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巴西初级保健中的口腔健康团队与口腔癌:一项全国性评估结果。

Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation.

机构信息

Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil.

Universidade de São Paulo - USP, School of Dentistry, Department of Traumatology, Surgery and Maxillo Facial Prosthesis, São Paulo, SP, Brazil.

出版信息

Braz Oral Res. 2021 Nov 19;35:e116. doi: 10.1590/1807-3107bor-2021.vol35.0116. eCollection 2021.

Abstract

Oral cancer is one of the most prevalent cancers in Brazil. An understanding of how public policies are implemented to address this problem can contribute to the construction of solutions. The "Programa de Melhoria do Acesso e da Qualidade" (PMAQ-AB and PMAQ-CEO) at the level of primary and secondary care are evaluations that also collect data on prevention and monitoring strategies for oral cancer. This study aimed to analyze the results of the incorporation of oral health teams to evaluate the strategies adopted by Brazil regarding the impact on the diagnosis of oral cancer. Of the 17,202 family health teams evaluated, 72.10% had oral health teams (OHT). Considering the strategies for prevention, screening, campaign, and follow-up of suspected cases, 72.27% of the campaign teams and 59.09% of the teams who accompanied suspected cases had OHT. In secondary care, more than 65% of the teams in the Southeast and South regions registered cases of oral cancer, and the referral network was more represented. The inclusion of OHT had a positive impact on campaign actions, follow-up, referral to specialists, and registration of suspected cases throughout Brazil.

摘要

口腔癌是巴西最常见的癌症之一。了解公共政策是如何实施以解决这个问题的,可以为制定解决方案做出贡献。初级和二级保健水平的“改善获得和质量方案”(PMAQ-AB 和 PMAQ-CEO)是一种评估,也收集有关口腔癌预防和监测策略的数据。本研究旨在分析口腔卫生团队的加入对巴西在诊断口腔癌方面的影响的结果。在所评估的 17202 个家庭卫生团队中,72.10%有口腔卫生团队(OHT)。在预防、筛查、运动和随访可疑病例的策略方面,72.27%的运动团队和 59.09%的随访可疑病例的团队有 OHT。在二级保健中,东南部和南部地区超过 65%的团队登记了口腔癌病例,转诊网络的代表性更强。OHT 的纳入对整个巴西的运动行动、随访、转介给专家以及可疑病例的登记产生了积极影响。

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