Essvein Gustavo, Baumgarten Alexandre, Rech Rafaela Soares, Hilgert Juliana Balbinot, Neves Matheus
Universidade Luterana do Brasil. Curso de Odontologia. Canoas, RS, Brasil.
Universidade Federal do Rio Grande do Sul. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil.
Rev Saude Publica. 2019 Jan 31;53:15. doi: 10.11606/S1518-8787.2019053000540.
To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care.
A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics.
Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision.
One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units' well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.
评估巴西初级卫生保健中卫生服务、口腔健康团队及牙科医生的特征是否与为五岁以下儿童提供牙科护理相关。
采用横断面研究，数据来自巴西18114个口腔健康团队，这些团队在2014年由国家初级保健获取与质量改善计划进行评估。研究结果是对五岁以下儿童进行牙科手术的实际执行情况。基于分层模型通过泊松回归进行统计分析，其中第一层由服务组织变量组成，中间层由单位规划特征组成，最接近层由与牙科医生特征相关的变量组成。
口腔健康团队提供牙科护理的患病率为80.9%（n = 14239）。预约安排和健康教育活动与结果呈正相关，以及针对人群的规划和计划活动以及口腔健康指标的监测和分析。公共卫生方面的补充培训、继续教育活动和职业规划是与服务提供相关的牙科医生的变量。
巴西五分之一的卫生单位不为幼儿提供牙科护理。卫生单位结构良好的组织和规划方案与这项服务的提供相关，以及牙科医生更好的雇佣关系和毕业活动。
