Pricey dental care means Kiwis keep waiting until they have to go to hospital

Publicly released:
New Zealand

Dental care is unlike almost all other medical conditions that people turn up to the emergency room with, according to researchers who interviewed 20 emergency department staff and dental professionals. They say there are few trained dental professionals in EDs and few options for affordable care once the patient is discharged. This means patients are often only given pain relief for their symptoms, and therefore return to the ED multiple times with the same issue. These patients, who were seeking relief from things like toothaches or dental abscesses, are also more likely to be young adults, Māori and Pasifika.

Media release

From: New Zealand Medical Association (NZMA)

  • A high proportion of people who presented at ED seeking relief of toothaches and/or dental abscesses were young adults, Māori and Pasifika.
  • In contrast to medical presentations, there is a lack of accessible care pathways for dental presentations: “We wouldn’t turn any medical issue away, but we’d turn a dental issue away.” “We usually have a way of referring back to their GP to refer them to a service that doesn’t’ have a cost associated with it—I just don’t know if there’s anything we can do dentistry-wise.”
  • Cost of, and access to, care are key barriers to dental care in the community, and likely drive presentations to EDs.
  • Unlike almost all other medical conditions that present to EDs, there are few pathways to further dental care in the community that are affordable and accessible.
  • Primary dental care in the community is the most appropriate, effective and favoured setting in which to resolve people’s urgent dental needs.
  • Oral health disparities are likely to continue and widen if the means to providing accessible dental care is not achieved.
Journal/
conference:
NZMJ
Organisation/s: University of Otago
Funder: N/A
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