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1.
Braz Oral Res ; 34: e011, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32130361

RESUMO

Telehealth has been applied in the Unified Health System (SUS) as a tool for qualifying professionals and improving the healthcare provided to the population served by the system. The aim of the present study was to evaluate the impact of teleconsultations on the qualifications of the clinical approach of the oral health teams involved in primary health care (PHC) in the state of Rio Grande do Sul under the Telehealth Brazil Networks Programme. The sample population of the study was composed of 285 dentists and 132 oral health assistants belonging to the Family Health Teams. A chi-square test was used to investigate possible associations between the absolute number of teleconsultations performed and several independent variables, namely, gender, age, dental specialty, time since graduation, time working in the Family Health Strategy (FHS), employment status, type of training institution, familiarity with information technology, and work satisfaction at the health facility. The level of significance was p < 0.05. Use of the oral health teleconsultation service led to a reduction of more than 45% in the number of referrals to other levels of care. However, no significant association was found between the number of teleconsultations and the independent variables analysed. The use of teleconsultations proved to be a powerful tool for professional training, for increasing the effectiveness of PHC, and for improving the oral healthcare provided.


Assuntos
Recursos Humanos em Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Adulto , Brasil , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Serviços de Saúde Bucal/normas , Recursos Humanos em Odontologia/educação , Odontólogos/educação , Educação a Distância/métodos , Educação a Distância/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Bucal , Atenção Primária à Saúde/métodos , Valores de Referência , Inquéritos e Questionários , Telemedicina/métodos , Fatores de Tempo
2.
Worldviews Evid Based Nurs ; 16(5): 408-415, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31544360

RESUMO

PURPOSE: The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL and OHIP. METHODS: This cross-sectional study was conducted and planned for dental patients in Turkey. OHRQOL-United Kingdom (OHRQOL-UK) and OHIP-14 were used for data collection. Descriptive statistics, correlation analysis, student t-tests, and ANOVA were used for data analyses. RESULTS: Of 527 respondents, 62.8% were female, and 37.2% were male. One-hundred-forty-one (26.8%) participants were illiterate. Three-hundred-fifty-four (67.20%) dental patients had an elementary school degree. Only 32 (6.10%) participants graduated from college and bachelor programs. For dimensions of the OHIP-14 and OHRQOL-UK, we detected statistically significant differences in personal characteristics. We found that gender, marital status, age, education status, and reasons for coming to the hospital have a significant impact on OHRQOL and OHIP. LINKING EVIDENCE TO ACTION: These results are expected to provide important evidence-based information to health managers and decision-makers in health planning and reimbursement policies. Clinicians and health managers should use OHIP, quality of life (QOL), and evidence-based practice to determine individual treatments and approaches to improve oral health. QOL is an outcome indicator in healthcare services and evidence-based practice. Measurements of evidence-based health outcomes in national health systems can be made, and global comparisons and policies in oral and dental health can be developed.


Assuntos
Prática Clínica Baseada em Evidências/normas , Resultado do Tratamento , Adulto , Estudos Transversais , Serviços de Saúde Bucal/organização & administração , Serviços de Saúde Bucal/normas , Serviços de Saúde Bucal/estatística & dados numéricos , Prática Clínica Baseada em Evidências/métodos , Prática Clínica Baseada em Evidências/estatística & dados numéricos , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Inquéritos e Questionários , Turquia
3.
Cien Saude Colet ; 24(5): 1809-1820, 2019 May 30.
Artigo em Português | MEDLINE | ID: mdl-31166514

RESUMO

Ensuring access to dental care services requires the development of healthsurveillance practices to ensure comprehensive health care. The objective of this study was toinvestigate the association between social and economic indicators of Brazilian municipalities, work process characteristics, and performance of a list of curative dental procedures by oral health teams. It involved an exploratory, cross-sectional study withmulticenter data collection from 11,374 oral health teams assessed by the National Program for Improvement of Access to and Quality of Primary Healthcare. Multilevel Poisson regression was used to obtain the prevalence of curative dental procedures, which was 69.51%. The social/economic and work variables that remained associated with the outcome included municipalities in which the proportion of primary care-sensitive admissions was below 28% and that of tooth extractions below 8%; and oral health teams classified as type II (including oral health assistant and technician) that had different materials available and better work processes. This multilevel analysis, which took into consideration the performance of curative dental care in Brazil, reveals a worrying oral healthcare scenario.


Assuntos
Assistência Odontológica/organização & administração , Serviços de Saúde Bucal/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Atenção Primária à Saúde/organização & administração , Brasil , Assistência Integral à Saúde/organização & administração , Estudos Transversais , Serviços de Saúde Bucal/normas , Acesso aos Serviços de Saúde , Humanos , Programas Nacionais de Saúde/organização & administração , Saúde Bucal , Atenção Primária à Saúde/normas , Qualidade da Assistência à Saúde
4.
Hawaii J Med Public Health ; 77(9): 220-225, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30221076

RESUMO

The Kona WIC oral health pilot project was developed to assess the oral health beliefs and behaviors of parents of children and pregnant women at the Kona WIC site and to demonstrate the ease of providing oral health education to families in order to improve oral health behaviors. Data were collected from 50 families about the oral health behaviors and dental care of a total of 73 children, including 5 pregnant women, four of whom had a child enrolled in WIC and one pregnant woman without any previous children. Data revealed that 68% of children with teeth had been seen by a dentist within 6 to 12 months of the study visit. Mothers were seen less often, with 55% stating that they had not been seen for a dental visit for over one year. Parental knowledge about the effects of fluoride on teeth was limited; however, 90% of the parents would allow fluoride varnish applied to their child's teeth, 88% would give daily fluoride drops/tablets to their child, and 78% would support water fluoridation if it would help to improve their children's oral health. Additionally, for children old enough to receive fluoride supplementation, 60% were not given a prescription by their health care providers, and 58% had not received any fluoride varnish applications. By offering oral health education in a WIC clinic and assisting clients to seek out comprehensive care within a dental home, children and caregivers can be provided essential education and resources early in a child's life or women's pregnancies to reduce poor oral health outcomes.


Assuntos
Serviços de Saúde Bucal/normas , Educação de Pós-Graduação em Odontologia/normas , Saúde Bucal/normas , Adolescente , Adulto , Criança , Pré-Escolar , Serviços de Saúde Bucal/estatística & dados numéricos , Educação de Pós-Graduação em Odontologia/métodos , Feminino , Assistência Alimentar/estatística & dados numéricos , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Saúde Bucal/educação , Projetos Piloto , Gravidez
5.
Br Dent J ; 225(3): 257-262, 2018 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-30072785

RESUMO

A collaborative health workforce is required to respond to the increasing demands on healthcare resources. Various national and international bodies are promoting interprofessional education (IPE) as a method to provide this collaborative health workforce. IPE is therefore becoming increasingly prominent within healthcare training and will be an essential aspect of dental education. A literature search was completed to provide this narrative review which will introduce IPE, discuss the rationale for IPE within dentistry and the challenges faced. Based on current literature, it will provide practical advice on how to implement an effective IPE learning activity within dentistry.


Assuntos
Educação em Odontologia/métodos , Relações Interprofissionais , Treinamento por Simulação , Currículo , Serviços de Saúde Bucal/normas , Humanos , Melhoria de Qualidade
7.
Sud Med Ekspert ; 61(3): 44-48, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29863720

RESUMO

The objective of the present study was to elucidate the characteristic features and peculiarities in the dynamic of the civil legal proceedings concerning the quality of the stomatological aid to the population of the Russian Federation during the period from 1993 to 2017. We have undertaken the analysis of the official sources containing the court reports on the statements of claim launched by the patients. The study gave evidence of the currently well apparent sustained tendency toward the increase in the number of such civil lawsuits. The probabilities of legal proceedings in connection with the unfavourable outcomes of the dental treatment are roughly identical in all areas of the stomatological practice. The maximum number of the respective civil lawsuits arise from the claims of the patients against the dental surgeons employed by the healthcare settings designated as the limited liability companies. The majority of the statements of case coming from the patients contain the demanding financial claims for the compensation of the moral damage. It is concluded that the aforementioned tendencies in the strategy of the development of the stomatological aid for the population of the Russian Federation dictate the necessity of the priority development of the quality standards (including the clinical guidelines, protocols, etc.) designed to improve the medical assistance for the patients presenting with dental problems, the modernization of the validated methods for the evaluation of the effectiveness of the stomatological aid for the population, the implementation of the measures needed to introduce the mechanisms of professional liability insurance into the routine stomatological practice. These measures are believed to allow to meet the demand of the population of this country for the high-quality stomatological services.


Assuntos
Serviços de Saúde Bucal , Responsabilidade Legal , Má Conduta Profissional , Serviços de Saúde Bucal/legislação & jurisprudência , Serviços de Saúde Bucal/normas , Humanos , Má Conduta Profissional/legislação & jurisprudência , Má Conduta Profissional/estatística & dados numéricos , Melhoria de Qualidade , Federação Russa
8.
Work ; 59(1): 131-139, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29355132

RESUMO

BACKGROUND: Motion analysis has great potential for quantitatively evaluating dental operator posture and the impact of interventions such as magnification loupes on posture and subsequent development of musculoskeletal disorders. OBJECTIVE: This study sought to determine the feasibility of motion capture technology for measurement of dental operator posture and examine the impact that different styles of magnification loupes had on dental operator posture. METHODS: Forward and lateral head flexion were measured for two different operators while completing a periodontal probing procedure. Each was measured while wearing magnification loupes (flip up-FL and through the lens-TTL) and basic safety lenses. RESULTS: Operators both exhibited reduced forward flexion range of motion (ROM) when using loupes (TTL or FL) compared to a baseline lens (BL). In contrast to forward flexion, no consistent trends were observed for lateral flexion between subjects. CONCLUSIONS: The researchers can report that it is possible to measure dental operator posture using motion capture technology. More study is needed to determine which type of magnification loupes (FL or TTL) are superior in improving dental operator posture. Some evidence was found supporting that the quality of operator posture may more likely be related to the use of magnification loupes, rather than the specific type of lenses worn.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Exposição Ocupacional/efeitos adversos , Postura/fisiologia , Adulto , Serviços de Saúde Bucal/normas , Ergonomia/normas , Óculos/normas , Feminino , Humanos , Lentes/normas , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/complicações , Doenças Musculoesqueléticas/etiologia , Amplitude de Movimento Articular/fisiologia , Recursos Humanos
9.
Acta Odontol Scand ; 76(2): 125-129, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29032718

RESUMO

OBJECTIVE: A trend towards the state governance of healthcare through quality indicators and national clinical guidelines has been observed, and it is argued that this trend can be a challenge to the autonomy of healthcare professionals. In Sweden, these regulatory tools have been implemented in combination with subsidies for adult dental care that are based on guideline recommendations which serve to ensure that dental care is evidence-based and cost-effective. This paper aims to analyse the implications of these changes regarding dentists' autonomy and whether the government's political intentions can be fulfilled. MATERIAL AND METHODS: The paper is based on documents from government authorities and professional theories. RESULTS: The financial control over Swedish dental care has been strengthened, and it can be argued that this is a step in the right direction from a societal point of view, as public resources are limited. Dentists' professional autonomy with their patients is not affected, which is appropriate, as patients should be treated according to their individual needs and expectations. CONCLUSIONS: This article shows that the state's governance does not directly detail dentists' work, which indicates a balance between state governance and dentists' autonomy. However, further research is required to get knowledge on Swedish dentists' view of the governance.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica/organização & administração , Serviços de Saúde Bucal/organização & administração , Satisfação no Emprego , Adulto , Assistência Odontológica/normas , Serviços de Saúde Bucal/normas , Odontólogos , Feminino , Odontologia Geral/organização & administração , Odontologia Geral/normas , Humanos , Masculino , Suécia
10.
J Infect Dev Ctries ; 12(10): 864-870, 2018 10 31.
Artigo em Inglês | MEDLINE | ID: mdl-32004155

RESUMO

INTRODUCTION: In Georgia limited data exists about awareness of blood borne-diseases among dental health care workers (DHCW). METHODOLOGY: To assess DHCW knowledge, attitudes and practices related to infection control practice guidelines designed to limit transmission of blood-borne diseases, a cross-sectional study was conducted. All respondents were asked to voluntarily complete a self-administered questionnaire. Doctors of Dental Medicine, nurses, and dental residents were recruited from 13 private and governmental dental units in three large Georgian cities: Tbilisi (the capital city), Batumi (Western Georgia) and Rustavi (Eastern Georgia). RESULTS: Of 244 DHCWs recruited, 196 (80%) agreed to participate. Nearly 42% DHCWs did not know the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) in Georgia. Knowledge about risk factors for transmission of human immunodeficiency virus (HIV), HCV and HBV was low; correct response proportions among all DHCWs were 45.3%, 37.9% and 34.2% for these pathogens, respectively. The 59.7% of DHCWs were uninformed about post-exposure prophylaxis for HIV. Only 37.3% reported being well informed on infection control guidelines. Nearly all (95.6%) DHCWs expressed interest in receiving additional education on occupational transmission of blood-borne pathogens. CONCLUSIONS: Overall, the study suggests DHCWs are aware they have insufficient knowledge of universal precautions. There is a need for developing a continuous education program that is accessible to practicing DHCWs.


Assuntos
Atitude do Pessoal de Saúde , Patógenos Transmitidos pelo Sangue , Competência Clínica/estatística & dados numéricos , Serviços de Saúde Bucal/normas , Pessoal de Saúde/estatística & dados numéricos , Controle de Infecções/normas , Precauções Universais , Adulto , Estudos Transversais , Feminino , República da Geórgia , Pesquisas sobre Serviços de Saúde , Pessoal de Saúde/normas , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto
11.
PLoS One ; 12(11): e0187993, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29145438

RESUMO

OBJECTIVE: To assess factors associated with patients' satisfaction with the treatment by dentists in primary health care (PHC) in Brazil. MATERIALS AND METHODS: The dataset was part of a nationwide cross-sectional survey for evaluating PHC teams conducted by the Brazilian Ministry of Health. Patients from each of 16,202 oral health teams were interviewed. In addition to sociodemographic information, the questionnaire included information about patient experience domains: access and booking of dental appointments, bonding and accountability, welcoming of the patient, and their perception of dental facilities. STATISTICAL ANALYSIS: The dependent variable was the answer to the question 'From 0 to 10, how would you grade your satisfaction with treatment received from the dentist?' Negative binomial regression models were used to estimate the unadjusted and adjusted rate ratios and corresponding 95% confidence interval. RESULTS: The mean patient satisfaction was 9.4 (±2.3). Higher patient satisfaction with PHC was associated with lower education and the patient's perception of the clinic conditions. Moreover, higher satisfaction was associated with positive reception and hospitality, enough time for treatment, and instructions that met patients' needs. Lower satisfaction with PHC was associated with patients who have jobs compared to those who do not work. CONCLUSION: Patient satisfaction is increased with friendly and understanding PHC staff. Moreover, meeting patient expectations by taking time to understand the needs and giving the right instructions is associated with higher satisfaction.


Assuntos
Serviços de Saúde Bucal/normas , Satisfação do Paciente , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde/normas
12.
Cien Saude Colet ; 22(5): 1601-1613, 2017 May.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28538930

RESUMO

This study aimed to identify factors associated with dissatisfaction with dental services among adults. It analyzed 830 adult participants of an epidemiological survey of oral health. The dependent variable was dissatisfaction with the dental service, and the independent ones were selected according to the theoretical model set forth by Andersen and Davidson (1997). Estimates were corrected by the sample design effect, and Binary Logistic Regression was carried out. It was found that about 11% of adults were dissatisfied with the dental service. In the final model, dissatisfaction with dental services was lower among older adults (OR = 0.559) and among smokers (OR = 0.332). On the other hand, it was higher among adults who self-perceived their chewing as negative (OR = 2,804), who self-perceived some discomfort in the mouth and head and neck region (OR = 2.065), and among those who did not have access to information on how to avoid oral problems (OR = 3.020). Therefore, the services need to access the perceptions and expectations expressed by users, and provide information in appropriate quantity and quality, in the context of "health literacy" in order to achieve greater satisfaction among its users.


Assuntos
Assistência Odontológica/normas , Serviços de Saúde Bucal/normas , Saúde Bucal/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Adulto , Fatores Etários , Atitude Frente a Saúde , Estudos Transversais , Feminino , Letramento em Saúde , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Autoimagem , Fumantes/estatística & dados numéricos , Inquéritos e Questionários
13.
Ciênc. saúde coletiva ; 22(5): 1601-1613, maio 2017. tab
Artigo em Português | LILACS | ID: biblio-839965

RESUMO

Resumo Objetivou-se identificar fatores associados à insatisfação com os serviços odontológicos utilizados entre adultos. Foram analisados os dados de 830 adultos participantes de um levantamento epidemiológico em saúde bucal. A variável dependente foi insatisfação com o serviço odontológico e as independentes foram reunidas conforme modelo teórico de Andersen e Davidson. As estimativas foram corrigidas pelo efeito de desenho amostral e foi conduzida Regressão Logística Binária. Cerca de 11% dos adultos encontravam-se insatisfeitos com o serviço odontológico utilizado. No modelo final, a insatisfação com os serviços odontológicos foi menor entre os adultos mais velhos (OR = 0,559) e entre os fumantes (OR = 0,332). Por outro lado, foi maior entre adultos que autopercebiam sua mastigação negativamente (OR = 2,804), que autopercebiam algum incômodo na região da boca, cabeça e pescoço (OR = 2,065) e que não tiveram acesso à informação sobre como evitar problemas bucais (OR = 3,020). Assim, os serviços precisam acessar as percepções e as expectativas manifestadas pelos usuários, além de prover informações em quantidade e qualidade adequadas, no contexto da “alfabetização em saúde”, a fim de se alcançar maior satisfação entre seus usuários.


Abstract This study aimed to identify factors associated with dissatisfaction with dental services among adults. It analyzed 830 adult participants of an epidemiological survey of oral health. The dependent variable was dissatisfaction with the dental service, and the independent ones were selected according to the theoretical model set forth by Andersen and Davidson (1997). Estimates were corrected by the sample design effect, and Binary Logistic Regression was carried out. It was found that about 11% of adults were dissatisfied with the dental service. In the final model, dissatisfaction with dental services was lower among older adults (OR = 0.559) and among smokers (OR = 0.332). On the other hand, it was higher among adults who self-perceived their chewing as negative (OR = 2,804), who self-perceived some discomfort in the mouth and head and neck region (OR = 2.065), and among those who did not have access to information on how to avoid oral problems (OR = 3.020). Therefore, the services need to access the perceptions and expectations expressed by users, and provide information in appropriate quantity and quality, in the context of “health literacy” in order to achieve greater satisfaction among its users.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Assistência Odontológica/normas , Serviços de Saúde Bucal/normas , Saúde Bucal/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Fatores Etários , Atitude Frente a Saúde , Estudos Transversais , Letramento em Saúde , Modelos Logísticos , Modelos Teóricos , Autoimagem , Fumantes/estatística & dados numéricos , Inquéritos e Questionários
14.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3112, 13/01/2017. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914469

RESUMO

Objective: To verify user satisfaction with the public oral health services in its different dimensions of care and relate them to the socioeconomic and demographic conditions. Material and Methods: Cross-sectional survey, developed with users interviewed of the public oral health services under the Primary Health Care of a Brazilian city (n=461). The associations of satisfaction with the socioeconomic and demographic conditions were analyzed using the chi-square test. Questions concerning satisfaction with the service were grouped into five domains - 'physical structure', 'relation and communication', 'information and support', 'health care' and 'organization of services' - analyzed using the Kruskal-Wallis Test. Results: Elderly individuals with low education and male, tended to be more satisfied with the services. The users reported being satisfied with the service, that were unhappy, referred to the time and the form to schedule a consultation, the time expected to be attended and the resolving capacity of oral health problems, as the causes. The overall satisfaction index was 0.8. The top rated domains were 'physical structure' (0.9) and 'relation and communication' (0.85). The 'service organization' domain received the worst evaluation (0.71) and when compared to the others domain presenting a significant difference. The 'physical structure' domain was significantly highlighted from the domains of 'oral health care' (0.78) and 'information and support' (0.78). The 'relation and communication' domain, also significantly excelled over the areas of 'oral health care'. Conclusion: The users rated the aspects of health care in a very positive way. The areas of highest user satisfaction were 'physical structure' and 'relation and communication'. However, the need for directing production processes in health became evident, especially regarding the organization of services, the domain with the worst rating.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Serviços de Saúde Bucal/normas , Pesquisa sobre Serviços de Saúde/métodos , Satisfação do Paciente , Atenção Primária à Saúde/métodos , Fatores Socioeconômicos , Brasil , Distribuição de Qui-Quadrado , Estudos Transversais/métodos , Saúde Bucal , Estatísticas não Paramétricas , Inquéritos e Questionários
15.
Aust Dent J ; 62(1): 84-94, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27377961

RESUMO

BACKGROUND: Robust oral health epidemiological information for Aboriginal and Torres Strait Islander adults is scant. Set within a large urban population, this study describes self-reported oral health behaviours, status and impact assessed through computerized health checks (HC), stratified by age groups and sex, and identifies associations with dental appearance satisfaction. METHODS: This was a cross-sectional study of Aboriginal and Torres Strait Islander adults (aged ≥20 years) attending the Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care between 1 January 2014 and 31 December 2015 who had HC and provided research consent. RESULTS: There were 945 patients, 466 (49.3%) female, with an average age of 41.3 years (range, 20-82). Overall, 97.3% owned a toothbrush and 56.2% brushed two or more times/day. Despite self-reporting a significant oral health burden, only 28.8% visited a dentist within 12 months, mostly due to problems (84.3%). Surprisingly, only 28.4% reported dental appearance dissatisfaction, likely a result of community normalization whereby people are resigned to poor oral health. CONCLUSIONS: Under-utilization of dental services remains problematic for Aboriginal and Torres Strait Islander adults. To close the oral heath gap, culturally appropriate, acceptable and safe integrated primary health systems, with co-located dental services, demand consideration.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal , Aceitação pelo Paciente de Cuidados de Saúde , Doenças Dentárias/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Serviços de Saúde Bucal/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Grupo com Ancestrais Oceânicos , Grupos Populacionais , Queensland/epidemiologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Doenças Dentárias/etnologia , Doenças Dentárias/prevenção & controle , Adulto Jovem
16.
Aust Dent J ; 62(1): 6-13, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27164018

RESUMO

BACKGROUND: People with mental health disorders are reported to have poorer access to dental services and poorer oral health outcomes. The aim of this paper is to analyze current published work regarding barriers and enablers for oral health outcomes and access to dental care for adults with mental health disorders which will be addressed from individual, organizational and systemic perspectives METHODS: A narrative review based on a search of the relevant published work regarding oral health for people with mental health disorders was undertaken using Medline, Web of Science, ERIC and Psychlit. Any relevant systematic reviews were highlighted in this process along with primary studies. RESULTS: The published work repeatedly verified poorer oral health and inadequate access to dental services in people with mental health disorders. The published work identified barriers at individual, organizational and systemic levels. Much of the published work focused on barriers with less focus on enablers and interventions. CONCLUSIONS: Considerable investigation of barriers had not elucidated options to improve care or outcomes.


Assuntos
Serviços de Saúde Bucal/normas , Acesso aos Serviços de Saúde , Transtornos Mentais , Saúde Bucal , Austrália , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Global , Humanos
18.
Artigo em Russo | MEDLINE | ID: mdl-29553624

RESUMO

The article presents the results of complex study of state of teeth and organs of oral cavity and also quality of life of adult population of the Northern territories. The relation ship is established between state of teeth and organs of oral cavity and quality of life ofpopulation, the most expressed in individuals of youth age. The results of analysis of opinion of population are presented related to issues of organization of stomatological care and also data of expertise, SWOT-analysis combined with expertise values used as basis for development of system of measures concerning its optimization. Five main blocks were singled out: methodology of evaluation of stomatological health of population and organization of stomatological care; normative legal support, including adapted standard of stomatological care rendering; provision of accessibility of stomatological care at the expense of functional alterations of actual system; development of healthy live-style through program of prevention of stomatological diseases in adult population considering regional characteristics; system of training and re-training of manpower.


Assuntos
Assistência à Saúde , Assistência Odontológica/organização & administração , Serviços de Saúde Bucal/normas , Acesso aos Serviços de Saúde/normas , Qualidade de Vida , Adulto , Assistência à Saúde/métodos , Assistência à Saúde/organização & administração , Humanos , Melhoria de Qualidade , Federação Russa
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