巴西的初级保健牙科：从预防到综合护理。
Primary Care Dentistry in Brazil: From Prevention to Comprehensive Care.
作者信息
Neves Matheus, Giordani Jessye Melgarejo do Amaral, Ferla Alcindo Antônio, Hugo Fernando Neves
机构信息
Lutheran University of Brazil (Universidade Luterana do Brasil-ULBRA), Canoas, Brazil (Dr Neves); Federal University of Santa Maria (Universidade Federal de Santa Maria-UFSM), Santa Maria, Brazil (Dr Giordani); Federal University of Rio Grande do Sul (Universidade Federal do Rio Grande do Sul-UFRGS), Porto Alegre, Brazil (Dr Ferla); and Research Center in Social Dentistry, Federal University of Rio Grande do Sul (Universidade Federal do Rio Grande do Sul-UFRGS), Porto Alegre, Brazil (Dr Hugo).
出版信息
J Ambul Care Manage. 2017 Apr/Jun;40 Suppl 2 Supplement, The Brazilian National Program for Improving Primary Care Access and Quality (PMAQ)(2 Suppl):S35-S48. doi: 10.1097/JAC.0000000000000186.
This cross-sectional study aimed to evaluate the association between sociodemographic characteristics, health care indicators, work process characteristics, and the performance of preventive dental procedures by oral health care teams (OHCTs) assessed during the first phase of the PMAQ in Brazil. A census of 10 334 primary OHCTs was conducted. The outcome included topical application of fluoride, application of sealants, detection of oral lesions, and monitoring of suspected or confirmed cases of oral cancer. The multilevel Poisson regression model was used to obtain crude and adjusted prevalence ratios. The performance of preventive dental procedures was 29.46% (3044/10 334; 95% confidence interval, 28.57-30.33), which was considered low.
这项横断面研究旨在评估社会人口学特征、医疗保健指标、工作流程特征与巴西初级卫生保健质量评估计划（PMAQ）第一阶段所评估的口腔卫生保健团队（OHCTs）进行预防性牙科程序的表现之间的关联。对10334个初级OHCTs进行了普查。结果包括氟化物局部应用、窝沟封闭剂应用、口腔病变检测以及口腔癌疑似或确诊病例的监测。采用多水平泊松回归模型获得粗患病率比和调整患病率比。预防性牙科程序的执行率为29.46%（3044/10334；95%置信区间，28.57 - 30.33），被认为较低。
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