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Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil

This cross-sectional analytical study assessed the frequency of avoided referrals of primary care to other care levels by dental teleconsulting and its association with individual and contextual variables using a multilevel approach. It appraised asynchronous dental teleconsulting sessions from the...

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Autores principales: Paixão, Lígia C., Abreu, Mauro Henrique N. G., Ribeiro-Sobrinho, Antônio P., Martins, Renata C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049715/
https://www.ncbi.nlm.nih.gov/pubmed/36982011
http://dx.doi.org/10.3390/ijerph20065104
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author Paixão, Lígia C.
Abreu, Mauro Henrique N. G.
Ribeiro-Sobrinho, Antônio P.
Martins, Renata C.
author_facet Paixão, Lígia C.
Abreu, Mauro Henrique N. G.
Ribeiro-Sobrinho, Antônio P.
Martins, Renata C.
author_sort Paixão, Lígia C.
collection PubMed
description This cross-sectional analytical study assessed the frequency of avoided referrals of primary care to other care levels by dental teleconsulting and its association with individual and contextual variables using a multilevel approach. It appraised asynchronous dental teleconsulting sessions from the secondary database of the Monitoring and Evaluation System of the Telehealth Results during 2020, during the COVID-19 pandemic. The outcome was “whether referral to secondary care was avoided”. Individual variables were related to teleconsulting and professionals that requested it: sex, dental specialty, and dentistry field. Contextual variables were related to each municipality that requested responses: Municipal Human Development Index, oral health teams (OHTs) in primary health care coverage, dental specialty centers coverage, illiteracy rate, Gini index, longevity, and per capita income. A descriptive analysis was made using the Statistical Package for the Social Sciences. Hierarchical Linear and Nonlinear Modeling software was used to perform multilevel analyses to assess the association of individual and contextual variables with avoiding patient referral to other care levels. Most teleconsulting sessions avoided patient referral to other care levels (65.1%). Contextual variables explained 44.23% of the variance in the outcome. Female dentists were more likely to avoid patient referrals than male dentists (OR = 1.74; CI = 0.99–3.44; p = 0.055). In addition, an increase of one percentage point in OHT/PHC coverage of municipalities increased the likelihood of avoiding patient referral by 1% (OR = 1.01; CI = 1.00–1.02; p = 0.02). Teleconsulting sessions efficiently avoided patient referral to other care levels. Both contextual and individual factors were associated with avoided referrals by teleconsulting sessions.
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spelling pubmed-100497152023-03-29 Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil Paixão, Lígia C. Abreu, Mauro Henrique N. G. Ribeiro-Sobrinho, Antônio P. Martins, Renata C. Int J Environ Res Public Health Brief Report This cross-sectional analytical study assessed the frequency of avoided referrals of primary care to other care levels by dental teleconsulting and its association with individual and contextual variables using a multilevel approach. It appraised asynchronous dental teleconsulting sessions from the secondary database of the Monitoring and Evaluation System of the Telehealth Results during 2020, during the COVID-19 pandemic. The outcome was “whether referral to secondary care was avoided”. Individual variables were related to teleconsulting and professionals that requested it: sex, dental specialty, and dentistry field. Contextual variables were related to each municipality that requested responses: Municipal Human Development Index, oral health teams (OHTs) in primary health care coverage, dental specialty centers coverage, illiteracy rate, Gini index, longevity, and per capita income. A descriptive analysis was made using the Statistical Package for the Social Sciences. Hierarchical Linear and Nonlinear Modeling software was used to perform multilevel analyses to assess the association of individual and contextual variables with avoiding patient referral to other care levels. Most teleconsulting sessions avoided patient referral to other care levels (65.1%). Contextual variables explained 44.23% of the variance in the outcome. Female dentists were more likely to avoid patient referrals than male dentists (OR = 1.74; CI = 0.99–3.44; p = 0.055). In addition, an increase of one percentage point in OHT/PHC coverage of municipalities increased the likelihood of avoiding patient referral by 1% (OR = 1.01; CI = 1.00–1.02; p = 0.02). Teleconsulting sessions efficiently avoided patient referral to other care levels. Both contextual and individual factors were associated with avoided referrals by teleconsulting sessions. MDPI 2023-03-14 /pmc/articles/PMC10049715/ /pubmed/36982011 http://dx.doi.org/10.3390/ijerph20065104 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Paixão, Lígia C.
Abreu, Mauro Henrique N. G.
Ribeiro-Sobrinho, Antônio P.
Martins, Renata C.
Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title_full Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title_fullStr Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title_full_unstemmed Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title_short Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil
title_sort factors associated with avoiding referrals by dental teleconsulting sessions in brazil
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049715/
https://www.ncbi.nlm.nih.gov/pubmed/36982011
http://dx.doi.org/10.3390/ijerph20065104
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