scholarly journals Delivery of Preventive Oral Health Services by Rurality: A Cross‐Sectional Analysis

Author(s):  
Caroline K. Geiger ◽  
Ashley M. Kranz ◽  
Andrew W. Dick ◽  
Erin Duffy ◽  
Mark Sorbero ◽  
...  
2016 ◽  
Vol 15 (1) ◽  
pp. 1 ◽  
Author(s):  
Angela Xavier ◽  
Érica Silva de Carvalho ◽  
Roosevelt da Silva Bastos ◽  
Magali de Lourdes Caldana ◽  
Patrícia Ribeiro Mattar Damiance ◽  
...  

Aim: This study presents the prevalence of dental caries and its relation to the quality of life of adolescents according to the access to dental health services. Methods: Two hundred and fifty-six adolescents between 15 and 19 years of age participated in the study; they were all enrolled in public schools in a countryside municipality of the São Paulo State. Data related to dental caries were evaluated by the DMFT Index, and OHIP-14 was used for evaluating the quality of life. Mann Whitney and Spearmann correlation tests were also used (p<0.05). Results: A DMFT of 3.09 (±3.30) was found with a higher prevalence among the adolescents who used public dental services (3.43±3.34) compared with those who used private services (2.94±3.28). A statistically significant relationship between the decay component of DMFT with physical pain (0.020), physical disability (0.002) and quality of life (0.017) was verified. Conclusions: A low prevalence of dental caries was observed, and it was higher in adolescents who used public oral health services rather than private ones, evidencing the low influence of oral health on the quality of life of the participants.


Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
R Constance Wiener ◽  
Alcinda Trickett Shockey ◽  
Regina Wiener-Pla

2018 ◽  
Vol 66 (1) ◽  
pp. 60-69
Author(s):  
Andreza Viana Lopes CARDOSO ◽  
Andréa Maria Duarte VARGAS ◽  
João Henrique Lara do AMARAL ◽  
Mara VASCONCELOS ◽  
Kecyanne Malheiros MACHADO ◽  
...  

ABSTRACT Objective: To evaluate the effect of caries severity and socioeconomic conditions on use of oral health services and treatment situations (completed treatment, evasion, referral) among children with dental treatment needs, using the Unified Health System. Methods: Cross sectional study performed among children up to six years old, with dental treatment needs, coming from public schools in Belo Horizonte, Brazil, examined by the Oral Health Teams in the annual survey of oral health, in 2014. Variables were collected by consulting the medical records and information systems. Services were used by children who had attended the dental appointment at least once. The severity of caries considered the number of cavitated teeth. The socioeconomic variables were: age, sex, skin color and family socioeconomic classification. Resolubility was assessed by the ratio between completed treatment and first appointment. Evasion was defined by absence in more than two consecutive unjustified appointments. Association was tested by chi-square test and Poisson regression. Results: The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, 1.23-1.78) and in more than 9 teeth (PR=1.80, 1.32-2.46) and lower in those with very high socioeconomic risk (PR = 0.79, 0.63-0.99). The resolubility was of 49.6% and 5.2% abandoned the treatment. Children with lower socioeconomic status presented lower resolubility and greater avoidance. Conclusion: The results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.


Author(s):  
Adam Atherly ◽  
Eline Van Den Broek-Altenburg ◽  
Victoria Hart ◽  
Kelsey Gleason ◽  
Jan Carney

BACKGROUND The COVID-19 pandemic forced many health systems to proactively reduce care delivery to prepare for an expected surge in hospitalizations. There have been concerns that care deferral may have negative health effects, but it is hoped that telemedicine can provide a viable alternative. OBJECTIVE This study aimed to understand what type of health care services were being deferred during the COVID-19 pandemic lockdown, the role played by telemedicine to fill in care gaps, and changes in attitudes toward telemedicine. METHODS We conducted a cross-sectional analysis of survey responses from 1694 primary care patients in a mid-sized northeastern city. Our main outcomes were use of telemedicine and reports of care deferral during the shutdown. RESULTS Deferred care was widespread—48% (n=812) of respondents deferred care—but it was largely for preventive services, particularly dental and primary care, and did not cause concerns about negative health effects. In total, 30.2% (n=242) of those who delayed care were concerned about health effects, with needs centered around orthopedics and surgery. Telemedicine was viewed more positively than prior to the pandemic; it was seen as a viable option to deliver deferred care, particularly by respondents who were over 65 years of age, female, and college educated. Mental health services stood out for having high levels of deferred care. CONCLUSIONS Temporary health system shutdowns will give rise to deferred care. However, much of the deferrals will be for preventive services. The effect of this on patient health can be moderated by prioritizing surgical and orthopedic services and delivering other services through telemedicine. Having telemedicine as an option is particularly crucial for mental health services.


2020 ◽  
Vol 11 (2) ◽  
pp. 121
Author(s):  
Gustavo Sobreira Folhadela ◽  
Lauramaris De Arruda Regis Aranha ◽  
Adriana Beatriz Silveira Pinto ◽  
Shirley Maria De Araújo Passos ◽  
Angela Xavier Monteiro

OBJECTIVE: This study aimed to understand user satisfaction with the Oral Health Team of Basic Health Units in the municipality of Pauini, Amazonas. MATERIAL AND METHOD: This cross-sectional study was conducted between December 2019 and February 2020 in the three basic health units in the urban area of the municipality and had as participants the users of dental health services. Two questionnaires were used: the first to assess access to health services and the other about user satisfaction with oral health care. The results were analyzed descriptively by means of absolute and relative frequencies. RESULTS: Participated in the study 265 individuals, and when asked how scheduling was done, 61.51% replied that it was through a visit to the health unit, and with regard to the main reason for the last consultation, 47.17% of users replied that the main reasons were toothache and extraction. The highest percentages of satisfaction it were found in the physical structure domain and the domain with the lowest percentages information and support. CONCLUSION: The results showed the need to improve the form of access to dental public health services and a positive perception by the users of oral health services in Pauiní, AM, however, the best results were observed in the infrastructure of the health units and the need for improvement in terms of information and support for users of oral health services.


2013 ◽  
Vol 16 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Andrés A. Agudelo-Suárez ◽  
Eliana Martínez-Herrera ◽  
Adriana Posada-López ◽  
Danilo Sánchez-Patiño ◽  
Yomaira Viñas-Sarmiento

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