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The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-...

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Autores principales: Cunha, Maria Aparecida, Vettore, Mario Vianna, dos Santos, Thiago Resende, Matta-Machado, Antônio Thomaz, Lucas, Simone Dutra, Abreu, Mauro Henrique Nogueira Guimarães
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084312/
https://www.ncbi.nlm.nih.gov/pubmed/32138364
http://dx.doi.org/10.3390/ijerph17051646
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author Cunha, Maria Aparecida
Vettore, Mario Vianna
dos Santos, Thiago Resende
Matta-Machado, Antônio Thomaz
Lucas, Simone Dutra
Abreu, Mauro Henrique Nogueira Guimarães
author_facet Cunha, Maria Aparecida
Vettore, Mario Vianna
dos Santos, Thiago Resende
Matta-Machado, Antônio Thomaz
Lucas, Simone Dutra
Abreu, Mauro Henrique Nogueira Guimarães
author_sort Cunha, Maria Aparecida
collection PubMed
description This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.
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spelling pubmed-70843122020-03-24 The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil Cunha, Maria Aparecida Vettore, Mario Vianna dos Santos, Thiago Resende Matta-Machado, Antônio Thomaz Lucas, Simone Dutra Abreu, Mauro Henrique Nogueira Guimarães Int J Environ Res Public Health Article This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients. MDPI 2020-03-03 2020-03 /pmc/articles/PMC7084312/ /pubmed/32138364 http://dx.doi.org/10.3390/ijerph17051646 Text en © 2020 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cunha, Maria Aparecida
Vettore, Mario Vianna
dos Santos, Thiago Resende
Matta-Machado, Antônio Thomaz
Lucas, Simone Dutra
Abreu, Mauro Henrique Nogueira Guimarães
The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title_full The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title_fullStr The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title_full_unstemmed The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title_short The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil
title_sort role of organizational factors and human resources in the provision of dental prosthesis in primary dental care in brazil
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084312/
https://www.ncbi.nlm.nih.gov/pubmed/32138364
http://dx.doi.org/10.3390/ijerph17051646
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