1
|
Martins FC, Santos BRMD, Crosato EM, Teixeira MCL, Gabriel M, Araújo MED, Goes PSAD, Carrer FCDA. Orthodontics in the oral health care network of the Unified Health System (SUS). Braz Oral Res 2024; 38:e011. [PMID: 38198309 DOI: 10.1590/1807-3107bor-2024.vol38.0011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 10/17/2022] [Indexed: 01/12/2024] Open
Abstract
This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.
Collapse
Affiliation(s)
- Fábio Carneiro Martins
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | | | - Edgard Michel Crosato
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Maria Clara Lembro Teixeira
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Mariana Gabriel
- Universidade de Mogi das Cruzes - UMC, School of Dentistry, Department of Community Dentistry, Mogi das Cruzes, SP, Brazil
| | - Maria Ercília de Araújo
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Paulo Savio Angeiras de Goes
- Universidade Federal de Pernambuco - UFPE, School of Dentistry, Department of Clinical and Preventive Dentistry, Recife, PE, Brazil
| | | |
Collapse
|
2
|
Galante ML, Cornejo-Ovalle MA, Otálvaro-Castro GJ, Patiño-Lugo DF, Pischel N, Giraldes AI, Carrer FCDA. Oral health policies and decision-making process in Brazil, Colombia and Chile. Braz Oral Res 2023; 37:e051. [PMID: 37255071 DOI: 10.1590/1807-3107bor-2023.vol37.0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 10/28/2021] [Indexed: 06/01/2023] Open
Abstract
Public health policies are crucial for the well-being of the general population; however, the health systems of developed countries still do not include oral health in its system. Thus, it is necessary to understand the process of decision-making in oral health policies to create opportunities for countries to achieve an overall positive health outcome, including oral health. This study aimed to identify the factors influencing the inclusion of oral health on the political agenda in Brazil, Colombia, and Chile. The study sample involved decision-makers at political, technical, and academic levels. The extracted data were analyzed using the software Maxqda® and Kingdon´s theoretical model; defining interactive variables that produce a "window of opportunity" to define the agenda and the insertion of theme in formulating public policies. The decision-making process regarding oral health is influenced by many factors like the need to improve the overall oral health of the population, identified through national epidemiological studies, and the importance of individuals in positions involving political decision-making, who advocate for oral health. Strategies were developed in partnership with the academy that focused on the health rights of the population provided by law; territorial and national programs were also developed. The inclusion and creation of oral health policies depend on actors who advocate for thematic and scientific evidence to support decision-making. A close relationship between academia and stakeholders and knowledge translation is important for the development of public policies that can be effective for health systems.
Collapse
Affiliation(s)
- Mariana Lopes Galante
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Marco Antonio Cornejo-Ovalle
- Universidad de Chile, Faculdad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile
| | | | - Daniel Felipe Patiño-Lugo
- Universidad de Antioquia, Facultad de Medicina, Unidad de Evidencia y Deliberación para la Toma de Decisiones, Medellin, Colombia
| | - Nicole Pischel
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Amanda Iida Giraldes
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | | |
Collapse
|
3
|
Gaiotto EMG, Trapé CA, Campos CMS, Fujimori E, Carrer FCDA, Nichiata LYI, Cordeiro L, de Bortoli MC, Yonekura T, Toma TS, Soares CB. Response to college students' mental health needs: a rapid review. Rev Saude Publica 2022; 55:114. [PMID: 35019050 PMCID: PMC8687654 DOI: 10.11606/s1518-8787.2021055003363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 02/08/2021] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To present strategic options to support the adoption of mental health strengthening policies for university students in the field of health, to be implemented by university institutions. METHODS Rapid review, without period delimitation, with searches carried out from May to June 2020, in 21 sources of bibliographic data, including gray literature. The following keywords were used: mental health, students and university. The selection process prioritized systematic reviews of mental health interventions for university students in health care courses, and also considered other types of review and relevant primary studies. RESULTS Forty-five studies were included: 34 systematic reviews, an evidence synthesis, an overview, a scope review, three narrative reviews, three experience reports and two opinion articles. The evidence from these studies supported the development of four options: 1) to establish and support policies to strengthen the mental health of students in health care courses; 2) to integrate mental health care programs, expand their offer and facilitate access by students; 3) to promote educational programs and communication strategies related to contemporary psychic suffering and its confrontation, so that students can get to know the services and resources and identify strengthening practices; 4) to continuously monitor and assess the mental health needs of students in health care courses. CONCLUSIONS The options are challenging and require universities to establish institutional commissions to implement a policy to strengthen the mental health of university students in the health area, with the ability to recognize the different health needs, including manifestations of psychic suffering ; to integrate the university's internal actions with each other and with the services of the Unified Health System; to implement and monitor the actions that make up the mental health policy.
Collapse
Affiliation(s)
- Emiliana Maria Grando Gaiotto
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| | - Carla Andrea Trapé
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| | - Celia Maria Sivalli Campos
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| | - Elizabeth Fujimori
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| | - Fernanda Campos de Almeida Carrer
- Universidade de São PauloFaculdade de OdontologiaDepartamento de Odontologia SocialSão PauloSPBrasilUniversidade de São Paulo. Faculdade de Odontologia. Departamento de Odontologia Social. São Paulo, SP, Brasil
| | - Lucia Yassuko Izumi Nichiata
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| | - Luciana Cordeiro
- Universidade Federal de PelotasFaculdade de MedicinaPelotasRSBrasilUniversidade Federal de Pelotas, Faculdade de Medicina. Curso de Terapia Ocupacional. Pelotas, RS, Brasil
| | - Maritsa Carla de Bortoli
- Secretaria de Estado da SaúdeInstituto de SaúdeSão PauloSPBrasilSecretaria de Estado da Saúde. Instituto de Saúde. São Paulo, SP, Brasil
| | - Tatiana Yonekura
- Hospital do CoraçãoLaboratório de Implementação do Conhecimento em SaúdeSão PauloSPBrasilHospital do Coração. Laboratório de Implementação do Conhecimento em Saúde. São Paulo, SP, Brasil
| | - Tereza Setsuko Toma
- Secretaria de Estado da SaúdeInstituto de SaúdeSão PauloSPBrasilSecretaria de Estado da Saúde. Instituto de Saúde. São Paulo, SP, Brasil
| | - Cassia Baldini Soares
- Universidade de São PauloEscola de EnfermagemDepartamento de Enfermagem em Saúde ColetivaSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
| |
Collapse
|
4
|
Galante ML, Silva DPD, Gabriel M, Michel-Crosato E, Pucca Junior GA, Biazevic MGH, Carrer FCDA. Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation. Braz Oral Res 2021; 35:e116. [PMID: 34816904 DOI: 10.1590/1807-3107bor-2021.vol35.0116] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 06/02/2021] [Indexed: 12/12/2022] Open
Abstract
Oral cancer is one of the most prevalent cancers in Brazil. An understanding of how public policies are implemented to address this problem can contribute to the construction of solutions. The "Programa de Melhoria do Acesso e da Qualidade" (PMAQ-AB and PMAQ-CEO) at the level of primary and secondary care are evaluations that also collect data on prevention and monitoring strategies for oral cancer. This study aimed to analyze the results of the incorporation of oral health teams to evaluate the strategies adopted by Brazil regarding the impact on the diagnosis of oral cancer. Of the 17,202 family health teams evaluated, 72.10% had oral health teams (OHT). Considering the strategies for prevention, screening, campaign, and follow-up of suspected cases, 72.27% of the campaign teams and 59.09% of the teams who accompanied suspected cases had OHT. In secondary care, more than 65% of the teams in the Southeast and South regions registered cases of oral cancer, and the referral network was more represented. The inclusion of OHT had a positive impact on campaign actions, follow-up, referral to specialists, and registration of suspected cases throughout Brazil.
Collapse
Affiliation(s)
- Mariana Lopes Galante
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Dorival Pedroso da Silva
- Universidade de São Paulo - USP, School of Dentistry, Department of Traumatology, Surgery and Maxillo Facial Prosthesis, São Paulo, SP, Brazil
| | - Mariana Gabriel
- University of Mogi das Cruzes, Dentistry Course, Department of Community Dentistry, Mogi das Cruzes, SP, Brazil
| | - Edgard Michel-Crosato
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | | | | | | |
Collapse
|
5
|
Freire AR, Freire DEWG, Pucca Júnior GA, Carrer FCDA, Sousa SAD, Lucena EHGD, Cavalcanti YW. Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors. Braz Oral Res 2021; 35:e042. [PMID: 33909864 DOI: 10.1590/1807-3107bor-2021.vol35.0042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Accepted: 10/22/2020] [Indexed: 12/24/2022] Open
Abstract
This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011-2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman's correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil.
Collapse
Affiliation(s)
- Aldelany Ramalho Freire
- Universidade Federal da Paraíba - UFPB, Graduate Program in Dentistry, Department of Social Medicine and Dentistry, João Pessoa, PB, Brazil
| | | | | | | | - Simone Alves de Sousa
- Universidade Federal da Paraíba - UFPB, Graduate Program in Dentistry, Department of Social Medicine and Dentistry, João Pessoa, PB, Brazil
| | - Edson Hilan Gomes de Lucena
- Universidade Federal da Paraíba - UFPB, Graduate Program in Dentistry, Department of Social Medicine and Dentistry, João Pessoa, PB, Brazil
| | - Yuri Wanderley Cavalcanti
- Universidade Federal da Paraíba - UFPB, Graduate Program in Dentistry, Department of Social Medicine and Dentistry, João Pessoa, PB, Brazil
| |
Collapse
|
6
|
Bomfim RA, Frias AC, Cascaes AM, Mazzilli LEN, Souza LBD, Carrer FCDA, Araújo MED. Sedentary behavior, unhealthy food consumption and dental caries in 12-year-old schoolchildren: a population-based study. Braz Oral Res 2021; 35:e041. [PMID: 33909863 DOI: 10.1590/1807-3107bor-2021.vol35.0041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 12/14/2020] [Indexed: 11/21/2022] Open
Abstract
This study analyzed the association between sedentary behavior (SB), unhealthy food consumption, and dental caries amongst 12-year-old schoolchildren. An epidemiological survey was carried out in the five largest cities (> 80,000 inhabitants) of the State of Mato Grosso do Sul, Brazil. Data were collected on decayed, missing and filled teeth index (DMFT), sociodemographic characteristics, SB, unhealthy food consumption, and water fluoridation status. The analysis was based on the theoretical framework established by J Sisson. Structural equation models were performed to test the association of dental caries experience with sociodemographic, contextual, and behavioral factors. The mean DMFT index in the five cities was 1.02 (95%CI: 0.39-1.66). Higher sedentary behavior (more than 2 hours/day) [standardized coefficient (SC) = 0.21 95%CI: 0.07-0.39] and higher unhealthy food consumption (more than 4 times/week) [SC = 0.23 (0.10-0.45)] were associated with higher DMFT index than their counterparts. Also, cities with fluoridated water were associated with lower DMFT index [SC = -0.85 (-1.20--0.50)]. Families who had a per capita income above the poverty line had a direct association with unhealthy food consumption [SC = -0.24 (-0.38--0.11)]. Unhealthy food consumption mediated the association of sedentary behavior on DMFT index [SC=0.07 (0.02-0.13)]. Sensitivity analysis confirmed the findings. Sedentary behavior mediated by unhealthy food consumption had a significant association with dental caries experience. Public policies must address transdisciplinary actions to reduce sedentary behavior and unhealthy food consumption and promote water fluoridation.
Collapse
Affiliation(s)
- Rafael Aiello Bomfim
- Universidade Federal do Mato Grosso do Sul - UFMS, School of Dentistry, Department of Community Health, Campo Grande, MS, Brazil
| | - Antonio Carlos Frias
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Health, São Paulo, SP, Brazil
| | - Andreia Morales Cascaes
- Universidade Federal de Santa Catarina - UFSC, Department of Public Health, Florianópolis, SC, Brazil
| | | | - Luciana Bronzi de Souza
- Universidade Federal de Goiás - UFG, School of Nutrition, Department of Community Health, Goiânia, GO, Brazil
| | | | - Maria Ercília de Araújo
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Health, São Paulo, SP, Brazil
| |
Collapse
|
7
|
Freire AR, Freire DEWG, de Araújo ECF, de Almeida Carrer FC, PuccaJúnior GA, de Sousa SA, de Lucena EHG, Cavalcanti YW. Socioeconomic indicators and economic investments influence oral cancer mortality in Latin America. BMC Public Health 2021; 21:377. [PMID: 33602161 PMCID: PMC7890605 DOI: 10.1186/s12889-021-10419-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 02/09/2021] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND It is necessary to recognize the influence of socioeconomic factors on oral cancer indicators in Latin American countries. This study aimed to analyze the influence of socioeconomic indicators and economical investments on oral cancer mortality rates in Latin American countries. METHODS This cross-sectional study considered the age-standardized mortality rate (ASR) of oral cancer within the period 2000-2015. The oral cancer mortality rate (for both sexes and age groups 40-59 and 60 years old or more), socioeconomic aspects (Gini Inequality Index, unemployment rate and Gross Domestic Product (GDP) per capita) and investments in different sectors (%GDP invested in health per capita and by the government, %GDP invested in education by the government and %GDP invested in research and development) were considered. Tweedie multivariate regression was used to estimate the effect of independent variables on the mortality rate of oral cancer, considering p < 0.05. RESULTS This study showed that being male and aged 60 or over (PR = 14.7) was associated with higher mortality rate for oral cancer. In addition, greater inequality (PR = 1.05), higher health expenditure per capita (PR =1.09) and greater investment in research and development (PR = 1.81) were associated with a higher mortality rate from oral cancer. CONCLUSION Socioeconomic factors and economical investments influence the mortality rate of oral cancer in Latin American countries. This emphasizes oral cancer is a socioeconomic-mediated disease.
Collapse
Affiliation(s)
- Aldelany Ramalho Freire
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| | - Deborah Ellen Wanderley Gomes Freire
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| | - Elza Cristina Farias de Araújo
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| | | | | | - Simone Alves de Sousa
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| | - Edson Hilan Gomes de Lucena
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| | - Yuri Wanderley Cavalcanti
- Clinicaland Social DentistryDepartment, DCOS/CCS/UFPB, Federal University of Paraíba, Cidade Universitária, Campus I, João Pessoa, PB 58051-900 Brazil
| |
Collapse
|
8
|
Pucca Junior GA, Gabriel M, Almeida Carrer FCD, Paludetto Junior M, Lucena EHGD, Melo NSD. ACESSO E COBERTURA POPULACIONAL À SAÚDE BUCAL APÓS A IMPLEMENTAÇÃO DA POLÍTICA NACIONAL DE SAÚDE BUCAL “BRASIL SORRIDENTE”. TEMPUS 2020. [DOI: 10.18569/tempus.v14i1.2629] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Resumo: O objetivo foi analisar a Política Nacional de Saúde Bucal, na perspectiva do acesso e cobertura das ações desenvolvidas na odontologia do Sistema Único de Saúde, entre 2002 e 2016. A partir do quadro conceitual da Organização Mundial da Saúde, que se divide em blocos para garantir acesso, cobertura e qualidade dos sistemas de saúde, foi realizado um estudo de caso do Brasil Sorridente referentes à implantação e financiamento das equipes. O bloco “força de trabalho” revelou um crescimento superior a 470% no número de equipes de saúde bucal no Brasil; no bloco “financiamento” fica evidente o grande aporte financeiro destinado à política, com ênfase ao papel indutor deste processo nos municípios; o bloco “tecnologia” evidenciou o incremento tecnológico para viabilizar os serviços de saúde bucal em todo o Brasil; já no bloco “disponibilidade dos serviços de saúde” observa-se uma ampliação de 4% na atenção básica e os serviços especializados essas porcentagens ultrapassam os 200% entre 2001 e 2015, finalmente, no bloco “acesso e cobertura” foi possível verificar o aumento de cobertura populacional de 9% para 43% no Brasil. Os dados apontam que a política permitiu um avanço referente aos blocos estruturantes do framework e melhorou o acesso e a cobertura em saúde bucal.
Collapse
|
9
|
Galante ML, Pedroso da Silva D, Gabriel M, Campos de Almeida Carrer F. Oral cancer and dentists in Primary Care: difficulties, behavior and expectation in Brazil. Minerva Stomatol 2020; 69:183-189. [PMID: 32610726 DOI: 10.23736/s0026-4970.19.04229-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Oral cancer affects thousands of people around the world, and the later the diagnosis is performed, the worse are prognosis and survival. In Brazil, primary care is the preferred gateway to the Unified Health System (Sistema Único de Saúde [SUS]) and has an important role in the coordination of and responsibility for user's care. The objective of this study is to evaluate the service flow of users with suspicion of oral cancer in Primary Care and also the dentist's perception regarding the diagnosis of oral cancer in the city of São Paulo. METHODS It is a quantitative-qualitative study, where 374 questionnaires were applied and 17 interviews were conducted with primary care dentists. RESULTS It was shown that professionals are aware of the role of Primary Care and also know their importance and need on referral network. CONCLUSIONS There are barriers that are imposed by the health network, that create difficulties to guarantee their fully professional exercises, with loss of health care tracking on the health care system.
Collapse
Affiliation(s)
- Mariana L Galante
- Department of Social Dentistry, Dentistry School, University of São Paulo, São Paulo, Brazil -
| | - Dorival Pedroso da Silva
- Department of Maxillofacial Surgery, Prostheses and Traumatology, Dentistry School, University of São Paulo, São Paulo, Brazil
| | - Mariana Gabriel
- Department of Social Dentistry, Dentistry School, University of São Paulo, São Paulo, Brazil
| | | |
Collapse
|
10
|
Carrer FCDA, Galante ML, Gabriel M, Pischel N, Giraldes AI, Neumann A, Silva DPD, Pucca GA. A COVID-19 na América Latina e suas repercussões para a odontologia. Rev Panam Salud Publica 2020; 44:e66. [PMID: 32454809 PMCID: PMC7241576 DOI: 10.26633/rpsp.2020.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
11
|
Romito GA, Feres M, Gamonal J, Gomez M, Carvajal P, Pannuti C, Duque Duque A, Romanelli H, Rösing CK, Aranguiz Freyhofer V, Cavagni J, Fischer RG, Figueiredo L, Carrer FCDA, Malheiros Z, Stewart B, Sanz M, Ryan M. Periodontal disease and its impact on general health in Latin America: LAOHA Consensus Meeting Report. Braz Oral Res 2020; 34:e027. [PMID: 32294680 DOI: 10.1590/1807-3107bor-2020.vol34.0027] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 11/26/2019] [Indexed: 11/21/2022] Open
Abstract
Periodontal diseases are considered a worldwide public health problem, owing to their high prevalence in developed and developing countries. Periodontitis may lead to tooth loss, which can impact oral health-related quality of life. Gingivitis and periodontitis have been extensively studied regarding their etiopathogenesis, epidemiology, prevention and treatment outcomes. However, most of these aspects are studied and discussed globally, which may hamper a clear interpretation of the findings and the design of effective plans of action for specific regions or populations. For example, in Latin America, epidemiological data about the distribution of periodontal diseases is still scarce, mainly when it comes to nationwide representative samples. This Consensus aimed to address the following topics related to periodontal diseases in Latin America: a) The impact of the global burden of periodontal diseases on health: a global reality; b) Periodontal diseases in Latin America; c) Strategies for the prevention of periodontal diseases in Latin America; d) Problems associated with diagnosis of periodontal conditions and possible solutions for Latin America; e) Treatment of Periodontitis. This consensus will help to increase awareness about diagnosis, prevention and treatment of periodontal diseases, in the context of Latin American countries.
Collapse
Affiliation(s)
- Giuseppe Alexandre Romito
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | - Magda Feres
- Universidade de Guarulhos - UnG, Dental Research Division, Department of Periodontology, Guarulhos, SP, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | - Jorge Gamonal
- Universidad de Chile, Faculty of Dentistry, Center for Surveillance and Epidemiology of Oral Diseases, Santiago, Chile
| | - Mariel Gomez
- Maimónides University, Faculty of Health Sciences, Department of Periodontics, Buenos Aires, Argentina
| | - Paola Carvajal
- Universidad de Chile, Faculty of Dentistry, Center for Surveillance and Epidemiology of Oral Diseases, Santiago, Chile
| | - Claudio Pannuti
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | - Andrés Duque Duque
- Universidad CES, Faculty of Dentistry, Department of Periodontics, Medellin, Antioquia, Colombia
| | - Hugo Romanelli
- Maimónides University, Faculty of Health Sciences, Department of Periodontics, Buenos Aires, Argentina
| | - Cassiano Kuchenbecker Rösing
- Universidade Federal do Rio Grande do Sul - UFRGS, Faculty of Dentistry, Department of Periodontology, Porto Alegre, RS, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | | | - Juliano Cavagni
- Universidade Federal do Rio Grande do Sul - UFRGS, Faculty of Dentistry, Department of Periodontology, Porto Alegre, RS, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | - Ricardo Guimarães Fischer
- Universidade do Estado do Rio de Janeiro - UERJ, Faculty of Dentistry, Department of Periodontology, Rio de Janeiro, RJ, Brazil
| | - Luciene Figueiredo
- Universidade de Guarulhos - UnG, Dental Research Division, Department of Periodontology, Guarulhos, SP, Brazil.,Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil
| | | | - Zilson Malheiros
- Universidade de São Paulo - USP, School of Dentistry, Department of Social Dentistry, São Paulo, SP, Brazil.,Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Bernal Stewart
- Latin American Oral Health Association - LAOHA, São Paulo, SP, Brazil.,Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Mariano Sanz
- University Complutense of Madrid, Faculty of Odontology, Madrid, Spain
| | - Maria Ryan
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| |
Collapse
|
12
|
Carrer FCDA, Matuck BF, Lucena EHGD, Martins FC, Pucca Junior GA, Galante ML, Tricoli MFDM, Macedo MCS. Teledentistry and the Unified Health System: An Important Tool for the Resumption of Primary Health Care in the Context of the COVID-19 Pandemic. Pesqui Bras Odontopediatria Clín Integr 2020. [DOI: 10.1590/pboci.2020.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
13
|
Soares GH, de Almeida Carrer FC, Biazevic MG, Michel-Crosato E. Food Transition and Oral Health in Two Brazilian Indigenous Peoples: A Grounded Theory Model. J Health Care Poor Underserved 2019; 30:1037-1052. [PMID: 31422987 DOI: 10.1353/hpu.2019.0072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
As a result of colonialism and globalization, many Indigenous groups have transitioned towards a Westernized diet, with significant implications for food security and oral health. This study investigated the experiences of the Kaingang and Guarani Indigenous peoples from the South of Brazil regarding the effects of cultural changes on their food systems and oral status. Focus groups were conducted in each tribe and the methodological framework grounded theory was adopted. The development of categories occurred with reference to Pierre Bourdieu's work. Four themes emerged from the analysis: 1. Contemporary Indigenous identities; 2. Perceptions of food systems; 3. Shared knowledge in the orientation of differentiated assistance in oral health; and 4. Ethnic cultural capital in conflict. The food transition is represented as a form of cultural discontinuity, whereas the ability to redefine identity boundaries contributes to promote food security and oral health.
Collapse
|
14
|
Michel-Crosato E, Raggio DP, Coloma-Valverde ANDJ, Lopez EF, Alvarez-Velasco PL, Medina MV, Balseca MC, Quezada-Conde MDC, de Almeida Carrer FC, Romito GA, Araujo ME, Biazevic MGH, Braga MM, Fratucci MVB, Mendes FM, Frias AC, Pannuti CM. Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey. BMC Oral Health 2019; 19:184. [PMID: 31412847 PMCID: PMC6694588 DOI: 10.1186/s12903-019-0863-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 07/24/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. METHODS We invited 33 public schools' coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. RESULTS Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. CONCLUSION The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito.
Collapse
Affiliation(s)
- Edgard Michel-Crosato
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Daniela Prócida Raggio
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Alba Narcisa de Jesus Coloma-Valverde
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Edisson Fernando Lopez
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Patricia Lourdes Alvarez-Velasco
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Marco Vinicio Medina
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Mariela Cumanda Balseca
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Maritza Del Carmen Quezada-Conde
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Fernanda Campos de Almeida Carrer
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Giuseppe Alexandre Romito
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maria Ercilia Araujo
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maria Gabriela Haye Biazevic
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Mariana Minatel Braga
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maristela Vilas Boas Fratucci
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Fausto Medeiros Mendes
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.
| | - Antonio Carlos Frias
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Claudio Mendes Pannuti
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| |
Collapse
|