2014年巴西伯南布哥州初级卫生保健中口腔卫生保健质量评估
Evaluation of the quality of oral health care in Primary Health Care in Pernambuco, Brazil, 2014.
作者信息
Viana Italene Barros, Moreira Rafael da Silveira, Martelli Petrônio José de Lima, Oliveira André Luiz Sá de, Monteiro Ive da Silva
机构信息
Prefeitura do Recife, Secretaria Municipal de Saúde, Recife, PE, Brasil.
Fundação Instituto Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, PE, Brasil.
出版信息
Epidemiol Serv Saude. 2019 Jul 4;28(2):e2018060. doi: 10.5123/S1679-49742019000200015.
OBJECTIVE
to evaluate the quality of oral health care in Primary Health Care services in Pernambuco state, Brazil, 2014.
METHODS
this was an ecological health evaluation study based on the Donabedian model, involving secondary data from the 2nd cycle of the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB); comparison between the structure, process and outcome variables was done using the Kruskal-Wallis test (p<0.050); variables showing statistical significance (p<0.05) were portrayed through thematic and spatial dependence maps. Results: the standard of quality in the municipalities for the 'Structure' dimension gained better scores than the 'Work process' dimension; correlations were identified between the indicators for dental urgency, supervised tooth brushing coverage and treatments completed, in quality strata related to the work process of the Oral Health teams.
CONCLUSION
organization of the work process was seen to be a determining factor in the impact on some indicators of service use.
目的
评估2014年巴西伯南布哥州初级卫生保健服务中的口腔卫生保健质量。
方法
这是一项基于多纳贝迪安模型的生态健康评估研究，涉及国家改善初级卫生保健服务可及性和质量计划（PMAQ-AB）第二轮的二手数据；使用Kruskal-Wallis检验（p<0.050）对结构、过程和结果变量进行比较；通过主题和空间依赖性地图描绘具有统计学意义（p<0.05）的变量。结果：在“结构”维度上，各市的质量标准得分高于“工作过程”维度；在与口腔卫生团队工作过程相关的质量分层中，确定了牙齿紧急情况、监督刷牙覆盖率和完成治疗的指标之间的相关性。
结论
工作过程的组织被视为影响服务使用某些指标的决定性因素。
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