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\begin{document}

\title{A policy option towards improving skill-mix efficiencies in Victorian
public oral healthcare.}



\author[1]{Tan Minh Nguyen}%
\author[1]{Martin Hall}%
\affil[1]{Dental Health Services Victoria}%


\vspace{-1em}



  
  \date{May 24, 2024}


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\begin{abstract}
Background: International oral health policy directions led by the World
Health Organization call for the inclusion of oral health within
universal health coverage. The aim of this study is to perform a budget
impact analysis of a policy option for a more cost-efficient oral health
workforce skill-mix (dentists and oral health therapists) to provide
public oral healthcare in Victoria, Australia. Methods: Two hypothetical
standard care pathways were developed. A dynamic population Markov model
was generated in TreeAge software, with a time horizon of six years. Two
scenarios were modelled to determine: 1) base-case scenario: the
threshold the dentist workforce could reduce per year, while achieving
the same service delivery outputs, and 2) alternative scenario: the
potential cost-savings for utilising an optimally cost-efficient oral
health workforce skill-mix. Results: The threshold analysis showed a
minimum reduction of 13\% of the dentist workforce being replaced with
oral health therapists can occur without having any impact on the same
service delivery outputs. Under the alternative scenario, the potential
cost-savings would be AUD\$1,425,037 (SD 58,954). Conclusions:
Governments and policy-decision makers should consider strategies in
training, attracting, and retaining oral health therapists to achieve an
optimally cost-efficient oral health workforce skill-mix when delivering
public oral healthcare.%
\end{abstract}%



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