Secondary dental care quality in Brazil: What we are talking about?
Community Dentistry And Oral Epidemiology,
Год журнала:
2021,
Номер
50(1), С. 1 - 3
Опубликована: Дек. 30, 2021
Having
health
and
oral
services
available
making
them
affordable
of
a
good
quality
are
some
the
most
important
attributes
for
developed
society.
Although
it
remains
unknown
whether
universal
access
to
care
can
reduce
social
inequities,
fair
society
must
guarantee
access,
including
dental
as
part
system.
This
be
goal
development
stated
in
SDG
20301.
One
policies
context
Brazilian
Unified
Health
System
(SUS)
has
been
National
Oral
Policy-PNSB
called
“Brasil
Sorridente”
(Smiling
Brazil)
published
20042.
Among
many
advances
that
policy
produced,
there
was
an
exponential
increase
number
primary
teams
family
strategy,
with
more
than
25,000
implemented,
together
establishment
1,000
Dental
Specialties
Centers
–
DSC
throughout
country.
The
secondary
facilities
health.
They
considered
innovative
PNSB
should
constitute
reference
units
Primary
Care
Teams,
integrated
into
regional
planning
process,
which
use
referral
system
between
care.
concept
“matrix
support”
permanent
education
instruments
ensure
comprehensive
care.3,
4
Within
this
perspective
commitment
maintain
continuous
improvements
produced
by
these
initiatives,
Quality
Access
Improvement
Program
(PMAQ)
established
2014.
PMAQ
two
versions,
one
focused
on
(PMAQ-AB)
other
exclusively
(PMAQ-CEO).
PMAQ-CEO
carried
out
waves,
Wave
1
2014
2
2018.
component
is
external
evaluation
PMAQ-CEO.
under
coordination
Collaborating
Centre
Surveillance
(CECOL)
at
Federal
University
Pernambuco.
CECOL
worked
Ministry
Health,
addition
following
institutions:
Universities
Maranhão
(UFMA),
Paraíba
(UFPB),
Minas
Gerais
(UFMG),
Rio
Grande
do
Sul
(UFRGS)
São
Paulo
(USP).
These
institutions
macro-regionally
coordinated
data
collection
locally
another
18
higher
around
100
trained
evaluators
across
As
Brazil
continental
country,
partnership
all
allowed
verification
“in
loco”
approximately
1089
CEO
authorized
Health.
theoretical-methodological
framework
guided
systemic
approach
triad:
structure-process-results5-7(Donabedian,
1986).
aspects
structure
involve
physical
structure,
well
material
human
resources.
process
involves
actions
governance,
organization
local
level.
results
were
measured
user
satisfaction
sample
people
attending
centre
being
evaluated.
methodology
previously
reported.8
field
Public
whilst
have
marked
developments
terms
epidemiology
effectiveness
efficacy
public
interventions,
areas
such
planning,
management
remain
researched.
special
issue
will
act
open
debate
offer
insights
expertise
importance
international
audience.
covers
wide
range
within
nine
papers.
first
paper
aimed
verify
racial
differences
performance
Specialities
Brazil,
according
presence
active
ombudsman
four
outcomes:
(1)
appointment,
(2)
reception
services,
(3)
bond
responsibility
(4)
participation
concluded
attenuated
inequities
analysed
dimensions.9
second
assessed
association
Specialty
(CEO,
Portuguese)
services.
Characteristics
associated
satisfaction,
but
perceived
users,
mainly
due
structural
characteristics.10
third
provision
cancer
(OC)
(Centros
de
Especialidades
Odontológicas-CEO)
identify
changes
over
cycles
Quality-PMAQ,
2018
OC
CEO.
Most
improved
their
work
or
remained
stable.
However,
biopsies
hospital
confirmed
cases
declined,
indicating
need
improve
morbimortality.11
fourth
clinical
procedures
Brazil.
Pay
PMAQ/CEO
scheme
favour
production
Besides,
expected,
dentists
specialized
production.12
fifth
assessment
characteristics.13
sixth
verified
factors
enable
goals
achievement
endodontic
contextual
determinants
specialty
Speciality
Factors
high
level
patients’
not
ateendance
appointmets,
availability
endodontists
40
hours
week,
waiting
time
greater
45
days,
type
CEO,
sufficient
preventive
program
care.14
seventh
investigated
users
(CEO)
employing
Service
Satisfaction
Index
(SSI)
identifying
factors.
maximum
service
influenced
age,
education,
time,
having
treatment
interrupted
considering
clean
hygienic
environment.15
eighth
Specialized
(SDCCs)
assistance
Healthcare
System,
different
related
service,
form
relationship
SDCCs.
contact
professionals
network
(primary
SDCCs)
shorter
regardless
specialty.16
And
finally,
ninth
identified
disabilities
(PD)
(acronym
Portuguese
Centro
Odontológicas)
changes.
We
observe
significant
transitions
“Better”
class,
interface
tertiary
deteriorations
noted,
providing
exclusive
patients
disabilities.17
Community
Dentistry
&
Epidemiology
leading
journal
cited
papers
field18.
Approximately
90%
core
journals
connection
policy,
research.19
understands
makes
difference
implementation
outcome
any
so,
country-specific
contribution
make.
Therefore,
issue,
we
present
series
from
care,
authors
challenged
give
readers
export
successful
program.
Any
experience
unique
believe
provides
information
about
experiences
policy-makers
adapt
apply
new
settings.
Our
contributes
initiatives
establish
evidence
evaluation.
In
addition,
entities
promoting
discussion,20
dissemination
Guides21
and,
above
all,
establishing
proper
health.22,
23
acknowledge
Fund
funding
project;
General
Coordination
Policy
technical
partnership;
research
board
includes:
Nilcema
Figueiredo,
Gabriela
da
Silveira
Gaspar
Petrônio
José
Martelli
Pernambuco
(UFPE);
Edson
Hilan
Gomes
Lucena
Wilton
Wilney
Nascimento
Padilha
(UFPB);
Erika
Bárbara
Abreu
Fonseca
Thomaz
(UFMA);
Marcos
Azeredo
Furquim
Werneck
(UFMG);
Fernando
Neves
Hugo
(UFRGS);
Maria
Ercília
Araújo
Fernanda
Campos
Almeida
Carrer
There
no
conflict
interest.
support
findings
study
site
http://aps.saude.gov.br/ape/pmaq/ciclo2ceo/.
derived
resources
domain
Язык: Английский
Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil’s Public Healthcare System from 2014 to 2023
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(5), С. 632 - 632
Опубликована: Май 16, 2024
This
study
evaluated
territorial
disparities
in
dental
care
for
disabled
persons
Brazil’s
public
healthcare
system
from
2014
to
2023.
The
person-year
incidence
of
outpatient
procedures
carried
out
by
special
dentistry
specialists
and
hospitalizations
were
compared
across
different
regions
against
the
national
estimate.
In
addition,
productivity
was
correlated
with
oral
health-related
indicators.
significance
level
set
at
5%.
northern
region
exhibited
highest
productivity,
while
southern
showed
lower
estimate
(both
p-value
<
0.05).
pattern
reversed
inpatient
0.05),
northeastern
central–western
also
below
average
There
no
significant
correlations
between
indicators
but
positively
proportions
inhabitants
who
self-rated
their
general
health
as
“poor”
or
“very
poor”,
have
never
visited
a
dentist,
dentist
tooth
extraction
(all
p-values
Territorial
observed
within
system,
they
unfavorable
population
level.
Язык: Английский
Outpatient and inpatient dental care for patients with disabilities in Brazil's public healthcare system: A population‐based approach from 2014 to 2023
Special Care in Dentistry,
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 11, 2024
The
aim
of
this
study
was
to
evaluate
outpatient
and
inpatient
dental
care
for
patients
with
disabilities
from
2014
2023.
Язык: Английский
Assessment of structural and functional profile of dental centers for people with disabilities
Special Care in Dentistry,
Год журнала:
2024,
Номер
45(1)
Опубликована: Окт. 18, 2024
Abstract
Aims
People
with
disabilities
(PWD)
often
face
more
significant
oral
healthcare
needs
than
the
general
population.
This
study,
conducted
in
response
to
urgent
and
pressing
need
for
improved
dental
care
PWD,
aims
assess
infrastructural
work
process
flow
of
centers
Delhi
that
provide
specialized
PWD.
Methods
results
A
descriptive
cross‐sectional
study
was
across
primary,
secondary,
tertiary
Delhi,
evaluating
their
infrastructure
adaptations
processes
delivering
The
findings,
which
highlight
disparities
among
different
centers,
are
crucial
understanding
current
state
PWD
Delhi.
reveals
while
secondary
exhibit
better
primary
challenges
persist
insufficient
accessibility
smooth
functioning
process.
Conclusion
underscores
dentists
be
equipped
competence
address
unique
It
also
highlights
potential
improvement
as
should
become
aware
importance
designing
clinics
accessible
Язык: Английский
Association between management, human resources, and care provided to patients with special healthcare needs in dental specialty centers in Brazil: A cross‐sectional study
Special Care in Dentistry,
Год журнала:
2022,
Номер
43(5), С. 611 - 618
Опубликована: Дек. 15, 2022
This
study
aimed
to
identify
the
association
between
management
and
human
resource
factors
with
performance
of
dental
care
provided
patients
special
health
needs
(SHCN)
in
secondary
Brazil
second
cycle
Program
for
Quality
Improvement
Access
Dental
Specialty
Centers
(PMAQ-CEO).This
is
a
data
analysis
from
PMAQ-CEO,
which
evaluated
1097
(DSCs),
conducted
2018.
Seventeen
independent
variables
taken
dentists'
training,
team
characteristics
were
analyzed
assess
their
influence
on
reported
"Performance
SHCN
patients".
An
estimated
score
was
generated
23
questions
related
physical
structure
work
processes
oral
DSCs.
Negative
binomial
regression
model
values
p
≤
0.05
considered
significant.
Data
included
residual
deviation
degree
freedom
chi-square
test.
The
patient
increases
significantly
when
DSC
has
manager
(RR
=
1.019;
CI
1.011-1.026)
goal
monitoring
1.012;
1.007-1.005).
By
contrast,
DSCs
dentist
statutory
public
servant
0.998;
0.997-1.000)
performs
additional
unhealthy
or
hazardous
duties
0.996-0.999)
are
less
likely
provide
higher
quality
care.The
heterogeneity
low-performance
scores
identified
Brazilian
services.
It
possible
verify
that
associated
patients.
Язык: Английский
Atendimento de pacientes com necessidades especiais em Centros de Especialidades Odontológicas brasileiros
Monique Marques Pires,
Matheus Marques Pires,
Saulo Vinícius da Rosa
и другие.
Arquivos em Odontologia,
Год журнала:
2022,
Номер
58, С. 245 - 255
Опубликована: Дек. 19, 2022
Objetivo:
Fazer
uma
revisão
integrativa
a
respeito
do
atendimento
de
pacientes
com
necessidades
especiais
(PNE)
em
Centros
Especialidades
Odontológicas
(CEO)
no
Brasil.
Métodos:
Para
as
buscas
nas
bases
eletrônicas
PubMed,
BBO
e
LILACS,
Google
Scholar,
foram
utilizados
português,
espanhol
inglês,
os
descritores
termos
livres:
“pessoas
deficiência”,
“pessoa
necessidade
especial”,
incapacidade”,
odontologia,
“atenção
secundária
à
saúde”,
secundária”,
“centro
especialidades
odontológicas”,
CEO,
“disabled
persons”,
handicapped,
“people
with
disabilities”,
dentistry,
“secondary
care”,
“dental
specialty
center”
,“secondary
care
centers”,
“personas
con
discapacidad”,
“atención
secundaria
salud”
especialidad
dental”.
Não
foi
feita
restrição
quanto
ao
idioma,
mas
o
período
consultado
2016
2021.
Incialmente
excluídas
duplicatas,
seguida
textos
cujos
títulos
resumos
não
estivessem
acordo
critéios
inclusão.
Uma
vez
eleitos
serem
incluídos
após
leitura
na
íntegra,
extração
dos
dados
interesse:
autor
(ano),
tipo
estudo,
caracterização
da
amostra,
local,
objetivo,
resultados
principais
conclusão.
A
análise
qualidade
metodológica
risco
viés
estudos
por
meio
ferramenta
Quality
Assessment
Tool
for
Quantitative
Studies
Effective
Public
Health
Practice
Project.
Resultados:
De
383
estudos,
cinco
incluídos.
As
barreiras
mencionadas
que
dificultam
acesso
PNE
aos
CEO
se
referiram
questões
socioeconômicas
demográficas,
localização
escassez
recursos
financeiros,
limitações
para
acessibilidade
qualificaçao
profissional
deficitária
prestação
atendimentos.
considerada
fraca
todos
indica
alto
viés.
Conclusão:
Mesmo
evolução
gradativa
nos
ainda
há
aprimoramentos
necessários,
tanto
relação
qualificação
profissionais
tenham
conhecimento
manejo
realizar
atendimentos
seguindo
protocolos
melhoria
esses
pacientes.
Epidemiological study on dental caries in schoolchildren: A cross-sectional study
Research Society and Development,
Год журнала:
2023,
Номер
12(3), С. e28212340871 - e28212340871
Опубликована: Март 20, 2023
This
paper
aimed
to
describe
the
prevalence
of
dental
caries
in
Quilombola
schoolchildren
aged
5
12
years
using
DEF-T
(decayed,
extracted
and
filled
teeth)
DMF-T
missing
indices.
A
cross-sectional
study.
The
sample
consisted
47
schoolchildren,
between
old,
both
sexes,
a
municipal
school
located
community
Tocantins
state
(Brazil).
participants
underwent
clinical
oral
examination,
performed
by
dentist.
Despite
relatively
low
rates
(DEF-T
at
1.5
1.24),
was
78.72%,
being
higher
males
than
females.
In
addition,
only
5.4%
with
some
experience
received
restorative
treatment.
conclusion,
while
DEF-T/DMF-T
index
2.85
(±
2.84)
for
females,
3.71
3.52)
males.
Язык: Английский