巴西公共医疗体系中为残疾患者提供的门诊和住院牙科护理:2014 年至 2023 年的基于人群方法。

Outpatient and inpatient dental care for patients with disabilities in Brazil's public healthcare system: A population-based approach from 2014 to 2023.

机构信息

Master Program in Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

PhD Program in Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

Spec Care Dentist. 2024 Nov-Dec;44(6):1642-1650. doi: 10.1111/scd.13030. Epub 2024 Jun 11.

Abstract

AIM

The aim of this study was to evaluate outpatient and inpatient dental care for patients with disabilities from 2014 to 2023.

MATERIAL AND METHODS

A time series analysis was carried out with data from Brazil's public healthcare system, considering the outpatient productivity of Special Needs Dentistry specialists and hospitalizations (inpatient admissions) of patients with disabilities for dental procedures, both normalized to every 100,000 inhabitants (incidence). The significance level was set at 5%.

RESULTS

In the last 10 years, 22,420,859 procedures were carried out and 89,380 hospitalizations were approved. Trend analysis showed no significant temporal variation in the incidence of both variables. Regarding the procedures, the majority were low-complexity (82.1%, p < .001) and clinical (71.2%, p < .001). Periodontal (19.9%) and restorative (19.5%) procedures were the most frequent. Considering the hospitalizations, almost (R$) 40 million was allocated, and the majority were classified as elective (71.9%, p = .002) and of short duration (less than a day).

CONCLUSION

Dental care for patients with disabilities presented patterns related to the types of procedures, complexity and circumstance, in addition to not showing significant temporal variation over the last 10 years.

摘要

目的

本研究旨在评估 2014 年至 2023 年期间残疾患者的门诊和住院牙科护理情况。

材料和方法

采用时间序列分析方法,利用巴西公共医疗保健系统的数据,对特殊需求牙科专家的门诊生产力和残疾患者的牙科治疗住院情况(住院人数)进行了分析,均以每 10 万居民(发病率)进行标准化。显著性水平设定为 5%。

结果

在过去的 10 年中,共进行了 2242.0859 次治疗,批准了 89380 次住院治疗。趋势分析显示,这两个变量的发病率均无显著的时间变化。就治疗而言,大多数为低复杂度治疗(82.1%,p<.001)和临床治疗(71.2%,p<.001)。牙周(19.9%)和修复(19.5%)治疗最为常见。考虑到住院治疗,分配了近 4000 万雷亚尔,其中大多数被归类为选择性(71.9%,p=.002)和短期住院(不到一天)。

结论

残疾患者的牙科护理呈现出与治疗类型、复杂性和情况相关的模式,且在过去 10 年中没有显示出显著的时间变化。

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