Orthodontics in the oral health care network of the Unified Health System (SUS).

IF 1.5 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Brazilian oral research Pub Date : 2024-01-05 eCollection Date: 2024-01-01 DOI:10.1590/1807-3107bor-2024.vol38.0011
Fábio Carneiro Martins, Brunna Rodrigues Machado Dos Santos, Edgard Michel Crosato, Maria Clara Lembro Teixeira, Mariana Gabriel, Maria Ercília de Araújo, Paulo Savio Angeiras de Goes, Fernanda Campos de Almeida Carrer
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引用次数: 0

Abstract

This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.

统一卫生系统(SUS)口腔保健网络中的正畸科。
这项观察性研究旨在描述和分析2014年和2018年在巴西举行的两次 "改善牙科专科中心就诊机会和质量国家计划"(PMAQ CEO)外部评估的数据。我们通过搜索第一次和第二次评估的微观数据来选择问题。我们对各组进行了独立分析。为了对各组进行比较,我们进行了非参数检验(Mann Whitney U)。提出的假设是:这两组数据之间不存在差异(h0),这两组数据之间存在差异(h1)。对于定性的名义变量,对频率分布进行了验证,并进行了关联检验(卡方检验)。本研究的显著性水平设定为 5%。我们注意到,约有 13%的首席执行官接受过牙齿矫正治疗。在人力资源方面,大多数专业人员都是专家,或拥有硕士或博士学位;是公务员;由直接行政部门聘用;或通过公开招标聘用。在工作流程和首席执行官纳入医疗保健网络方面,我们观察到更多的服务机构使用单一病历和电子病历,更多的服务机构监测和分析目标,更多的服务机构了解月平均缺勤率(2018 年);更多的服务机构从初级医疗保健中心转诊(2014 年)。扩大对正畸的认识,在医疗保健网络的不同点纳入预防性、阻断性和矫正性治疗,是在全民医疗保健系统中实现全面医疗保健的基本战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
4.00%
发文量
107
审稿时长
12 weeks
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