Factors associated with the municipal provision of orthodontics in the Brazilian Unified Health System.

IF 0.9 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
D D Oliveira, I A Vargas, A L S Busato, M Brondani, C S Bavaresco, F R R Moura
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引用次数: 0

Abstract

Background: The Brazilian federal government issued Ministerial Ordinance No. 718 in 2010 to expand the funding of orthodontic treatment provided by Brazilian municipalities via the Unified Health System (SUS in Portuguese).

Aim: To identify social and structural factors associated with Brazilian municipalities that provide fixed orthodontic appliance therapy and interceptive orthodontic therapy.

Methods: Official Brazilian government databases were used for data collection. Poisson regression with robust variance was used for statistical analysis.

Results: Municipalities hosting Dental Specialty Centers (DSCs) with greater installed capacity (type III DSC with 7 dental chairs or over), which employed dentists specializing in pediatric dentistry and orthodontics, were more likely to offer orthodontic services via SUS.

Conclusions: Federal, state, and municipal managers need to review the funding of orthodontic services via SUS, which can be used for creating DSCs and hiring professionals with expertise in orthodontics.

与巴西统一卫生系统中市政提供正畸相关的因素。
背景:巴西联邦政府于2010年颁布了第718号部级法令,以扩大巴西各市通过统一卫生系统(葡萄牙语SUS)提供的正畸治疗的资金。目的:确定与巴西市政当局提供固定正畸矫治器治疗和拦截正畸治疗相关的社会和结构因素。方法:采用巴西政府官方数据库进行数据收集。采用稳健方差泊松回归进行统计分析。结果:拥有较大装机容量的牙科专科中心(拥有7张或更多牙科椅的III型牙科专科中心),雇用专门从事儿科牙科和正畸的牙医的市政当局更有可能通过SUS提供正畸服务。结论:联邦、州和市政管理人员需要通过SUS审查正畸服务的资金,这些资金可用于创建dsc和雇用具有正畸专业知识的专业人员。
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来源期刊
Community dental health
Community dental health 医学-牙科与口腔外科
CiteScore
2.20
自引率
11.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.
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