Graduate Program in Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Department of Preventive and Social Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
PLoS One. 2019 Apr 18;14(4):e0215429. doi: 10.1371/journal.pone.0215429. eCollection 2019.
This cross-sectional study evaluated the management and organisation of primary dental care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used. Dentists from 18,114 Oral Health Teams (OHTs) answered a structured questionnaire in 2014. The data were analyzed descriptively and by cluster analysis. Half the Brazilian OHTs (51.0%) undertake planning and programming of activities. The majority of OHTs (66.4%) conducted monitoring and analysis of indicators and oral health information. The majority of OHTs had performed some self-evaluation process in the last 6 months (67.5%) and utilised self-evaluation results for planning and programming actions (71.4%). The OHTs grouped in Cluster 1 demonstrated better management organisation, followed by the teams grouped in Cluster 2. In the Brazilian macro-regions, the more OHTs were grouped in Cluster 1 in the Southeast (87.5%), Northeast (85.4%) and South (82.7%) regions. The majority of OHTs have satisfactory management and organisation. However, some need improvement, mainly in planning and programming actions based on health indicators and self-evaluation. All Brazilian OHTs need to participate in PMAQ-AB and it is important to continue evaluating the data to improve oral health care.
本横断面研究评估了巴西初级牙科保健的管理和组织情况。为此，使用了国家改善初级保健获取和质量计划（PMAQ-AB）的数据。2014 年，来自 18114 个口腔卫生团队（OHT）的牙医回答了一份结构化问卷。数据进行了描述性分析和聚类分析。半数巴西 OHT（51.0%）进行活动规划和编程。大多数 OHT（66.4%）对指标和口腔健康信息进行监测和分析。大多数 OHT 在过去 6 个月内进行了一些自我评价过程（67.5%），并将自我评价结果用于规划和编程行动（71.4%）。聚类 1 中的 OHT 表现出更好的管理组织能力，其次是聚类 2 中的团队。在巴西的宏观区域中，东南部（87.5%）、东北部（85.4%）和南部（82.7%）的 OHT 聚类 1 数量最多。大多数 OHT 的管理和组织情况令人满意。然而，一些方面需要改进，主要是在基于健康指标和自我评价的规划和编程行动方面。所有巴西 OHT 都需要参加 PMAQ-AB，继续评估数据以改善口腔卫生保健非常重要。
