{"id":5972,"date":"2015-05-12T09:33:49","date_gmt":"2015-05-11T23:33:49","guid":{"rendered":"https:\/\/www.bitemagazine.com.au\/?p=5972"},"modified":"2015-05-08T09:40:53","modified_gmt":"2015-05-07T23:40:53","slug":"aged-care-what-does-the-future-hold","status":"publish","type":"post","link":"https:\/\/www.bitemagazine.com.au\/aged-care-what-does-the-future-hold\/","title":{"rendered":"Aged care: what does the future hold?"},"content":{"rendered":"<h4><a href=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP.jpg\"><img decoding=\"async\" class=\"alignright size-full wp-image-5973 lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP.jpg\" alt=\"iStock_000005338219_Full_PP\" width=\"650\" height=\"917\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP.jpg 650w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-213x300.jpg 213w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-298x420.jpg 298w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-595x840.jpg 595w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-106x150.jpg 106w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-53x75.jpg 53w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-135x190.jpg 135w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-74x105.jpg 74w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><noscript><img decoding=\"async\" class=\"alignright size-full wp-image-5973 lazyload\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP.jpg\" alt=\"iStock_000005338219_Full_PP\" width=\"650\" height=\"917\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP.jpg 650w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-213x300.jpg 213w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-298x420.jpg 298w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-595x840.jpg 595w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-106x150.jpg 106w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-53x75.jpg 53w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-135x190.jpg 135w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000005338219_Full_PP-74x105.jpg 74w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/noscript><\/a>Samantha Trenoweth reports on the Australian Dental Association\u2019s pre-Budget submission<\/h4>\n<p>The Australian Dental Association\u2019s pre-Budget submission to the Federal Government could create better oral health for older Australians, more regular patient visits for dentists and substantial savings for both State and Federal Governments. It\u2019s a win-win-win submission and ADA president Rick Olive\u00a0believes the government will give it\u00a0a fair hearing.<\/p>\n<p>\u201cTo us,\u201d he says, \u201cit\u2019s a no-brainer, and we expect the government to give it\u00a0serious consideration.\u201d<\/p>\n<p>The ADA\u2019s long-term plan is for a targeted national oral healthcare scheme that would address the needs of all disadvantaged Australians. However, in the current political\/economic climate, the Association concedes that\u2019s probably impracticable. As an interim measure, the Association\u2019s recent submission asks the Federal Government to focus on older Australians living on limited incomes. The ADA has proposed an Aged Pension Dental Benefits Schedule (APDBS).<\/p><div class=\"bitem-article-desktop-720x300-in-text\" id=\"bitem-1037450615\"><!-- Bite 720x300 [async] -->\r\n<script type=\"text\/javascript\">if (!window.AdButler){(function(){var s = document.createElement(\"script\"); s.async = true; s.type = \"text\/javascript\";s.src = 'https:\/\/servedby.engagemedia.com.au\/app.js';var n = document.getElementsByTagName(\"script\")[0]; n.parentNode.insertBefore(s, n);}());}<\/script>\r\n<script type=\"text\/javascript\">\r\nvar AdButler = AdButler || {}; AdButler.ads = AdButler.ads || [];\r\nvar abkw = window.abkw || '';\r\nvar plc705185 = window.plc705185 || 0;\r\ndocument.write('<'+'div id=\"placement_705185_'+plc705185+'\"><\\\/'+'div>');\r\nAdButler.ads.push({handler: function(opt){ AdButler.register(165450, 705185, [720,300], 'placement_705185_'+opt.place, opt); }, opt: { place: plc705185++, keywords: abkw, domain: 'servedby.engagemedia.com.au', click:'CLICK_MACRO_PLACEHOLDER' }});\r\n<\/script><\/div>\n<p>Oral disease is much more prevalent in older Australians, who grew up pre-fluoride. More than 50 per cent of people over 65 have gum disease or periodontitis and 20 per cent have complete tooth loss. Those who have retained some of their teeth often require complex restorations (crown, bridge, implants), which need careful maintenance, and problems arise when motor or cognitive skills are impaired. So their needs are not\u00a0always simple.<\/p>\n<p>Moreover, people on limited incomes, such as pensions, are more likely to postpone dental consultations, which exacerbates problems. Then, when disaster strikes (perhaps an abscess or infection), they might visit a hospital emergency department or their GP, which are covered by Medicare, rather than make an appointment at the dentist.<\/p>\n<p>In 2010-11, more than 850,000 GP visits were attributed to dental concerns, and the vast majority of these could have been avoided with regular dental care. In the same time frame, the Australian Institute of Health and Welfare gives a conservative estimate of 60,590 potentially preventable hospitalisations as\u00a0a result of dental problems.<\/p>\n<p>All this is costly and, as the population ages, it will become more so. The Australian Institute of Health and Welfare reports that in 2012-13, Australia\u2019s total expenditure on dental care was $8.7 billion. While individuals account for the bulk of this ($5 billion), governments also contribute a substantial sum. Over those 12 months, the Australian Federal Government contributed almost $1 billion and the States and Territories contributed $657 million, but that was not the whole story. There are substantial indirect costs to the Government that result from poor oral health, and older Australians contribute to those costs significantly.<\/p>\n<blockquote><p><strong>\u201cWe\u2019ve used the statistics from Government bodies\u2014from the Australian Institute of Health and Welfare and from the Government\u2019s own report to the Commission of Audit\u2014and have worked out that probably they\u2019re going to save somewhere in the order of $350 million if\u00a0they do it.\u201d\u00a0<\/strong>ADA president Dr\u00a0Rick\u00a0Olive<\/p><\/blockquote>\n<p>Good oral health is crucial to overall health. For example, periodontal disease\u00a0is more common in people with\u00a0diabetes and it exacerbates the problem by limiting the patient\u2019s diet, which can lead to further increases in blood sugar and diabetic complications. Similar associations have been found between periodontal disease and heart disease, and links have also been suggested with osteoporosis, respiratory disease, aspiration pneumonia and even\u00a0some cancers.<\/p>\n<p>These are all problems that are particularly prevalent amongst older Australians and those in aged care facilities are at greater risk. Studies indicate that older people in residential care are more likely to accumulate plaque\u00a0deposits on natural teeth and dentures, increasing their risk of developing aspiration pneumonia.<\/p>\n<p>Dislodgement of teeth, fillings and calculus, and ill-fitting dentures exacerbate the problem. Moreover, a\u00a0study published in the Australian Dental Journal in 2014 found that nursing home residents have high levels of untreated decay. Plainly, a visit to the dentist is less painful, less costly and less life-threatening than a bout of pneumonia. So, the ADA recommends that special provisions be made within the APDBS to provide for the needs of aged care facility residents.<\/p>\n<p>\u201cI know a lot of dentists who have arrangements to visit aged care facilities,\u201d Dr Olive says, \u201cand there have been State Government trials that have been very encouraging.\u201d But substantial problems remain and the ADA would like to see them addressed.<\/p>\n<p>The ADA\u2019s proposal for an APDBS has been modelled on the already existing Child Dental Benefits Schedule (CDBS).<\/p>\n<p>\u201cThe CDBS commenced at the beginning of last year,\u201d Dr Olive explains. \u201cIt\u2019s targeted, it\u2019s based on a means test and the cost to the government in the first year of operation was $290 million. They delivered four-and-a-half million services for that. So, we think that formula is working very well.<\/p>\n<p>\u201cMost general dentists would be seeing children under the CDBS and we\u2019ve estimated that the workload that would come to dentists as a result of the APDBS would be about the same.\u201d<\/p>\n<p>The primary differences would be that the APDBS would target Australians who receive the full age pension and that an expanded schedule for dental services would apply (as older patients have more complex dental needs). Otherwise, for dentists, the systems would operate almost identically. The most significant change they might notice would be a greater number of older Australians making appointments and coming back\u00a0for regular check-ups.<\/p>\n<p>Moreover, the scheme would fund itself. \u201cWe\u2019ve costed it, for the first four years, at about $267 million per year,\u201d Dr\u00a0Olive explains. The cost of not\u00a0doing\u00a0it\u2014in paying for the treatment of abscesses and infections and potentially life-threatening conditions for\u00a0which people need to be hospitalised\u2014is so much greater.<\/p>\n<figure id=\"attachment_5974\" aria-describedby=\"caption-attachment-5974\" style=\"width: 300px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP.jpg\"><img decoding=\"async\" class=\"size-full wp-image-5974 lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP.jpg\" alt=\"The ADA\u2019s pre-Budget submission is to improve oral health for older Australians.\" width=\"300\" height=\"200\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-225x150.jpg 225w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-113x75.jpg 113w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-285x190.jpg 285w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-150x100.jpg 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><noscript><img decoding=\"async\" class=\"size-full wp-image-5974 lazyload\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP.jpg\" alt=\"The ADA\u2019s pre-Budget submission is to improve oral health for older Australians.\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-225x150.jpg 225w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-113x75.jpg 113w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-285x190.jpg 285w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/05\/iStock_000053628620_Full_PP-150x100.jpg 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/noscript><\/a><figcaption id=\"caption-attachment-5974\" class=\"wp-caption-text\">The ADA\u2019s pre-Budget submission is to improve oral health for older Australians.<\/figcaption><\/figure>\n<p>\u201cWe\u2019ve used the statistics from Government bodies\u2014from the Australian Institute of Health and Welfare and from the Government\u2019s own report to the Commission of Audit\u2014and have worked out that probably they\u2019re going to save somewhere in the order of $350 million if they do it. That\u2019s a substantial benefit to the Budget, and it\u2019s a conservative estimate.\u201d<\/p>\n<p>All those savings would be made by eliminating the costs that arise from dental neglect in this age group. There would also be an immeasurable improvement in quality of life (and in some cases longevity) for older Australians.<\/p>\n<p>\u201cWhen Prime Minister Abbott came to office,\u201d Dr Olive concludes, \u201che promised that once they\u2019d completed their\u00a0budget repair, this Government would do something about dentistry. We think we\u2019ve found a way that he can do something about dentistry and repair the Budget at the same time. I\u2019m looking forward to having some productive discussions with the Government about our proposal.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Samantha Trenoweth reports on the Australian Dental Association\u2019s pre-Budget submission The Australian Dental Association\u2019s pre-Budget submission to the Federal Government could create better oral health for older Australians, more regular patient visits for dentists and substantial savings for both State and Federal Governments. It\u2019s a win-win-win submission and ADA president Rick Olive\u00a0believes the government will [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":5974,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[688],"tags":[1750,537,1749,399,1637,46],"class_list":{"0":"post-5972","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-your-world","8":"tag-ada-president-dr-rick-olive","9":"tag-aged-care","10":"tag-aged-pension-dental-benefits-schedule","11":"tag-australian-dental-association","12":"tag-dr-rick-olive","13":"tag-oral-health"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Aged care: what does the future hold? 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