scholarly journals Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Income ◽  
Dental Treatment ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Objective Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Results Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p = 0.039) and number of individuals in the family (p = 0.003) were associated with non-adherence to dental treatment. It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

Determinants Of Adherence To Dental Treatment Of Socially Vulnerable Adolescents In Primary Health Care: A Cohort Study

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Methods: A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015. The sample consisted of 1179 adolescents examined in family health units; of these, 474 were referred to treatment (40.2%) and 325 (68.6%) were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, sociodemographic, access to the service, reporting pain, oral impacts on daily performance, family cohesion) and contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage). Results: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p=0.039) and number of individuals in the family (p=0.003) were associated with non-adherence to dental treatment. Conclusions: It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

scholarly journals Determinants of Adherence to Dental Treatment of Adolescents in Social Vulnerability in Primary Care

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Action Planning ◽  
Adherence Rate ◽  
Household Crowding ◽  
Oral Impacts

Abstract Background Different studies with adolescents refers to the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in social underprivileged adolescents in primary care.Methods A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015.The sample consisted of 1179 adolescents whom were examined in family health units, these 474 were referred for treatment (40,2%) and these 325 (68,6%) teenagers were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, socio demographic, access to the service, reporting pain, oral impacts on daily perfomance, family cohesion) and the contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage).Results Non-adherence rate to treatment was high in the studied sample (49.5%).Family income (p = 0.039) and household crowding (p = 0.003) were associated with non-adherence to dental treatment.Conclusions It is concluded that the condition of social vulnerability of adolescents resulted in competing situations with adherence, a fact that makes it difficult dental treatment and action planning health services.

scholarly journals Using administrative health data to inform health service planning for specialist cancer care in Nova Scotia, Canada

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Robin Urquhart ◽  
Lynn Lethbridge
Keyword(s):  
Primary Care ◽  
Nova Scotia ◽  
Health Service ◽  
Service Planning ◽  
Decision Makers ◽  
Health Service Planning ◽  
Cancer Centre ◽  
Follow Up Care ◽  
Over Time

IntroductionResearch has demonstrated that primary care providers can safely and effectively provide follow-up care after a person has received treatment for cancer. Yet, discharge to primary care after cancer treatment is variable, despite the fact that cancer systems are challenged to provide follow-up care given constrained cancer specialist resources. Objectives and ApproachTo inform cancer system planning, we examined (1) cancer centre routine follow-up (CC-FUP) care for prevalent cancer types and (2) changes in CC-FUP over time. From the Nova Scotia Cancer Registry, we identified all persons diagnosed in Nova Scotia, Canada, with an invasive breast, colorectal, gynecological, or prostate cancer between 01/01/2006 and 31/12/2013. We linked this dataset to cancer centre/clinic data and identified a non-metastatic cancer survivor cohort (n=12,267). Descriptive statistics were computed to describe patterns of care. Negative binomial regression was used to examine changes over time for both CC-FUP and all cancer centre visits, adjusting for other covariates. ResultsNearly half of survivors (48.4\%) had at least one CC-FUP visit, which varied by disease site (range: 30.2-62.4\%). Variation existed across providers, with six oncologists providing 34.7\% of the CC-FUP visits to the study population. Year of diagnosis was associated with receipt of CC-FUP care, with each successive calendar year associated with an 8\% increase in CC-FUP visits (IRR=1.08, 95\%CI=1.07-1.10). Similarly, each successive calendar year was associated with a 14\% increase in all cancer centre visits (IRR=1.14, 95\%CI=1.13-1.15). Results were shared with cancer system decision-makers at regular intervals to inform ongoing analyses. Conclusion/ImplicationsBoth the number of CC-FUP visits and all visits increased over time, with the latter at a greater rate. The increases were much higher than assumed by cancer system decision makers (2\% increase per year) for resource planning, demonstrating the value of population-based administrative data to informing health service planning.

scholarly journals Family characteristics on self-reported toothache among Indonesian children aged 12–14 years

2018 ◽  
Vol 5 (3) ◽  
pp. 235-239
Author(s):  
Elyda Akhya Afida Misrohmasari ◽  
Hestieyonini Hadnyanawati ◽  
Berlian Prihartiningrum ◽  
Dina Eka Putri ◽  
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Parental Education ◽  
Family Income ◽  
Dental Treatment ◽  
Descriptive Statistics ◽  
Family Characteristics ◽  
Permanent Teeth ◽  
Number Of Children ◽  
The Family

Abstract Objective Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12–14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache. Methods We analyzed the data from the Indonesian Family Life Survey 5 in 2014–2015. A total of 2,377 children aged 12–14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father's and mother's highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children. Results Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children (P=0.012; odds ratio [OR]=1.53). Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain. Conclusions Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.

The Hampstead Schizophrenia Survey 1991

1997 ◽  
Vol 170 (4) ◽  
pp. 301-306 ◽  
Author(s):  
Siobhan E. Jeffreys ◽  
Carol A. Harvey ◽  
Alan S. McNaught ◽  
Anthony S. Quayle ◽  
Michael B. King ◽  
...  
Keyword(s):  
Service Planning ◽  
Point Prevalence ◽  
High Rate ◽  
Occupational Activity ◽  
Medication Usage ◽  
Point Prevalence Study ◽  
Specialist Services ◽  
Key Informant ◽  
Number Of Individuals ◽  
Higher Doses

BackgroundA point prevalence study al schizophrenia was carried out in 1986 in the former Hampstead Health District using a key informant method to identify cases. The point prevalence al broadly defined schizophrenia was 4.7 per 1000.MethodA repeat census al people with schizophrenia, using the same method, was carried out in 1991 and the point prevalence calculated. The accuracy al the census method was estimated. Contact with services, social and occupational activity, and medication usage in the 1986 and 1991 samples were compared.ResultsThe point prevalence rate al broadly defined schizophrenia in 1991 was 5.1 per 1000. The results al both censuses showed we underestimated the number of individuals with DSM-III-R positive schizophrenia by about 14%. The level of contact with specialist services was greater in 1991 than 1986. Patients in 1991 were discharged on higher doses of medication, and their most recent admission was more likely to be due to non-compliance, than the 1986 group.ConclusionThe point prevalence confirmed the high rate reported in 1986. The accuracy of the census was within acceptable limits for service planning. Contact with specialist services increased between 1986 and 1991.

Providing Care of Mild Traumatic Brain Injury by the Family Practice/Primary Care Optometrist

2018 ◽  
pp. 110-119
Keyword(s):  
Primary Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Family Practice ◽  
Advanced Training ◽  
Entry Level ◽  
The Family ◽  
Basic Understanding ◽  
The Brain

Primary Objectives: By extending the scope of knowledge of the primary care optometrist, the brain injury population will have expanded access to entry level neurooptometric care by optometric providers who have a basic understanding of their neurovisual problems, be able to provide some treatment and know when to refer to their colleagues who have advanced training in neuro-optometric rehabilitation.

scholarly journals 431 - DEMENTIA IN PRIMARY CARE AND DOCTOR-PATIENT-CARER INTERACTIONS: PRELIMINARY FINDINGS

2020 ◽  
Vol 32 (S1) ◽  
pp. 147-147
Author(s):  
Conceição Balsinha ◽  
Steve Iliffe ◽  
Sónia Dias ◽  
Manuel Gonçalves-Pereira
Keyword(s):  
Primary Care ◽  
Family Carer ◽  
Family Carers ◽  
Medical Encounter ◽  
Triadic Interactions ◽  
Patient Interactions ◽  
The Family ◽  
Different Types ◽  
Third Person ◽  
Ongoing Project

INTRODUCTION: Primary care visits of persons with dementia involve different types of communication, bringing together the patient, the family carer and the general practitioner (GP). A particular challenge is the necessary involvement of a third person (the carer) in patient-doctor encounters (or the patient in carer-doctor encounters, as dementia advances). These triad dynamics should be better understood, as health outcomes are expected to result from or be mediated by them.OBJECTIVE: Our aim is to explore triadic dynamics in Portuguese primary care consultations with persons with dementia, their family carers and GPs.METHODS: This is the first part of an ongoing project (Dementia in Primary Care: the Patient, the Carer and the Doctor in the Medical Encounter - Bayer Investigation Grant | NOVAsaúde Ageing 2018). Consultations with persons with dementia, their carers and GPs (purposive sampling) are audio-recorded, transcribed verbatim and thematically analysed. We report the analysis of interactions of the first six consultations, using NVIVO® software.RESULTS: The most frequent type of interaction was between GPs and carers, followed by interactions involving the whole triad. The patients who had more recent relationships with their GPs tended to participate less, irrespective of the stage of dementia. Carers were the ones most often initiating triadic interactions, and GPs the ones most often terminating them by directly addressing the patients. Doctor-carers interactions were very sparse in some consultations.DISCUSSION AND CONCLUSION: These preliminary findings suggest that doctor-patient interactions may be limited in a number of GPs’ consultations, seemingly compromising patient-centred approaches. Nevertheless, even when GPs were involved in triadic interactions they often tried to address the patient directly. We are looking forward to complete this part of the project: to our knowledge, there is practically no evidence from live-recorded primary care consultations about these triadic dynamics.

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