IADR Abstract Archives

Patterns of utilisation of dental services by the Winterveldt community

Health care resources tend to be distributed in inverse proportion to need i.e. those whose need is less get more resources, while those in greatest need get less (Tudor-Hart, 1971). Disadvantaged communities have poorer oral health because they have fewer healthy alternatives and fewer opportunities for care.

Within the context of a district health system, it is important to consider communities in their own environment, understanding their beliefs, attitudes, health behaviours, and socio-environmental structures that may influence the demand and utilisation of community-based health services. (Bedi, 1998; Petersen, 1990; Black et al, 1980).

Objectives: In 1996 the Faculty of Dentistry established a community-based clinic in Winterveldt. The objective of this study is to analyse utilisation of dental services at the Winterveldt clinic.

Methods: Clinical data was recorded over a period of eight years, and retrospectively analysed using the Analysis of Variance) (ANOVA).

Results: The patient attendance rate varied between 1208 in 1999 and 2849 in 2002. Year 4 was a peak year, and 33,7% of patients significantly required more procedures than in years 3, 6, 7 and 8. As far as procedures done on teeth were concerned, there was a significantly (p<0,05) higher proportion of extractions. There was no statistically significant difference between years with regard to the average number of procedures done per patient.

Conclusion: Over the years the attendance rate of patients increased with a significant proportion demanding dental extractions


Division: South African Division
Meeting: 2004 South African Division (Pretoria, South Africa)
Location: Pretoria, South Africa
Year: 2004
Final Presentation ID: 0
Abstract Category|Abstract Category(s): Scientific Groups
Authors
  • Gugushe, T.s.  ( MEDUNSA, Pretoria, N/A, South Africa )
  • Lesolang, R.r.  ( MEDUNSA, Medunsa, N/A, South Africa )
  • SESSION INFORMATION
    Oral Session
    Community Dentistry