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1.
Pediatr Dent ; 43(2): 109-117, 2021 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-33892835

RESUMO

Purpose: The purpose of this study was to examine receipt of preventive oral health services (POHS) by race/ethnicity for young Medicaid-enrollees following the enactment of state policies enabling medical providers to deliver POHS. Methods: Using Medicaid data (2006 to 2014) from 38 states for 8,711,192 child-years (aged six months to five years), logistic regressions were used to examine differences within and between racial/ethnic groups (white, black, Hispanic, and "other" race/ethnicity groups) in terms of adjusted probabilities of receiving POHS in medical offices or any medical or dental offices. Models were adjusted for years since policy enactment and estimated separately for states with and without requirements that medical providers obtain POHS training. Results: Receipt of any POHS was 10.9 percentage points higher for Hispanic children and 4.7 percentage points higher for "other" race/ethnicity group children than white children after five or more years of policy enactment in states with training requirements (P<0.05). Findings for medical POHS and states without training requirements were similar but smaller in magnitude. Conclusions: Hispanic and "other" race/ethnicity group children benefitted more from the integration of POHS into medical offices than white children. Policies enabling delivery of POHS in medical offices increased receipt of POHS among some minority groups and may help to reduce disparities.


Assuntos
Serviços de Saúde Bucal , Medicaid , Criança , Pré-Escolar , Consultórios Odontológicos , Hispano-Americanos , Humanos , Políticas , Estados Unidos
2.
Artigo em Inglês | MEDLINE | ID: mdl-33466341

RESUMO

As is already well known, demographic changes will presumably lead to a rising number of old aged individuals and loneliness is a tremendous concern in aging populations. Poor health can be a potential consequence of loneliness, as well as a determining factor. Thus, the objective of the current study was to determine whether postponed dental appointments due to costs affect loneliness longitudinally. Focusing on Germany, data from two waves (waves 5 and 6) of the "Survey of Health Ageing, and Retirement in Europe" (SHARE) were analyzed (n = 7703). The three-item loneliness scale (modified version of the revised UCLA Loneliness scale) was used to quantify loneliness. The presence of postponed dental appointments due to costs in the past 12 months (no; yes) served as a key independent variable. Socioeconomic factors as well as health-related factors were adjusted in the longitudinal regression analysis. After adjusting for confounding variables, regression analyses revealed that loneliness increased with decreases in self-rated health among men. Among women, loneliness increased when self-rated health decreased, when fewer chronic diseases and postponed dental appointments due to costs were reported. Among older women, postponed dental appointments due to costs are associated with feelings of loneliness. The study results add evidence that proper dental care (i.e., regular and appropriate visits to the dentist) is vital not only to one's oral health, but also plays a role in one's physical and emotional health.


Assuntos
Agendamento de Consultas , Serviços de Saúde Bucal/economia , Solidão , Aceitação pelo Paciente de Cuidados de Saúde , Idoso , Envelhecimento , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
3.
Med. oral patol. oral cir. bucal (Internet) ; 26(1): e78-e83, ene. 2021. tab
Artigo em Inglês | IBECS | ID: ibc-200542

RESUMO

BACKGROUND: This study aimed to analyze the trend in the number of hospitalized cases of oral cancer in Brazil, according to the coverage of oral health services in public health system, and also investigate the influence of healthcare and clinical characteristics on the severity of oral cancer cases. MATERIAL AND METHODS: This retrospective study considered the period between 2009 and 2017. Data from the Hospital Registry of Cancer from the National Cancer Institute were used, considering the primary locations C00 to C06. Detailed information including sex, age, alcohol and tobacco use, year of first consultation, and the clinical stage of the cases were also collected. The frequency of hospitalized cases was correlated with the coverage of Primary Care Oral Health Teams (ESB) and the number of Dental Specialty Centers (CEO). It was also estimated the chance of advanced oral cancer cases, according to healthcare and clinical characteristics. Data were analyzed using Tweedie's multiple regression and multiple binary logistic regression (Alpha < 0.05). RESULTS: There was an increasing trend in the number of hospitalized cases of oral cancer in Brazil between 2009 and 2017 (B = 0.043, p < 0.001, PR = 1.044). The increase in ESB coverage was associated with small increase in the number of hospitalized cases of oral cancer (B = 0.001, p = 0.003, PR = 1.001). The increase in the number of CEO was associated with decrease in the number of hospitalized cases of oral cancer (B = -0.085, p < 0.001, PR = 0.918). The increase of ESB (OR = 0.998) and CEO (OR = 0.974) contributed for reducing the number of stage IV cases, whilst the history of alcohol and tobacco use (OR = 1.574) was associated with an increase in the number of stage IV cases. CONCLUSIONS: Although an increasing trend was detected, the expansion of the public health system reduced the number of hospitalized cases and the frequency of advanced oral cancer cases in Brazil


No disponible


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Hospitalização/tendências , Serviços de Saúde Bucal/tendências , Neoplasias Bucais/epidemiologia , Atenção à Saúde/tendências , Estudos Retrospectivos , Índice de Gravidade de Doença , Estadiamento de Neoplasias , Modelos Logísticos , Brasil/epidemiologia
4.
Arq. odontol ; 57: 36-45, jan.-dez. 2021. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1222628

RESUMO

Objetivo: Identificar diferenças no quantitativo de exodontias realizadas na Atenção Básica em municípios com e sem Centro de Especialidades Odontológicas do Recôncavo da Bahia. Métodos:Estudo de série temporal, descritivo, utilizando dados disponíveis no Sistema de Informações Ambulatoriais do Sistema Único de Saúde e no Instituto Brasileiro de Geografia e Estatística. Foram coletadas informações sobre os procedimentos de saúde bucal realizados na Atenção Básica, de 2008 a 2017, e características sociodemográficas dos municípios. Foram calculados os indicadores de saúde bucal: cobertura de primeira consulta odontológica programática; média de ação coletiva de escovação dental supervisionada; cobertura populacional estimada das Equipes de Saúde Bucal; proporção de exodontia em relação aos procedimentos. Resultados:O município com Centro de Especialidades Odontológicas apresentou os menores resultados para o indicador de proporção de exodontia, variando o valor entre 3,2% e 6,8% durante o período analisado. Também foi o único a apresentar 100% de cobertura das Equipes de Saúde Bucal em todo o período analisado e a maior média de ação coletiva de escovação dental supervisionada (80,1%). Os municípios sem centro de especialidades apresentaram resultados percentuais altos para o indicador de exodontia, chegando a atingir 87,8% e 88,3%. Ainda apresentaram menor cobertura de Equipes de Saúde Bucal (24,4%) e de primeira consulta odontológica (2,7%), e menor média de ação coletiva de escovação dental supervisionada (0,01%). Conclusão:Houve diferença no quantitativo de exodontia entre os municípios com e sem Centro de Especialidades Odontológicas. A menor ocorrência de exodontias na Atenção Básica pode ser atribuída a presença destes centros e cobertura de Equipes de Saúde Bucal.


Aim:To identify differences in the quantity of extractions performed in Primary Care in municipalities with and without Dental Specialties Centers in the region of Recôncavo da Bahia. Methods:This is a time series, descriptive study, using data available in the Outpatient Information System of the Unified Health System and in the Brazilian Institute of Geography and Statistics. Information was collected on oral health procedures performed in Primary Care, from 2008 to 2017, and sociodemographic characteristics of the municipalities. The following oral health indicators were calculated: coverage of the first programmatic dental appointment, average collective action of supervised tooth brushing, estimated population coverage of the Oral Health Teams, and proportion of tooth extraction in relation to procedures. Results: The municipality with a Dental Specialties Center had the lowest results for the proportional ratio of tooth extraction, varying between 3.2% and 6.8% during the analyzed period. It was also the only one to present 100% coverage of the Oral Health Teams throughout the analyzed period and the highest average of collective action of supervised tooth brushing (80.1%). Municipalities with no specialty center showed high percentage results for the dental extraction indicator, reaching 87.8% and 88.3%. They also had lower coverage by Oral Health Teams (24.4%) and first dental appointments (2.7%), and a lower average of collective action of supervised tooth brushing (0.01%). Conclusions:A difference was observed in the quantity of tooth extractions between municipalities with and without a Dental Specialties Center. The lower occurrence of extractions in Primary Care can be attributed to the presence of these centers and coverage by Oral Health Teams.


Assuntos
Atenção Primária à Saúde , Cirurgia Bucal , Extração Dentária , Saúde Bucal , Assistência Odontológica , Serviços de Saúde Bucal , Pesquisa sobre Serviços de Saúde , Integralidade em Saúde
5.
Edumecentro ; 12(4): 141-154, oct.-dic. 2020. graf
Artigo em Espanhol | LILACS | ID: biblio-1142854

RESUMO

RESUMEN Fundamento: diseñar materiales educativos que transmitan mensajes claros y adecuados constituye uno de los objetivos de la promoción de salud bucal en Cuba. Objetivo: valorar los plegables educativos dirigidos a la promoción de la salud bucal diseñados por estudiantes en la Facultad de Estomatología de la Universidad de Ciencias Médicas de Villa Clara. Métodos: se realizó un estudio descriptivo transversal en la Facultad de Estomatología de la Universidad de Ciencias Médicas de Villa Clara durante el mes de febrero de 2020. La investigación resultó de la participación de los estudiantes en el concurso en saludo al Día Mundial de la Salud Bucodental. Se seleccionaron 16 plegables intencionalmente, los cuales fueron valorados según el instrumento de pautas específicas desarrollado por la Organización Panamericana de la Salud. Se emplearon métodos teóricos: análisis-síntesis e inductivo-deductivo; empíricos: escala valorativa; y matemáticos estadísticos. Resultados: los puntajes obtenidos indicaron que se deben usar como están diseñados el 37,5 % de los plegables; en el resto los evaluadores indicaron realizar reformas necesarias. Se exponen recomendaciones sobre la redacción de plegables en salud bucodental en cuatro áreas: tema, contenido, legibilidad lingüística del texto y legibilidad tipográfica, según la bibliografía revisada. Conclusiones: los plegables educativos elaborados por los estudiantes en su mayoría necesitan reformas para ser utilizados; no obstante, constituyen herramientas útiles en las que la creatividad y el respeto a su metodología de diseño emergen como fortalezas en la preparación de materiales que tengan como finalidad la promoción de la salud bucodental.


ABSTRACT Background: designing educational materials that convey clear and appropriate messages constitutes one of the objectives of the promotion of oral health in Cuba. Objective: to assess the educational folders aimed at promoting oral health designed by students at the Dentistry Faculty Villa Clara University of Medical Sciences. Method: a cross-sectional descriptive study was carried out in the Dentistry Faculty of Villa Clara University of Medical Sciences during the month of February 2020. The research was the result of the participation of the students in the contest in greeting to World Day of Oral Health. 16 foldable items were intentionally selected, which were evaluated according to the specific guidelines instrument developed by the Pan American Health Organization. Theoretical methods were used: analysis-synthesis and inductive-deductive; empirical ones: rating scale; and statistical mathematics. Results: the scores indicated that 37.5% of the folding should be used as designed; in the rest, the evaluators indicated necessary reforms. Recommendations on the folding drafting in oral health are presented in four areas: subject, content, linguistic readability of the text and typographic readability, according to the reviewed bibliography. Conclusions: the educational folders developed by the students mostly need reforms to be used; however, they constitute useful tools in which creativity and respect for their methodology design emerge as strengths in the preparation of materials that are intended to promote oral health.


Assuntos
Estudantes de Odontologia , Materiais de Ensino , Serviços de Saúde Bucal , Educação Médica , Promoção da Saúde
6.
Artigo em Inglês | MEDLINE | ID: mdl-32824564

RESUMO

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus was discovered in China in late 2019 and subsequently triggered a global pandemic. Dentists, like many other health professionals, are at an increased risk of contracting the virus as they work in close proximity to patients, especially when performing aerosol-generating procedures. Thus, in order for dentists to protect themselves and their patients, it is recommended that practitioners wear filtering facepiece 2 (FFP2) respirators. The prolonged use of these FFP2 respirators has been linked to several side effects. The aim of this paper is to assess the perceived experience associated with N95/FFP2 respirators based on the available literature and data collected through an online survey completed by Italian dental professionals. Articles were included up to May 2020 and literature searches were conducted through The National Library of Medicine, Cochrane Central Register of Controlled Trials, and Embase databases. The search terms included COVID-19, respirators, masks, and discomfort. An online survey was administered to 256 Italian dentists. The results from this survey were in agreement with the available literature. The findings concurred that the prolonged use of respirators was associated with headaches (47.5%), severe exertion and discomfort (50.8%), moderate concentration problems (54.3%), moderate breathing difficulties (63.5%), and consequently, an impaired work ability (85.5%). These findings were not influenced by the number of hours spent wearing the respirator. Despite several side effects, FFP2 respirators are fundamental in protecting dentists and their importance was acknowledged.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/terapia , Serviços de Saúde Bucal , Odontólogos , Pneumonia Viral/terapia , Dispositivos de Proteção Respiratória , China , Infecções por Coronavirus/virologia , Humanos , Pandemias , Pneumonia Viral/virologia , Inquéritos e Questionários
7.
Artigo em Inglês | MEDLINE | ID: mdl-32806769

RESUMO

We aimed to investigate the management of urgent dental care, the perception of risk and workplace preparedness among dental staff in Norway during the COVID-19 pandemic. An electronic questionnaire regarding the strictest confinement period in Norway (13 March-17 April 2020) was distributed to dental staff. Among the 1237 respondents, 727 (59%) treated patients, of whom 170 (14%) worked in clinics designated to treat patients suspected or confirmed to have COVID-19. Out of them 88% (143) received training and 64% (103) simulation in additional infection prevention procedures, while 27 (24%) respondents reported deviation. In total, 1051 (85%) respondents perceived that dental staff had a high risk of being infected, 1039 (84%) that their workplace handled the current situation well, 767 (62%) that their workplace had adequate infection control equipment and 507 (41%) agreed that their workplace is well equipped to handle an escalation. Before an appointment, 1182 (96%) respondents always/often inquired per phone information if a patient experienced symptoms of COVID-19, and 1104 (89%) asked about a history of travel to affected areas. Twice as many patients on average per week were treated by phone than in a clinic. A lower proportion of dental staff in high incidence counties applied additional infection prevention measures compared to low and medium incidence counties. To conclude, urgent dental health care was managed relatively well in Norway. Additional training of the dental staff in adequate infection prevention and step-by-step procedures may be needed. These results may be used to improve the dental health service's response to future outbreaks.


Assuntos
Infecções por Coronavirus/epidemiologia , Serviços de Saúde Bucal/organização & administração , Controle de Infecções/organização & administração , Pneumonia Viral/epidemiologia , Adulto , Betacoronavirus , Estudos Transversais , Serviços de Saúde Bucal/normas , Feminino , Humanos , Controle de Infecções/normas , Capacitação em Serviço/organização & administração , Masculino , Pessoa de Meia-Idade , Noruega/epidemiologia , Pandemias , Medição de Risco , Inquéritos e Questionários , Telemedicina/organização & administração , Telefone , Local de Trabalho/organização & administração
8.
Rev Saude Publica ; 54: 85, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32844983

RESUMO

OBJECTIVE To verify the prevalence and factors associated with regular use of dental services in university students of the Universidade Federal de Pelotas (UFPel). METHODS This cross-sectional study interviewed 1,865 students aged 18 years or older, starting bachelor's degrees in 2017, enrolled in the second academic semester of 2017 and in the first of 2018 in classroom courses at UFPel. We considered regular users those who reported regularly going to the dentist with or without perceived dental problems. To test factors associated with regular use of dental services, demographic, socioeconomic and oral health variables were collected. Statistical analyses were based on Poisson regression models. RESULTS The prevalence of regular use of dental services was 45.0% (95%CI 42.7-47.3). University students of high economic class (PR = 1.47; 95%CI 0.91-2.36), with last private dental appointment (PR = 1.29; 95%CI 1.03-1.61), positive self-perception of oral health (PR = 2.33; 95%CI 1.79-3.03) and no report of toothache in the last six months (PR = 1.22; 95%CI 1.03-1.45) showed higher prevalence of regular use of dental services. CONCLUSION The results point to inequalities in the regular use of dental services related to socioeconomic factors and a lower use among university students with worse oral health conditions. These results suggest that public health prevention and promotion policies in higher education institutions must be carried out to ensure quality of life among these young adults.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Estudantes/psicologia , Adolescente , Brasil , Estudos Transversais , Humanos , Doenças da Boca/prevenção & controle , Qualidade de Vida , Fatores Socioeconômicos , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
9.
Gac. méd. espirit ; 22(2): 72-83, mayo.-ago. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1124837

RESUMO

RESUMEN Fundamento: La satisfacción de los profesionales es importante para evaluar la calidad de la atención estomatológica. Objetivo: Evaluar la satisfacción general laboral de estomatólogos de Sancti Spíritus con el servicio de Estomatología General Integral según las dimensiones técnico-humano, entorno físico y resultados de tratamiento. Metodología: Se realizó una investigación en sistemas y servicios de salud del 2014 al 2019. Las 21 unidades de la provincia Sancti Spíritus; se dividieron en los estratos: Clínicas y Policlínicos. Se seleccionaron aleatoriamente 4 clínicas y 4 policlínicos. La muestra estuvo constituida por 179 estomatólogos generales integrales (98 en clínicas y 81 en policlínicos). Se midieron las variables: satisfacción con la dimensión técnico-humana, entorno físico y resultados de tratamiento. Se utilizaron métodos del nivel teórico, empírico y de la estadística descriptiva. Resultados: El 40.2 % y 49.2 % de los especialistas estuvieron medianamente satisfechos con las dimensiones técnico-humana y resultados de tratamiento respectivamente e insatisfechos el 41.3 % con la dimensión entorno físico. Conclusiones: La satisfacción general laboral de los estomatólogos fue calificada como medianamente satisfechos.


ABSTRACT Background: The satisfaction of professionals is important to evaluate the quality of dental care. Objective: To evaluate the stomatologists´ general work satisfaction from Sancti Spíritus with the Comprehensive General Stomatology service according to the technical-human dimensions, physical environment and treatment results. Methodology: A study about health system and services from 2014 to 2019 was made. The 21 units from the Sancti Spíritus province were divided into some stratus: clinical centers and polyclinics. It was aleatory selected the clinical centers and 4 polyclinics. The sample consisted of 179 general comprehensive stomatologists (98 from clinical centers and 81 from the polyclinics). Valued variables: satisfaction of technical-human dimension, physical environment and treatment results. Theoretical and empirical levels, also from statistical description were used. Results: 40.2 % and 49.2 % of the specialists were moderately satisfied with the technical-human dimensions and treatment results, respectively, and 41.3 % were dissatisfied with the physical environment dimension. Conclusions: The stomatologists´ general work satisfaction was rated as moderately satisfied.


Assuntos
Pessoal de Saúde , Medicina Bucal , Satisfação no Emprego , Qualidade da Assistência à Saúde , Assistência Integral à Saúde , Serviços de Saúde Bucal
10.
Rev Bras Epidemiol ; 23: e200076, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32638849

RESUMO

OBJECTIVE: To test the factorial validity and reliability of the Primary Care Assessment Tool adapted to Oral Health, adult patient version, an instrument used to verify the presence and extent of attributes in Primary Health Care services. METHODS: Population-based cross-sectional study using conglomerate random sample carried out in Primary Health Care Dental services in Porto Alegre between 2011 and 2013. We interviewed 407 adult patients who used Primary Health Care Dental services. Construct validity was tested through factorial validity and reliability of the Primary Care Assessment Tool, that comprises 81 items distributed throughout Primary Health Care attributes. Equamax orthogonal rotation method was used in the factorial analysis; and, in order to assess reliability of each component, we used the item-total correlation and the ratio of success of the scale. RESULTS: In the factorial analysis, 10 factors were retained, explaining 53.3% of the total variation. This result demonstrates the multidimensional structure of the instrument. The reliability assessment showed Cronbach's alpha values ranging from 0.39 to 0.89. For the success of the scale most of the results (eight of nine attributes) were greater than 85%. CONCLUSIONS: The instrument is valid for the assessment of oral health services in Primary Health Care from the perspective of adult patients, as well as for monitoring and evaluation of oral health services in Primary Health Care attributes and comparative studies.


Assuntos
Serviços de Saúde Bucal , Pesquisas sobre Serviços de Saúde , Atenção Primária à Saúde , Adulto , Brasil , Estudos Transversais , Análise Fatorial , Humanos , Reprodutibilidade dos Testes
11.
BMC Oral Health ; 20(1): 192, 2020 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-32641034

RESUMO

BACKGROUND: Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer covered by national insurance. In 1997, the Individual Healthcare Professions Act, in which the authorizations of care providers were described, was established. The Healthcare Quality, Complaints and Disputes Act, established in 2016, concerns the accountability of professional behavior. Regulations concerning employment have changed several times since 1995. These changes have affected the work and practice situation of oral health care providers. METHODS: Data from many publicly available sources were gathered and combined with internal reports mainly derived from the Data Stations project of the Royal Dutch Dental Association. This project was established in 1995 and, since its initiation, 6716 dentists have participated an average of 6.7 times. RESULTS: Between 1995 and 2018, nearly all professional groups in oral health care increased, particularly those of dental hygienists and prevention assistants. The number of dental practices decreased, but practices got larger in terms of dental units, number of patients, and personnel. The percentage of inhabitants visiting oral health care professionals remained unchanged, but the type of care provided moved towards more prevention. Oral health care providers exploited new opportunities to enhance and express their professional behavior. CONCLUSIONS: Oral health care in the Netherlands has evolved in recent years toward more collaboration in teams, and professions have established institutions to promote the quality and safety of care. Greater emphasis has been placed on prevention of dental diseases. These processes were influenced by new legislation and regulations, demographic changes within professional groups, and other social developments.


Assuntos
Assistência Odontológica/tendências , Serviços de Saúde Bucal/organização & administração , Saúde Bucal/estatística & dados numéricos , Qualidade da Assistência à Saúde , Adulto , Serviços de Saúde Bucal/tendências , Humanos , Países Baixos
12.
BMC Oral Health ; 20(1): 186, 2020 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-32620108

RESUMO

BACKGROUND: This article aims to provide a description of conceptual dimensions and psychometric properties of the tools of oral and dental health literacy. METHODS: Two authors in this study conducted electronic searches in the Medline (via PubMed), and Embase databases to find relevant articles from 1990 to present day. Evaluation of the tools was carried out in two parts; general evaluation of the tools using skills introduced by Sørensen et al., and qualitative assessment of psychometric properties using COSMIN checklist. RESULTS: After reviewing 1839 articles on oral and dental health literacy and evaluating 33 full text articles for eligibility, 21 articles entered the study. The sample size varied from 20 to 1405 subjects and the items of each tool ranged from 11 to 99 items. Of the 21 tools examined, 16 tools were evaluated for word recognition. For the studies examined, the evaluation of COSMIN scores was often fair or good. Of the 21 tools examined, 9 tools at least in one dimension were in the category of "poor", 19 tools were in the category of "fair", 20 tools were in the category of "good", and 4 tools were in the category of "excellent" in at least one dimension. CONCLUSION: The findings of this study showed that some aspects of oral and dental health literacy are being ignored in the existing tools. Therefore, the authors of present study emphasize on the necessity to design and develop a comprehensive tool and take into account two characteristics of simplicity and briefness for international use.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Educação em Saúde Bucal , Letramento em Saúde/métodos , Saúde Bucal , Inquéritos e Questionários/normas , Comportamentos Relacionados com a Saúde , Humanos , Psicometria
13.
Artigo em Inglês | MEDLINE | ID: mdl-32708838

RESUMO

OBJECTIVES: The COVID-19 (SARS-CoV-2) pandemic is an ongoing public health challenge, also for the dentistry community. The main objective of this paper was to determine the economic and health-care impact of COVID-19 on dentists in the Autonomous Region of Galicia (Spain). METHODS: This was a descriptive observational study in which the data was collected by means of a self-administered survey (from 1 April 2020 to 30 April 2020). RESULTS: A total of 400 dentists from Galicia responded to the survey. Only 12.3% of the participants could obtain personal protective equipment (PPE) including FFP2 masks. Of the male respondents, 33.1% suffered losses >€15,000 compared to 19.4% of female respondents (OR = 3.121, p < 0.001). Economic losses seem to have contributed to the applications for economic help as 29.5% of the respondents who applied for this measure recorded losses in excess of €15,000 (p = 0.03). Patients complained more about the fact that only emergency care was available during the State of Alarm, in dental surgeries that do not work with insurance companies or franchises. Only 4 professionals tested positive, 50% of whom worked exclusively in private practice and the other 50% who practised in both private and public surgeries. Dentists who practise in the public sector saw more urgent patients per week than those practising in private surgeries (p = 0.013). CONCLUSIONS: The COVID-19 pandemic has had economic repercussions in dentistry as only urgent treatment was available during the State of Alarm. These repercussions seem to be higher in male participants, as the majority of the participants have revealed higher economic losses than females. The level of assistance has also been affected, reducing the number of treated patients, although this quantity has been different in private and public surgeries. By presenting these findings we look to highlight the role that dentists play in society in treating dental emergencies in our surgeries, and this must be recognised and addressed by the relevant authorities, who must provide PPEs as a priority to this group as well as providing special economic aid in accordance with the losses incurred by the sector.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/prevenção & controle , Serviços de Saúde Bucal/economia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Setor Privado , Setor Público , Procedimentos Cirúrgicos Operatórios/economia , Infecções por Coronavirus/virologia , Feminino , Humanos , Masculino , Equipamento de Proteção Individual , Projetos Piloto , Pneumonia Viral/virologia , Espanha , Inquéritos e Questionários , Fatores de Tempo
15.
BMC Public Health ; 20(1): 953, 2020 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-32552777

RESUMO

BACKGROUND: The utilisation of health services is determined by complex interactions. In this context, rural populations face greater barriers in accessing dental services than do urban populations, and they generally have poorer oral health status. The evaluation of the determinants of health services utilisation is important to support planning and management of dental services. The aim of this study was to evaluate the predictors of dental services utilisation of Brazilian adults living in rural and urban areas. METHODS: Data from 60,202 adults aged 18 years or older who took part in the Brazilian National Health Survey carried out in 2013 were analysed. Predisposing (age, sex, education, social networks), enabling financing (income, durable goods and household's crowding), enabling organisation (health insurance, registration in primary health care [PHC]) and need variables (eating difficulties, self-perceived tooth loss and self-perceived oral health) were selected based upon the Andersen behavioural model. Multi-group structural equation modeling assessed the direct and indirect associations of independent variables with non-utilisation of dental services and the interval since the last dental visit for individuals living in rural and urban areas. RESULTS: Adults living in urban areas were more likely to use dental services than those living in rural areas. Lower enabling financing, lower perceived dental needs and lack of PHC registration were directly associated with lower utilisation of dental services (non-utilisation, ß = - 0.36, ß = - 0.16, ß = - 0.03, respectively; and interval since last dental visit, ß = 1.25, ß = 0.82, ß = - 0.12, respectively). The enabling financing (non-utilisation, ßrural = - 0.02 [95%CI: - 0.03 to - 0.02], ßurban = 0.00 [95%CI: - 0.01 to 0.00]) and PHC registration (non-utilisation, ßrural = - 0.03 [95%CI: - 0.04 to - 0.02], ßurban = - 0.01 [95%CI, - 0.01 to - 0.01]) non-standardised total effects were stronger in rural areas. Enabling organisation (ß = 0.16) and social network (ß = - 2.59) latent variables showed a direct effect on the interval since last dental visit in urban areas. Education and social networks influenced utilisation of dental services through different pathways. Males showed less use of dental services in both urban and rural areas (non-utilisation, ßrural = - 0.07, ßurban = - 0.04; interval since last dental visit, ßrural = - 0.07, ßurban = - 0.07) and older adults have used dental services longer than younger ones, mainly in rural areas (ßrural = 0.26, ßurban = 0.17). CONCLUSION: Dental services utilisation was lower in rural areas in Brazil. The theoretical model was supported by empirical data and showed different relationships between the predictors in the two geographical contexts. In rural areas, financial aspects, education, primary care availability, sex and age were relevant factors for the utilisation of services.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
16.
J Pak Med Assoc ; 70(Suppl 3)(5): S113-S117, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32515391

RESUMO

Coronavirus disease (COVID-19) pandemic has rendered the world completely unaware and off-balance. Most of the countries of the world are in a lockdown of varying severity to break the chain of transmission. Many non-essential healthcare practices have been shut down to impose social distancing against a population whose slogan has been freedom of movement. Several healthcare providers have also been caught off guard. Many are not well-versed in the use of transmission-based safeguards, and the dental community, is no different. In this article, we identify the challenges faced by the oral and dental care providers, whose procedures generate a significant amount of aerosol, which can be a significant source of disease transmission within the community. It further describes the dynamics of aerosol spread and various strategies to minimise aerosol generation. Guidelines for the delivery of emergency dental treatment are formulated based on different guidelines from various international dental associations and organisations.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Serviços de Saúde Bucal , Pandemias , Pneumonia Viral , Atenção à Saúde , Humanos , Guias de Prática Clínica como Assunto
17.
PLoS One ; 15(6): e0233572, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32502156

RESUMO

EstomatoNet was created in the south of Brazil to provides specialist support over a web-based platform to primary care dentists for diagnosis of oral lesions. To evaluate the usability of EstomatoNet and to identify user perceptions regarding their expectations and difficulties with the system; and to compare the perceptions of regular users of the service to those of first-time users. Sixteen dentists were selected for the study: 8 were frequent users of EstomatoNet and 8 were residents who had never used the Platform. To assess usability, participants were required to request telediagnosis support for a fictional case provided by the research team. During the process of uploading the information and sending the request, users were asked to "think out loud," expressing their perceptions. The session was observed by an examiner with remote access to the user's screen (via Skype). After the simulation, users completed the System Usability Scale (SyUS), a validated tool with scores ranging from 0 to 100. The mean SyUS score assigned by frequent users was 84.7±6.6, vs. 82.2±9.3 for residents (satisfactory usability: score above 68). The difference between the groups was not statistically significant (Student t test, P = .55). The residents group took longer (347.1±101.1s) to complete the task than frequent users (252.8±80.3s); however, the difference between the groups was not statistically significant (Student t test, P = .06). In their subjective evaluation, users suggested the inclusion of a field to add further information on outcomes and resolution of the case and changes in the position of the "Send" button to improve workflow. The present results indicate satisfactory usability of EstomatoNet. The Platform seems to meet the needs of users regardless of how experienced they are; nevertheless, a few minor changes in some steps would improve the tool.


Assuntos
Serviços de Saúde Bucal , Doenças da Boca/diagnóstico , Mucosa Bucal/patologia , Telemedicina , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/patologia , Doenças da Boca/terapia , Comunicação por Videoconferência
18.
BMC Oral Health ; 20(1): 158, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32487152

RESUMO

BACKGROUND: As the strategies proposed for oral health improvement in developed countries are not adapted for developing ones, this study aimed to identify the challenges of oral health policy implementation in Iran as a low-income developing country. METHODS: This qualitative study was conducted in 2019 in Iran as a middle-eastern developing country. The study population consisted of experts who had experience in oral health and were willing to participate in the study. Snowball sampling was used to select 12 participants for semi-structured interviews and saturation was achieved after 16 interviews. Guba and Lincoln criteria including credibility, transferability, confirmability and dependability were used to determine reliability and transparency, and finally a five-step framework analysis method was used to analyze the data. RESULTS: The analysis of the interviews resulted in identification of 7 main themes that were categorized into 5 problems of policy implementation as proposed by the Matus framework. The main themes of executive and preventive challenges to implement oral health policies were categorized as organizational problems, the main themes of educational and resource challenges were situated as material problems, and the main themes of insurance, policy making and trusteeship challenges were considered as legal, policymaking and perspective. CONCLUSION: The implementation of oral health policies has faced some challenges. It seems that the national coverage of oral health and integration of these services in prevention and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health in Iran.


Assuntos
Serviços de Saúde Bucal/normas , Política de Saúde , Saúde Bucal , Formulação de Políticas , Serviços de Saúde Bucal/economia , Planejamento em Saúde , Humanos , Irã (Geográfico) , Pesquisa Qualitativa , Garantia da Qualidade dos Cuidados de Saúde , Reprodutibilidade dos Testes
19.
Artigo em Inglês | MEDLINE | ID: mdl-32414126

RESUMO

The aim of this pilot study was to describe the advantages of telemedicine (TM) in dental practice during the current national emergency condition due to the Covid-19 dissemination. At Department of Oral Surgery and Pathology-Magna Graecia University of Catanzaro, regional reference center for Covid-19-two groups of patients were determined: patients with urgent conditions (group U) and patients in follow-up (group F). Both groups were instructed to implement remote consultations using a messaging service (WhatsApp Messenger, WhatsApp Inc., Mountain View, California, USA) to send photos. A total of 418 photos were collected by 57 patients. Thirty-four photos were obtained by five patients in the U group after surgical procedures. All patients sent photos on the established evening, except for two patients who sent two photos outside the set days. In the F group, 384 photos were collected by 52 patients. None of them sent more photos than the number that was established by the protocol. Telemedicine allowed a monitoring of all patients, reducing costs and limiting human contact, decreasing the risk of Covid-19 dissemination.


Assuntos
Odontologia Comunitária , Infecções por Coronavirus , Serviços de Saúde Bucal/estatística & dados numéricos , Doenças da Boca/diagnóstico , Pandemias , Pneumonia Viral , Consulta Remota , Telemedicina , Adulto , Betacoronavirus , Coronavirus , Atenção à Saúde , Clínicas Odontológicas , Serviços de Saúde Bucal/organização & administração , Odontologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis , Projetos Piloto , Odontologia em Saúde Pública , Encaminhamento e Consulta , Adulto Jovem
20.
Exp Biol Med (Maywood) ; 245(11): 940-944, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32436748

RESUMO

IMPACT STATEMENT: Dentists have always been taught how to protect themselves and their patients from potential blood-borne pathogens, but the Coronavirus pandemic has brought a new unprecedented challenge to the world of dentistry; we therefore reviewed the literature to provide suggestions on how to accordingly change dental practice prevention.


Assuntos
Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Odontologia/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Gestão de Riscos/métodos , Betacoronavirus , Assistentes de Odontologia , Serviços de Saúde Bucal , Higienistas Dentários , Odontólogos , Humanos , Triagem/métodos
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