Graduate Program in Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Department of Community and Preventive Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Biomed Res Int. 2021 Nov 3;2021:8843928. doi: 10.1155/2021/8843928. eCollection 2021.
To evaluate the association between dentists' profile and health work management with the performance of primary care dental teams in the Brazilian National Health System, both nationally and regionally. Secondary data analysis from a Brazilian National Programme that evaluated 18,114 Brazilian dental teams, working in the public sector, between 2013 and 2014. Twenty-four independent variables taken from dentists' profile and dental team management characteristics were analysed to assess their influence on reported "dental team performance." An estimated score was generated from their performance on 20 dental procedures by an item response theory model. Multiple linear regression models were performed for each Brazilian geographical region, separately and for the whole of Brazil. values ≤ 0.05 were considered significant. Two variables related to dentists' profile, "having graduate studies" ( = 0.151) and "undertaking continuing professional development training" ( = 0.101), were associated with enhanced dental team performance in all five Brazilian geographical regions and nationally. The dental team management variables of "having a flexible dental appointment list" ( = 0.218) and "monitoring oral health indicators" ( = 0.132) also contributed to improve team performance in each of the regions and nationally. Dentists' profile influenced the performance of dental teams from south region more than the other regions. The findings suggest that continuing professional development, including postgraduate education, and strategic management characteristics are important for primary dental care performance and should be reflected in health policy initiatives in support of quality care. Regional factors could be considered for health care management.
为了评估牙医的个人资料和健康工作管理与巴西国家卫生系统中初级保健牙科团队表现之间的关联，本研究在全国和地区范围内进行了分析。这是对巴西国家计划的二次数据分析，该计划评估了 2013 年至 2014 年间在公共部门工作的 18114 个巴西牙科团队。从牙医个人资料和牙科团队管理特征中选取了 24 个独立变量，以评估它们对报告的“牙科团队表现”的影响。通过项目反应理论模型，根据 20 项牙科程序的表现生成了一个估计分数。对每个巴西地理区域和整个巴西分别进行了多元线性回归模型。 值≤0.05 被认为具有统计学意义。与牙医个人资料相关的两个变量，“有研究生学历”（ = 0.151）和“接受继续教育培训”（ = 0.101），与所有五个巴西地理区域和全国的牙科团队表现提高相关。牙科团队管理变量“有灵活的牙科预约名单”（ = 0.218）和“监测口腔健康指标”（ = 0.132）也有助于提高每个区域和全国的团队表现。牙医的个人资料对南部地区的牙科团队表现的影响大于其他地区。研究结果表明，继续教育，包括研究生教育，以及战略管理特征对初级牙科保健表现很重要，应反映在支持优质护理的卫生政策倡议中。可以考虑区域因素进行医疗保健管理。
