Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil.
Department of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil.
Int J Environ Res Public Health. 2020 Mar 3;17(5):1646. doi: 10.3390/ijerph17051646.
This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013-2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14-1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02-1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.
本研究旨在调查 2013-2014 年参与巴西初级卫生保健国家改善初级卫生保健获取和质量计划（PMAQ-AB）的口腔卫生团队（OHT）进行牙科修复程序的相关因素。这是一项使用包含二项式问题的问卷对 18114 名 OHT 进行的分析性横断面研究。研究的因变量为制作任何类型的义齿（可摘式或固定式）。自变量涉及人力资源和卫生服务管理问题。数据经过简单和多二元逻辑回归分析，计算比值比、95%置信区间和 p 值。大多数 OHT（57%）不进行任何牙科修复。更有可能进行牙科修复的团队具有与人力资源相关的特征，例如通过公开考试录取的专业人员（OR 1.25，95%CI 1.14-1.36）和参与永久教育的人员（OR 1.13，95%CI 1.02-1.26）。此外，工作流程更有条理且获得更多市政管理支持的 OHT 更有可能进行牙科修复（p<0.05）。倾向于为患者提供更多牙科修复的 OHT 是：作为公务员聘用，有市政职业规划，让口腔卫生团队的所有成员参与，并培训来自外展计划的本科牙科学生。可能需要更好的组织支持和改善工作激励措施，以使大多数口腔卫生团队开始为其患者提供牙科修复。
