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Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil

This cross-sectional study evaluated the relationship between primary and secondary oral health care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care were used. Dentists from 12,403 oral health teams (OHTs) answered a structured questionnai...

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Autores principales: Martins, Renata Castro, dos Reis, Clarice Magalhães Rodrigues, da Matta Machado, Antonio Thomaz Gonzaga, do Amaral, João Henrique Lara, Werneck, Marcos Azeredo Furquim, de Abreu, Mauro Henrique Nogueira Guimarães
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068770/
https://www.ncbi.nlm.nih.gov/pubmed/27755603
http://dx.doi.org/10.1371/journal.pone.0164986
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author Martins, Renata Castro
dos Reis, Clarice Magalhães Rodrigues
da Matta Machado, Antonio Thomaz Gonzaga
do Amaral, João Henrique Lara
Werneck, Marcos Azeredo Furquim
de Abreu, Mauro Henrique Nogueira Guimarães
author_facet Martins, Renata Castro
dos Reis, Clarice Magalhães Rodrigues
da Matta Machado, Antonio Thomaz Gonzaga
do Amaral, João Henrique Lara
Werneck, Marcos Azeredo Furquim
de Abreu, Mauro Henrique Nogueira Guimarães
author_sort Martins, Renata Castro
collection PubMed
description This cross-sectional study evaluated the relationship between primary and secondary oral health care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care were used. Dentists from 12,403 oral health teams (OHTs) answered a structured questionnaire in 2012. The data were analyzed descriptively and by cluster analysis. Of the 12,387 (99.9%) OHTs that answered all the questions, 62.2% reported the existence of Dental Specialties Centers (DSCs) to which they could refer patients. The specialties with the highest frequencies were endodontics (68.4%), minor oral surgery (65.8%), periodontics (63.0%), radiology (46.8%), oral medicine (40.2%), orthodontics (20.5%) and implantology (6.2%). In all percentiles, the shortest wait time for secondary care was for radiology, followed by oral medicine and the other specialties. In the 50th percentile, the wait for endodontics, periodontics, minor oral surgery and orthodontics was 30 days, while for implantology, the wait was 60 days. Finally, in the 75th percentile, the wait for endodontics, orthodontics and implantology was 90 days or more. Two clusters, with different frequencies of OHT access to specialties, were identified. Cluster 1 (n = 7,913) included the OHTs with lower frequencies in all specialties except orthodontics and implantology compared with Cluster 2 (n = 4,474). Of the Brazilian regions, the South and Southeast regions had the highest frequencies for Cluster 2, with better rates for the relationship between primary and secondary care. This study suggests certain difficulties in the relationship between primary and secondary care in specific specialties in oral health, with a great number of OHTs with limited access to DSCs, in addition to different performance in terms of OHT access to DSCs across Brazilian regions.
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spelling pubmed-50687702016-10-27 Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil Martins, Renata Castro dos Reis, Clarice Magalhães Rodrigues da Matta Machado, Antonio Thomaz Gonzaga do Amaral, João Henrique Lara Werneck, Marcos Azeredo Furquim de Abreu, Mauro Henrique Nogueira Guimarães PLoS One Research Article This cross-sectional study evaluated the relationship between primary and secondary oral health care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care were used. Dentists from 12,403 oral health teams (OHTs) answered a structured questionnaire in 2012. The data were analyzed descriptively and by cluster analysis. Of the 12,387 (99.9%) OHTs that answered all the questions, 62.2% reported the existence of Dental Specialties Centers (DSCs) to which they could refer patients. The specialties with the highest frequencies were endodontics (68.4%), minor oral surgery (65.8%), periodontics (63.0%), radiology (46.8%), oral medicine (40.2%), orthodontics (20.5%) and implantology (6.2%). In all percentiles, the shortest wait time for secondary care was for radiology, followed by oral medicine and the other specialties. In the 50th percentile, the wait for endodontics, periodontics, minor oral surgery and orthodontics was 30 days, while for implantology, the wait was 60 days. Finally, in the 75th percentile, the wait for endodontics, orthodontics and implantology was 90 days or more. Two clusters, with different frequencies of OHT access to specialties, were identified. Cluster 1 (n = 7,913) included the OHTs with lower frequencies in all specialties except orthodontics and implantology compared with Cluster 2 (n = 4,474). Of the Brazilian regions, the South and Southeast regions had the highest frequencies for Cluster 2, with better rates for the relationship between primary and secondary care. This study suggests certain difficulties in the relationship between primary and secondary care in specific specialties in oral health, with a great number of OHTs with limited access to DSCs, in addition to different performance in terms of OHT access to DSCs across Brazilian regions. Public Library of Science 2016-10-18 /pmc/articles/PMC5068770/ /pubmed/27755603 http://dx.doi.org/10.1371/journal.pone.0164986 Text en © 2016 Martins et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Martins, Renata Castro
dos Reis, Clarice Magalhães Rodrigues
da Matta Machado, Antonio Thomaz Gonzaga
do Amaral, João Henrique Lara
Werneck, Marcos Azeredo Furquim
de Abreu, Mauro Henrique Nogueira Guimarães
Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title_full Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title_fullStr Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title_full_unstemmed Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title_short Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil
title_sort relationship between primary and secondary dental care in public health services in brazil
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068770/
https://www.ncbi.nlm.nih.gov/pubmed/27755603
http://dx.doi.org/10.1371/journal.pone.0164986
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