巴西 2008-2018 年国家卫生系统牙科手术产量的时间序列。
Time series of the production of dental procedures in the Brazilian National Health System, Brazil, 2008-2018.
机构信息
Universidade Federal do Rio Grande do Norte, Departamento de Odontologia, Natal, RN, Brasil.
Universidade do Estado do Rio Grande do Norte, Departamento de Odontologia, Caicó, RN, Brasil.
出版信息
Epidemiol Serv Saude. 2022 Mar 21;31(1):e2021213. doi: 10.1590/S1679-49742022000100007. eCollection 2022.
OBJECTIVE
To analyze dental procedures provided by the Brazilian National Health System (SUS) in Brazil and its macro-regions, between 2008 and 2018.
METHODS
This was a time series study using data from SUS Outpatient Information System. Annual and overall rates of dental procedures (per 100,000 inhabitants), according to the categories of dental procedures and regions were calculated. Prais-Winsten regression was used to analyze time trends, while annual percentage change (APC) was calculated.
RESULTS
Decreasing trends were found in Brazil, in collective measures (APC= -13.5%; 95%CI -21.1;-5.2), individual preventive measures (APC= -6.2%; 95%CI -7.7;-4.8), dental restoration (APC= -7.3%; 95%CI -10.5;-3.9) and tooth extraction procedures (APC= -6.9; 95%CI -10,5;-3,1). Endodontics and periodontics showed stationary trend in most regions and Brazil. Prosthetic procedures showed an upward trend in all regions and Brazil (APC= 16.9%; 95%CI 9.1;25.2).
CONCLUSION
Dental procedures in the SUS decreased between 2008-2018; with the exception of prosthetic procedures, which showed a rising trend.
目的
分析 2008 年至 2018 年间巴西国家卫生系统（SUS）及其大地区提供的牙科服务。
方法
这是一项使用 SUS 门诊信息系统数据的时间序列研究。根据牙科服务类别和地区，计算了牙科服务的年度和总服务率（每 10 万人）。采用普赖斯-温斯坦（Prais-Winsten）回归分析时间趋势，计算年度百分比变化（APC）。
结果
巴西在集体措施（APC=-13.5%；95%CI-21.1%至-5.2%）、个体预防措施（APC=-6.2%；95%CI-7.7%至-4.8%）、牙齿修复（APC=-7.3%；95%CI-10.5%至-3.9%）和拔牙服务（APC=-6.9%；95%CI-10.5%至-3.1%）方面呈现下降趋势。大多数地区和巴西的牙髓病学和牙周病学呈稳定趋势。修复服务在所有地区和巴西都呈现上升趋势（APC=16.9%；95%CI 9.1%至 25.2%）。
结论
2008 年至 2018 年间，SUS 的牙科服务减少；除修复服务外，其他服务均呈上升趋势。
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