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Dental care for early childhood in Brazil: from the public policy to evidence

OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health tea...

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Autores principales: Essvein, Gustavo, Baumgarten, Alexandre, Rech, Rafaela Soares, Hilgert, Juliana Balbinot, Neves, Matheus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390662/
https://www.ncbi.nlm.nih.gov/pubmed/30726496
http://dx.doi.org/10.11606/S1518-8787.2019053000540
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author Essvein, Gustavo
Baumgarten, Alexandre
Rech, Rafaela Soares
Hilgert, Juliana Balbinot
Neves, Matheus
author_facet Essvein, Gustavo
Baumgarten, Alexandre
Rech, Rafaela Soares
Hilgert, Juliana Balbinot
Neves, Matheus
author_sort Essvein, Gustavo
collection PubMed
description OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.
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spelling pubmed-63906622019-03-01 Dental care for early childhood in Brazil: from the public policy to evidence Essvein, Gustavo Baumgarten, Alexandre Rech, Rafaela Soares Hilgert, Juliana Balbinot Neves, Matheus Rev Saude Publica Original Article OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons. Faculdade de Saúde Pública da Universidade de São Paulo 2019-01-18 /pmc/articles/PMC6390662/ /pubmed/30726496 http://dx.doi.org/10.11606/S1518-8787.2019053000540 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Essvein, Gustavo
Baumgarten, Alexandre
Rech, Rafaela Soares
Hilgert, Juliana Balbinot
Neves, Matheus
Dental care for early childhood in Brazil: from the public policy to evidence
title Dental care for early childhood in Brazil: from the public policy to evidence
title_full Dental care for early childhood in Brazil: from the public policy to evidence
title_fullStr Dental care for early childhood in Brazil: from the public policy to evidence
title_full_unstemmed Dental care for early childhood in Brazil: from the public policy to evidence
title_short Dental care for early childhood in Brazil: from the public policy to evidence
title_sort dental care for early childhood in brazil: from the public policy to evidence
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390662/
https://www.ncbi.nlm.nih.gov/pubmed/30726496
http://dx.doi.org/10.11606/S1518-8787.2019053000540
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