Pinto Rafaela da Silveira, Lucas Simone Dutra, Goes Paulo Sávio Angeiras de, Silva Samuel Lucas da, Neves Érika Said Monteiro, Zina Lívia Guimarães, Vettore Mario Vianna
School of Dentistry, Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Clinical and Preventive Dentistry, School of Dentistry, Universidade Federal de Pernambuco, Recife, Brazil.
Community Dent Oral Epidemiol. 2022 Feb;50(1):74-82. doi: 10.1111/cdoe.12722.
To assess which factors were associated with the achievement of endodontic goals.
Cross-sectional study using secondary data from the second cycle of the Program for the Improvement of Access and Quality in the dental speciality centres-in Portuguese PMAQ-CEO. The independent variables extracted from this database were related to dental speciality centres (CEO in Portuguese). In addition, variables referring to the CEO host city were incorporated into the model. The outcome variable was the number of endodontic goals achieved calculated from the production of the CEO available in the Ambulatory Health Information System in 2018. Descriptive analyses and multilevel Poisson regression were performed with the software SPSS 23.0 and STATA 14.0.
CEOs with more than 20% of patients' absenteeism were 26% less likely to reach the goals of the endodontics specialty; CEOs with availability of endodontists for more than 40 hours a week were two times more likely to reach the goals than those with less than 40 hours in endodontics specialty. CEOs with a waiting time for endodontic procedures greater than 45 days achieved a number of goals 31% lower than those with a waiting time up to 45 days. CEO type I and CEO type II showed 2.10 and 1.20 higher likelihood to reach the number of goals of the endodontics specialty than CEO type III. The number of endodontic instruments in sufficient number was positively associated with the achievement of goals. CEOs located in municipalities that reached more than 5% in the supervised brushing indicator had 2.26 greater likelihood to achieve the goals than those that did not reach this percentage.
Contextual and local determinants are associated with the achievement of goals in the endodontic specialty in the dental speciality centres in Brazil.
评估哪些因素与牙髓治疗目标的达成相关。
采用横断面研究，使用来自牙科专科中心“改善医疗可及性与质量计划”第二轮（葡萄牙语为PMAQ-CEO）的二手数据。从该数据库中提取的自变量与牙科专科中心（葡萄牙语为CEO）相关。此外，将与CEO所在城市相关的变量纳入模型。结果变量是根据2018年门诊健康信息系统中CEO的产出计算得出的达成的牙髓治疗目标数量。使用SPSS 23.0和STATA 14.0软件进行描述性分析和多水平泊松回归。
患者缺勤率超过20%的CEO达成牙髓专科目标的可能性降低26%；每周牙髓专科医生出诊时间超过40小时的CEO达成目标的可能性是出诊时间少于40小时的CEO的两倍。牙髓治疗程序等待时间超过45天的CEO达成的目标数量比等待时间最长45天的CEO低31%。I型CEO和II型CEO达成牙髓专科目标数量的可能性分别比III型CEO高2.10倍和1.20倍。足够数量的牙髓治疗器械与目标的达成呈正相关。所在城市监督刷牙指标超过5%的CEO达成目标的可能性比未达到该百分比的CEO高2.26倍。
背景和当地因素与巴西牙科专科中心牙髓专科目标的达成相关。
