Adaptations in dental public health services during the COVID-19 pandemic in municipalities of Southern Brazil: a grounded theory and collaborative research.

Mateus C Pereira, Heloisa Godoi, Christine B Da Costa, Priscila Nunes, FerreiraDarclé Cardoso, Ana Ls De Mello
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引用次数: 1

Abstract

The aim of this study was to analyze oral health actions in four municipalities in Brazil during the COVID-19 pandemic according to a theoretical framework model on oral healthcare management. It was a qualitative study carried out in two stages. A theoretical-empirical model on the significance of oral healthcare management was developed, following the Grounded Theory method. Fourteen dentists and five healthcare managers participated, through open interview. Subsequently, collaborative research was performed, and the model was applied to analyze the documents produced to address the pandemic by each of four municipalities in Santa Catarina State. The model provided a framework for analyzing actions for coping with the pandemic regarding oral health services. Actions were identified in all dimensions of the model: reduction in supply of dental care due to restricted access to elective services; search for biosafety care standards; dissemination of standardized science-based guidelines; attempt to maintain comprehensive dental assistance through re-adaptation of specialized services and collective actions; and relocation of oral health professionals to assist in other sectors. The oral health care management framework can serve as a reference for redesigning oral health actions and services in other municipalities during the COVID-19 pandemic, in a broader perspective.

巴西南部城市2019冠状病毒病大流行期间牙科公共卫生服务的适应:基于理论和合作研究
本研究的目的是根据口腔保健管理的理论框架模型,分析巴西四个城市在COVID-19大流行期间的口腔卫生行动。这是一项分两个阶段进行的定性研究。根据扎根理论方法,建立了口腔卫生管理重要性的理论-实证模型。14名牙医和5名卫生保健管理人员通过公开访谈参与了研究。随后进行了合作研究,并应用该模型分析了圣卡塔琳娜州四个城市各自为应对这一流行病而编写的文件。该模型为分析应对口腔卫生服务大流行的行动提供了一个框架。在模型的所有方面都确定了行动:由于限制获得选择性服务,减少了牙科护理的供应;寻找生物安全护理标准;传播标准化的科学指南;通过重新调整专业服务和集体行动,努力维持全面的牙科援助;以及调派口腔卫生专业人员协助其他部门。该口腔卫生保健管理框架可作为在2019冠状病毒病大流行期间重新设计其他城市口腔卫生行动和服务的参考,从更广泛的角度来看。
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