066.

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Dental public health is concerned with preventing oral disease, promoting oral health, and improving the quality of life through the organized efforts of society. Oral diseases including dental caries, periodontal disease, oral neoplasms, and dentofacial trauma are common, have a significant impact on individuals and wider society, and are largely preventable. While the prevalence and severity of these most common and costly dental diseases have fallen in most developed countries, oral health inequalities exist in relation to socioeconomic status, ethnicity, or region. The links between oral and general health indicate that strategies to improve both sets of problems and reduce inequalities should be integrated within the framework advocated by the Commission for the Social Determinants of Health. Of particular relevance to oral health are increasing the availability of fluoride and ensuring universal access to quality dental services. Factors influencing oral health in the future include tighter financial pressures, changes in disease prevalence, the deprofessionalization of dentistry, the role of consumerism in oral health, and the need for a better evidence base.

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Mohd Dom, Tuti. "Dental Public Health." In OSCE for Clinical Dental Sciences. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12175_4.

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Patel, Meera, Nakul Patel, Kevin Lewis, Raman Bedi, Gaman Patel, and Nakul Patel. "Health Promotion." In Dental Public Health. CRC Press, 2018. http://dx.doi.org/10.4324/9781315383002-3.

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"Dental Diseases." In Encyclopedia of Public Health. Springer Netherlands, 2008. http://dx.doi.org/10.1007/978-1-4020-5614-7_749.

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"Dental Treatment." In Encyclopedia of Public Health. Springer Netherlands, 2008. http://dx.doi.org/10.1007/978-1-4020-5614-7_758.

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Patel, Meera, Nakul Patel, Kevin Lewis, Raman Bedi, Gaman Patel, and Nakul Patel. "Oral Health Care." In Dental Public Health. CRC Press, 2018. http://dx.doi.org/10.4324/9781315383002-4.

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Conference papers on the topic "Dental public health Australia"

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Andianto Harsono, Rully. "The Effect of Dental Health Education on Dental and Oral Health Behavior in Elementary School Students in Kupang, East Nusa Tenggara." In Mid International Conference on Public Health 2018. Masters Program in Public Health, Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/mid.icph.2018.02.17.

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Khan, Saniya Sadaf, and Mudassir Azeez Khan. "DENTAL FLUOROSIS IN URBAN SLUMS OF SOUTHERN INDIAN CITY OF MYSORE-A PILOT STUDY REPORT." In International Conference on Public Health. The International Institute of Knowledge Management (TIIKM), 2018. http://dx.doi.org/10.17501/icoph.2017.3225.

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Huang, Qicheng. "Research Progress of Dental Tissue Engineering Technology." In 2020 International Conference on Public Health and Data Science (ICPHDS). IEEE, 2020. http://dx.doi.org/10.1109/icphds51617.2020.00075.

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Cilmiaty, Risya, Selfi Handayani, and Widia Susanti. "DENTAL MATURITY, ORAL HYGIENE AND HEIGHT OF JUNIOR HIGH SCHOOL STUDENTS IN GOITER ENDEMIC AREA IN KARANGANYAR REGENCY." In INTERNATIONAL CONFERENCE ON PUBLIC HEALTH. Graduate Studies in Public Health, Graduate Program, Sebelas Maret University Jl. Ir Sutami 36A, Surakarta 57126. Telp/Fax: (0271) 632 450 ext.208 First website:http//:s2ikm.pasca.uns.ac.id Second website: www.theicph.com. Email: theicph2016@gmail.com, 2016. http://dx.doi.org/10.26911/theicph.2016.059.

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Ratih, Dewi Mustika, Yulia Lanti Retno Dewi, and Bhisma Murti. "Health Belief Model on Determinant of Caries Preventive Behavior: Evidence on Klaten Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.62.

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Background: Early childhood caries can be prevent by promoting dental health behavior in school. The purpose of this study was to examine the determinants of caries preventive behavior in primary school children using Health Belief Model. Subjects and Method: This was a cross-sectional study. The study was conducted at 25 primary schools in Klaten, Central Java, in September 2019. A total sample of 200 primary school students was selected for this study randomly. The dependent variable was dental caries preventive behavior. The independent variables were perceived susceptibility, perceived seriousness, percevied benefit, and perceived barrier. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Dental caries preventive behavior increased with perceived susceptibility (b= 0.88; 95% CI= 0.10 to 1.66; p= 0.026), perceived seriousness (b= 1.64; 95% CI= 0.53 to 2.75; p= 0.004), and perceived benefit (b= 1.05; 95% CI= 0.17 to 1.93; p= 0.190). Dental caries preventive behavior decreased with perceived barrier (b= -1.53; 95% CI= -2.81 to 0.26; p= 0.018). Conclusion: Dental caries preventive behavior increases with perceived susceptibility, perceived seriousness, and perceived benefit. Dental caries preventive behavior decreased with perceived barrier. Keywords: dental caries, preventive behavior, primary school students, health belief model Correspondence: Dewi Mustika Ratih, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dewiratih1822@gmail.com. Mobile: +625640041822. DOI: https://doi.org/10.26911/the7thicph.02.62

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Baghaei, Kimia, Kioumars Tavakoli Tafti, Parisa Soltani, and Gianrico Spagnuolo. "Analysis of COVID-19 articles published in dental journals." In The 3rd International Electronic Conference on Environmental Research and Public Health —Public Health Issues in the Context of the COVID-19 Pandemic. MDPI, 2021. http://dx.doi.org/10.3390/ecerph-3-09047.

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Kusumawardhani, Fahma Widya, Harsono Salimo, and Eti Poncorini Pamungkasari. "Application of Health Belief Model to Explain Dental and Oral Preventive Health Behavior among Primary School Children in Ponorogo, East Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.67.

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Background: Prevalence of decayed, missing, and filling teeth in children are high. Studies have indicated that health belief model in oral health education for increasing the likelihood of taking preventive oral health behaviors is applicable. The purpose of this study was to investigate factors associated with dental and oral preventive health behavior among primary school children using Health Belief Model. Subjects and Method: A cross sectional study was carried out at 25 elementary schools in Ponorogo, East Java, Indonesia, from January to February 2020. Schools were selected by multistage proportional stratified random sampling. A sample of 200 students was selected randomly. The dependent variable was dental and oral health behavior. The independent variables were knowledge, teacher role, attitude, perceived susceptibility, perceived seriousness, perceived benefit, cues to action, self-efficacy, and perceived barrier. Results: Dental and oral preventive health behavior in elementary school students increased with high knowledge (OR= 7.27; 95% CI= 2.20 to 24.08; p= 0.001), strong teacher role (OR= 3.88; 95% CI= 1.22 to 12.36; p= 0.022), positive attitude (OR= 5.57; 95% CI= 1.72 to 18.01; p= 0.004), high perceived susceptibility (OR= 6.63; 95% CI= 2.13 to 20.65; p= 0.001), high perceived seriousness (OR= 6.28; 95% CI= 2.03 to 19.41; p= 0.001), high perceived benefit (OR= 6.69; 95% CI= 1.84 to 24.38; p= 0.004), strong cues to action (OR= 3.81; 95% CI= 1.20 to 12.14; p= 0.024), and strong self-efficacy (OR= 4.29; 95% CI= 1.39 to 13.21; p= 0.011). Dental and oral preventive health behavior decreased with high perceived barrier (OR= 0.21; 95% CI= 0.06 to 0.71; p= 0.011). Conclusion: Dental and oral preventive health behavior in elementary school students increases with high knowledge, strong teacher role, positive attitude, high perceived susceptibility, high perceived seriousness, high perceived benefit, strong cues to action, and strong self-efficacy. Dental and oral preventive health behavior decreases with high perceived barrier. Keywords: dental and oral preventive health behavior, health belief model Correspondence: Fahma Widya Kusumawardhani. Masters Program in Public Health, Universitas Sebelas Maret. Jl Ir.Sutami 36A, Surakarta 57126, Central Java. Email: fahmawidya05@gmail.com. Mobile: +628573530220. DOI: https://doi.org/10.26911/the7thicph.02.67

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Praptidina, Ista Ardiagahayu, and Pujiyanto Pujiyanto. "Virtual Reality Intervention to Reduce Child Anxiety on Dental Care: A Systematic Review." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph-fp.05.03.

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Praptidina, Ista Ardiagahayu, and Pujiyanto Pujiyanto. "Virtual Reality Intervention to Reduce Child Anxiety on Dental Care: A Systematic Review." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.05.13.

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Hutabarat, Yoan Christine, and Wahyu Sulistiadi. "Lesson Learned From Oral and Dental Health Care in Developed Countries: A Systematic Review." In The 5th Intenational Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.05.27.

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Reports on the topic "Dental public health Australia"

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McKernan, Susan C., Dina T. García, Raymond Kuthy, and Laurel Tuggle. Medical-Dental Integration in Public Health Settings. University of Iowa Public Policy Center, 2018. http://dx.doi.org/10.17077/ax7d-a2rg.

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Kelly, Abigail, Madhuli Thakkar Samtani, Eric Tranby, and Julie Frantsve-Hawley. Public Health Dental Providers Embrace COVID-19-Related Changes. CareQuest Institute for Oral Health, 2020. http://dx.doi.org/10.35565/cqi.2020.2023.

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Buchmueller, Thomas, Sarah Miller, and Marko Vujicic. How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits. National Bureau of Economic Research, 2014. http://dx.doi.org/10.3386/w20053.

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Kelly, Abigail, Madhuli Thakkar Samtani, Eric P. Tranby, and Julie Frantsve-Hawley. Public Health Dental Providers Embrace COVID-19 Related Changes: These providers are faster to anticipate and adjust to changes amid the pandemic. DentaQuest Partnership for Oral Health Advancement, 2020. http://dx.doi.org/10.35565/dqp.2020.2023.

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S. Abdellatif, Omar, Ali Behbehani, and Mauricio Landin. Australia COVID-19 Governmental Response. UN Compliance Research Group, 2021. http://dx.doi.org/10.52008/astr0501.

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The International Health Regulations (2005) are legally binding on 196 States Parties, Including all WHO Member States. The IHR aims to keep the world informed about public health risks, through committing all signatories to cooperate together in combating any future “illness or medical condition, irrespective of origin or source, that presents or could present significant harm to humans.” Under IHR, countries agreed to strengthen their public health capacities and notify the WHO of any such illness in their populations. The WHO would be the centralized body for all countries facing a health threat, with the power to declare a “public health emergency of international concern,” issue recommendations, and work with countries to tackle a crisis. Although, with the sudden and rapid spread of COVID-19 in the world, many countries varied in implementing the WHO guidelines and health recommendations. While some countries followed the WHO guidelines, others imposed travel restrictions against the WHO’s recommendations. Some refused to share their data with the organization. Others banned the export of medical equipment, even in the face of global shortages. The UN Compliance Research group will focus during the current cycle on analyzing the compliance of the WHO member states to the organizations guidelines during the COVID-19 pandemic.

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Blackham, Alysia. Addressing Age Discrimination in Employment: a report on the findings of Australian Research Council Project DE170100228. University of Melbourne, 2021. http://dx.doi.org/10.46580/124368.

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This project aimed to research the effectiveness of Australian age discrimination laws. While demographic ageing necessitates extending working lives, few question the effectiveness of Australian age discrimination laws in supporting this ambition. This project drew on mixed methods and comparative UK experiences to offer empirical and theoretical insights into Australian age discrimination law. It sought to create a normative model for legal reform in Australia, to inform public policy and debate and improve responses to demographic ageing, providing economic, health and social benefits.

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Pessino, Carola, and Teresa Ter-Minassian. Addressing the Fiscal Costs of Population Aging in Latin America and the Caribbean, with Lessons from Advanced Countries. Inter-American Development Bank, 2021. http://dx.doi.org/10.18235/0003242.

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This paper presents projections for 18 Latin America and Caribbean countries of pensions and health expenditures over the next 50 years, compares them to advanced countries, and calculates estimates of the fiscal gap due to aging. The exercise is crucial since life expectancy is increasing and fertility rates are declining in virtually all advanced countries and many developing countries, but more so in Latin America and the Caribbean. While the populations of many of the regions countries are still relatively young, they are aging more rapidly than those in more developed countries. The fiscal implications of these demographic trends are severe. The paper proposes policy and institutional reforms that could begin to be implemented immediately and that could help moderate these trends in light of relevant international experience to date. It suggests that LAC countries need to include an intertemporal numerical fiscal limit or rule to the continuous increase in aging spending while covering the needs of the more vulnerable. They should consider also complementing public pensions with voluntary contribution mechanisms supported by tax incentives, such as those used in Australia, New Zealand (Kiwi Saver), and the United States (401k). In addition, LAC countries face an urgent challenge in curbing the growth of health care costs, while improving the quality of care. Efforts should focus on improving both the allocative and the technical efficiency of public health spending.

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Cunningham, Stuart, Marion McCutcheon, Greg Hearn, Mark Ryan, and Christy Collis. Australian Cultural and Creative Activity: A Population and Hotspot Analysis: Sunshine Coast. Queensland University of Technology, 2020. http://dx.doi.org/10.5204/rep.eprints.136822.

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The Sunshine Coast (unless otherwise specified, Sunshine Coast refers to the region which includes both Sunshine Coast and Noosa council areas) is a classic regional hotspot. In many respects, the Sunshine Coast has assets that make it the “Goldilocks” of Queensland hotspots: “the agility of the region and our collaborative nature is facilitated by the fact that we're not too big, not too small - 330,000 people” (Paddenburg, 2019); “We are in that perfect little bubble of just right of about everything” (Erbacher 2019). The Sunshine Coast has one of the fastest-growing economies in Australia. Its population is booming and its local governments are working together to establish world-class communications, transport and health infrastructure, while maintaining the integrity of the region’s much-lauded environment and lifestyle. As a result, the Sunshine Coast Council is regarded as a pioneer on smart city initiatives, while Noosa Shire Council has built a reputation for prioritising sustainable development. The region’s creative economy is growing at a faster rate that of the rest of the economy—in terms of job growth, earnings, incomes and business registrations. These gains, however, are not spread uniformly. Creative Services (that is, the advertising and marketing, architecture and design, and software and digital content sectors) are flourishing, while Cultural Production (music and performing arts, publishing and visual arts) is variable, with visual and performing arts growing while film, television and radio and publishing have low or no growth. The spirit of entrepreneurialism amongst many creatives in the Sunshine Coast was similar to what we witnessed in other hotspots: a spirit of not necessarily relying on institutions, seeking out alternative income sources, and leveraging networks. How public agencies can better harness that energy and entrepreneurialism could be a focus for ongoing strategy. There does seem to be a lower level of arts and culture funding going into the Sunshine Coast from governments than its population base and cultural and creative energy might suggest. Federal and state arts funding programs are under-delivering to the Sunshine Coast.

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Mayfield, Colin. Higher Education in the Water Sector: A Global Overview. United Nations University Institute for Water, Environment and Health, 2019. http://dx.doi.org/10.53328/guxy9244.

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Higher education related to water is a critical component of capacity development necessary to support countries’ progress towards Sustainable Development Goals (SDGs) overall, and towards the SDG6 water and sanitation goal in particular. Although the precise number is unknown, there are at least 28,000 higher education institutions in the world. The actual number is likely higher and constantly changing. Water education programmes are very diverse and complex and can include components of engineering, biology, chemistry, physics, hydrology, hydrogeology, ecology, geography, earth sciences, public health, sociology, law, and political sciences, to mention a few areas. In addition, various levels of qualifications are offered, ranging from certificate, diploma, baccalaureate, to the master’s and doctorate (or equivalent) levels. The percentage of universities offering programmes in ‘water’ ranges from 40% in the USA and Europe to 1% in subSaharan Africa. There are no specific data sets available for the extent or quality of teaching ‘water’ in universities. Consequently, insights on this have to be drawn or inferred from data sources on overall research and teaching excellence such as Scopus, the Shanghai Academic Ranking of World Universities, the Times Higher Education, the Ranking Web of Universities, the Our World in Data website and the UN Statistics Division data. Using a combination of measures of research excellence in water resources and related topics, and overall rankings of university teaching excellence, universities with representation in both categories were identified. Very few universities are represented in both categories. Countries that have at least three universities in the list of the top 50 include USA, Australia, China, UK, Netherlands and Canada. There are universities that have excellent reputations for both teaching excellence and for excellent and diverse research activities in water-related topics. They are mainly in the USA, Europe, Australia and China. Other universities scored well on research in water resources but did not in teaching excellence. The approach proposed in this report has potential to guide the development of comprehensive programmes in water. No specific comparative data on the quality of teaching in water-related topics has been identified. This report further shows the variety of pathways which most water education programmes are associated with or built in – through science, technology and engineering post-secondary and professional education systems. The multitude of possible institutions and pathways to acquire a qualification in water means that a better ‘roadmap’ is needed to chart the programmes. A global database with details on programme curricula, qualifications offered, duration, prerequisites, cost, transfer opportunities and other programme parameters would be ideal for this purpose, showing country-level, regional and global search capabilities. Cooperation between institutions in preparing or presenting water programmes is currently rather limited. Regional consortia of institutions may facilitate cooperation. A similar process could be used for technical and vocational education and training, although a more local approach would be better since conditions, regulations and technologies vary between relatively small areas. Finally, this report examines various factors affecting the future availability of water professionals. This includes the availability of suitable education and training programmes, choices that students make to pursue different areas of study, employment prospects, increasing gender equity, costs of education, and students’ and graduates’ mobility, especially between developing and developed countries. This report aims to inform and open a conversation with educators and administrators in higher education especially those engaged in water education or preparing to enter that field. It will also benefit students intending to enter the water resources field, professionals seeking an overview of educational activities for continuing education on water and government officials and politicians responsible for educational activities

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Rankin, Nicole, Deborah McGregor, Candice Donnelly, et al. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, 2019. http://dx.doi.org/10.57022/clzt5093.

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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.

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