Ricardo Barbosa Lima, Ana Paula Gomes E Moura, Paulo Nelson-Filho, Léa Assed Bezerra da Silva, Marília Pacífico Lucisano, Raquel Assed Bezerra da Silva
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Data were analyzed using a descriptive and analytical approach, considering a significance level of 5%, as well as the impact of the COVID-19 pandemic (the 2020-2022 years were not included in secondary analyses). In the last 15 years, 29,234,972 ODPs were carried out by Pediatric Dentists within the SUS. Clinical procedures were the majority (55.4%), significantly more frequent than all other types of procedures (all p <0.05). Among these, restorative and periodontal procedures were the most common (30.7% and 21.0%, respectively). From 2008 to 2019, excluding COVID-19 pandemic years, the trend over the last 15 years was constant for all types of procedures (all p >0.05). In addition, low complexity ODPs were the majority (90.1%), significantly more frequent than medium (9.7%) and high complexity procedures (0.1%) (both p <0.05). At last, most ODPs were not characterized by circumstance in the outpatient production reports (96.9%). 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引用次数: 0
摘要
巴西的公共医疗保健系统(SUS)为巴西人提供专业的口腔医疗服务,但儿科牙医等专科医生的工作效率却没有得到体现。因此,本研究的目的是了解儿童牙科医生在统一卫生系统内开展的门诊牙科手术(ODP)的特点。研究采用了生态、纵向、回顾性和定量的流行病学方法。根据手术类型、复杂程度和情况(紧急或非必要),对统一卫生系统中儿科牙医开展的门诊手术进行了分类。数据采用描述性和分析性方法进行分析,显著性水平为 5%,并考虑了 COVID-19 大流行的影响(2020-2022 年不包括在二次分析中)。在过去的 15 年中,统一卫生系统内的儿科牙医共完成了 29 234 972 例门诊手术。临床手术占大多数(55.4%),明显多于所有其他类型的手术(均为 p 0.05)。此外,低复杂度的开放式牙科手术占大多数(90.1%),明显多于中复杂度(9.7%)和高复杂度(0.1%)的手术(两者的 p 均为 0.05)。
Outpatient dental procedures carried out by Pediatric Dentists within Brazil's public healthcare system.
Brazil's public healthcare system (SUS) offers specialized oral health services to Brazilians, but the productivity of specialists, such as Pediatric Dentists, has not been characterized. Therefore, the objective of this study was to characterize the outpatient dental procedures (ODPs) carried out by Pediatric Dentists within the SUS. An epidemiological study with an ecological, longitudinal, retrospective, and quantitative approach was conducted. The ODPs carried out by Pediatric Dentists within the SUS were characterized based on type of procedure, complexity level, and circumstance (urgent or elective). Data were analyzed using a descriptive and analytical approach, considering a significance level of 5%, as well as the impact of the COVID-19 pandemic (the 2020-2022 years were not included in secondary analyses). In the last 15 years, 29,234,972 ODPs were carried out by Pediatric Dentists within the SUS. Clinical procedures were the majority (55.4%), significantly more frequent than all other types of procedures (all p <0.05). Among these, restorative and periodontal procedures were the most common (30.7% and 21.0%, respectively). From 2008 to 2019, excluding COVID-19 pandemic years, the trend over the last 15 years was constant for all types of procedures (all p >0.05). In addition, low complexity ODPs were the majority (90.1%), significantly more frequent than medium (9.7%) and high complexity procedures (0.1%) (both p <0.05). At last, most ODPs were not characterized by circumstance in the outpatient production reports (96.9%). Therefore, it was possible to conclude that Pediatric Dentists carried out diverse ODPs within the SUS over the past 15 years, although there was a dominant pattern of type and complexity.