scholarly journals Prevalence of oral cancer self-examination among elderly people treated under Brazil's Unified Health System: household health survey

2015 ◽  
Vol 20 (4) ◽  
pp. 1085-1098 ◽  
Author(s):  
Andréa Maria Eleutério de Barros Lima Martins ◽  
João Gabriel Silva Souza ◽  
Desireé Sant'Ana Haikal ◽  
Alfredo Maurício Batista de Paula ◽  
Efigênia Ferreira e Ferreira ◽  
...  
Keyword(s):  
Public Health ◽  
Oral Cancer ◽  
Health System ◽  
Elderly People ◽  
Dental Treatment ◽  
The Elderly ◽  
Dental Services ◽  
Unified Health System ◽  
Removable Dental Prosthesis ◽  
Self Examination

The aim of this study was to examine the prevalence of oral cancer self-examinationamong the elderly and confirm whether prevalence was higher among users of the dental services provided by Brazil's Unified Health System (SUS, acronym in Portuguese). A transversal study of elderly people aged between 65 and 74 years living in a large-sized Brazilian municipality was conducted using simple random sampling. Logistic regression was conducted and results were corrected for sample design and unequal weighting using the SPSS(r) software. The study assessed 740 individuals. A total of 492 met the inclusion criteria, of which 101 (22.4%) reported having performed an oral cancer self-examination. Prevalence was higher among users of the dental services provided by the SUS, higher-income individuals, people with higher levels of education, individuals that used a removable dental prosthesis, and people who had not experienced discomfort attributed to oral condition, and lower among people who sought regular and periodic dental treatment and individuals who did not have a drinking habit. This type of self-care should be encouraged by public health policies which respond to the needs of the elderly, with emphasis on users of private and philanthropic services, and other services outside the public health network.

Drug interactions in the elderly of the Unified Health System (SUS) in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V F Silveira ◽  
J A Teodoro ◽  
F A Acúrcio ◽  
A A G Júnior ◽  
R C R M Nascimento
Keyword(s):  
Drug Interactions ◽  
Acetylsalicylic Acid ◽  
Health System ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unified Health System

Abstract Background Elderly people with chronic non-communicable diseases generally use a large amount of medicines, increasing the risk of adverse events that can compromise the quality of pharmacotherapy. Objective To analyze the prevalence of drug interactions in the elderly assisted by primary care of the Unified Health System (SUS), who use polypharmacy. Methods This is a cross-sectional study, part of the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM) - Services, 2015, which used a representative sample of the Brazilian population. Elderly were considered people with 65 years or older and polypharmacy was defined as the concomitant use of five or more medicines. Drug interactions were classified using Micromedex®. The variables were presented as absolute and relative frequences, mean and standard deviation, using the software Stata® 13. Results Of the 1,157 elderly people interviewed, 19.01% (n = 220) were in polypharmacy. The average of chronic diseases was 3.84 ± 1.73 per elderly person, being hypertension (91.82%, n = 202) and arthritis (55.91%, n = 123) he most frequent. There were found 1,076 interactions, ranging from 0 to 23 per person, with an average of 3.87 ± 3.41. In the polypharmacy group, the prevalence of drug interaction was 88.99% (n = 194). Among the interactions, 66.83% (n = 679) were classified as moderate, 31.10% (n = 316) major and 2.07% (n = 21) minor; 84.83% (n = 861) were pharmacodynamic and 15.17% (n = 154) pharmacokinetic. The most prevalent interactions were: Hydrochlorothiazide and Acetylsalicylic Acid (5.31%, n = 54); Captopril and Hydrochlorothiazide (5.31%, n = 54) and Losartan and Acetylsalicylic Acid (3.74%, n = 38). Conclusions The most prevalent interactions have synergistic or antagonistic effects, which need monitoring to ensure the safety and effectiveness of treatment, especially due to the physiological changes resulting from aging. Key messages Analyze the prevalence of drug interactions in elderly people using polypharmacy. Cross-sectional, evaluative study.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

scholarly journals Prevalence and factors associated with Metabolic Syndrome in elderly users of the Unified Health System

2014 ◽  
Vol 17 (4) ◽  
pp. 805-817 ◽  
Author(s):  
Edna Cunha Vieira ◽  
Maria do Rosário Gondim Peixoto ◽  
Erika Aparecida da Silveira
Keyword(s):  
Metabolic Syndrome ◽  
Health System ◽  
Health Workers ◽  
The Elderly ◽  
World Health ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Factors Associated ◽  
Unified Health System ◽  
The Metabolic Syndrome

OBJECTIVE: To evaluate the prevalence and factors associated with metabolic syndrome in the elderly. METHODS: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding factors. RESULTS: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 - 67.1), with 60.5% (95%CI 49.01 - 71.18) for females and 55.7% (95%CI 41.33 - 69.53) for males. Hypertension was the most prevalent component of the syndrome in both men, with 80.8% (95%CI 64.5 - 90.4), and women, with 85.2% (95%CI 75.5 - 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in the control of risk factors through prevention strategies and comprehensive care to the elderly.

scholarly journals Dental treatment of the elderly people with disabilities

2018 ◽  
Vol 71 (11-12) ◽  
pp. 383-388
Author(s):  
Aleksandra Popovac ◽  
Ivica Stancic ◽  
Ana Vukovic ◽  
Nebojsa Despotovic
Keyword(s):  
Oral Health ◽  
Elderly People ◽  
Preventive Measures ◽  
Treatment Guidelines ◽  
Dental Treatment ◽  
Functional Dependence ◽  
People With Disabilities ◽  
The Elderly ◽  
Health Problems ◽  
Assessment And Treatment

Introduction. The growing population of the elderly people and a proportional increase in the number of the elderly with different types of disabilities, necessitates a multidisciplinary approach to the assessment of their oral health and dental treatment. The ultimate aim is to retain a pain-free functional dentition and decrease the risk of future disease. Material and Methods. A PubMed search was performed and the authors contributed their experience in implementing preventive and therapeutic measures. Oral health problems of the elderly with disabilities. Two main factors influence the oral health: multimorbidity and polypharmacy. Oral health problems expected in this population are teeth abrasion, teeth fractures, root caries, periodontitis and problems with wearing dentures due to stomatitis caused by Candida albicans. Oral health assessment and treatment guidelines. This article provides guidelines for assessment and treatment planning, taking into consideration multimorbidity, polypharmacy, dementia and capacity of caregivers. Preventive measures. Preventive measures are crucial for long-term oral health of this population, and this paper provides guidelines for preventive treatment depending on the degree of functional dependence. Prosthetic treatment. Although some elderly with disabilities are suitable for conventional prosthetic treatment, often there are contraindications and specific considerations that must be taken into account. Conclusion. Oral health needs of the elderly people with disabilities should not be neglected and the success of treatment depends on the education of dental professionals and cooperation with other health professionals of the medical team.

scholarly journals FRAGILIDADES E POTENCIALIDADES NA REDE DE ASSISTÊNCIA AOS PACIENTES COM CÂNCER DE BOCA EM PALMAS, TOCANTINS, BRASIL

2019 ◽  
Vol 6 (2) ◽  
pp. 70-73
Author(s):  
Rafael Augusto Dos Santos ◽  
Eduardo Zambaldi ◽  
Ronyere Olegário De Araújo ◽  
Cristiano Abdalla Rosa ◽  
Ana Cláudia Garcia Rosa
Keyword(s):  
Oral Cancer ◽  
Health System ◽  
Tertiary Care ◽  
Mouth Neoplasms ◽  
Care Network ◽  
Unified Health System ◽  
After Cancer ◽  
Level Of Understanding ◽  
The City

O presente trabalho teve por objetivo verificar o conhecimento dos cirurgiões dentistas da rede de atenção primária, secundária e terciária do município de Palmas, Tocantins, acerca do fluxo de assistência aos pacientes com diagnóstico de câncer bucal no Sistema Único de Saúde, desde o início do tratamento até a sua conclusão. Para isso, foi aplicado um questionário semiestruturado aos grupos de profissionais envolvidos diretamente com a rede de atenção, avaliando o nível de entendimento dos cirurgiões dentistas sobre o fluxo de atendimento. Foram feitas as análises qualitativa e quantitativa. Os resultados da análise quantitativa mostraram que houve diferenças no entendimento dos profissionais dos grupos envolvidos na pesquisa em relação ao conteúdo abordado no questionário. Conclui-se que, no município de Palmas, existe a necessidade de uma maior integração entre os cirurgiões dentistas envolvidos na rede de atenção ao paciente com câncer de boca, e que a introdução de um programa de cooperação interinstitucional voltado a esses pacientes poderia contribuir com o fluxo de acompanhamento e com a qualidade de vida do doente durante e após o tratamento oncológico.   Palavras-chave: Neoplasias Bucais; Sistema Único de Saúde; Atenção à Saúde. ABSTRACT The objective of this study was to verify the knowledge of dental surgeons in the primary, secondary and tertiary care network of the city of Palmas, Tocantins, Brazil, about the care of patients with oral cancer diagnosis in the Unified Health System, from the beginning of the treatment to completion. A semi-structured questionnaire was applied to the groups of professionals directly involved in the care network, evaluating the level of understanding of the dentists about the care. Qualitative and quantitative analyzes were performed. The results of the quantitative analysis showed that there were differences in the understanding of the professionals of the groups involved in the research, in relation to the content addressed in the questionnaire. It is concluded that, in the city of Palmas, there is a need for greater integration among dental surgeons involved in the care network for patients with oral cancer, and that the introduction of an inter- institutional cooperation program for  these patients could contribute to the follow-up flow and the quality of life during and after cancer treatment. Keywords: Mouth Neoplasms; Unified Health System; Health Care.

scholarly journals The Idealized Brazilian Health System versus the real one: contributions from the nursing field

2014 ◽  
Vol 22 (6) ◽  
pp. 1026-1033 ◽  
Author(s):  
Dirce Stein Backes ◽  
Martha Helena Teixeira de Souza ◽  
Mara Teixeira Caino Marchiori ◽  
Juliana Silveira Colomé ◽  
Marli Terezinha Stein Backes ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Health System ◽  
Linear Model ◽  
Descriptive Study ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
System Versus ◽  
Qualitative Nature ◽  
Brazilian Health System

OBJECTIVE: to identify the perceptions of professionals working in a facility connected with the Brazilian Unified Health System - SUS in regard to what they know, think and talk about public health policy.METHOD: this exploratory-descriptive study with a qualitative nature was conducted with 28 professionals working in a facility connected with the SUS. Data were collected through interviews with guiding questions and analyzed through the thematic content analysis technique.RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web that does not work in practice; The recurrent habit of complaining about the SUS; The need to rethink the way of thinking about, acting in and managing the SUS.CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines that govern the Brazilian health system, however, they reproduce a dichotomous and linear model of conception and practice strongly linked to the thinking of society in general.

Provision of dental care by public health dental clinics during the COVID-19 pandemic in Alberta, Canada

2021 ◽  
Vol 10 (3) ◽  
pp. 47-54
Author(s):  
Heidi Rabie ◽  
Rafael Figueiredo
Keyword(s):  
Public Health ◽  
Access To Care ◽  
Low Income ◽  
Dental Treatment ◽  
Drug Prescription ◽  
Descriptive Analysis ◽  
Opioid Analgesics ◽  
Dental Services ◽  
Dental Clinics ◽  
Dental Procedures

Objectives: This study aims to describe dental services provided to a low income population in dental public health settings during the first wave of COVID-19 pandemic in Alberta, Canada. Methods: Routinely collected clinical data were recorded by dentists in electronic medical record files at Alberta’s two Public Health Dental Clinics (PHDCs). Patient contact was via teledentistry or in person, respecting phased provincial pandemic restrictions. A descriptive analysis of data relating to all patients contacting PHDC with dental problems between 17 March - 31 October 2020 was undertaken and compared to equivalent pre-COVID 2019 data. Results: In the period examined, 851 teledentistry consultations and 1031 in person visits were performed. Compared to the same period in 2019, 46% fewer patients were treated, representing a decrease in dental procedures: tooth extractions (17%), silver diamine fluoride applications (17%), endodontic treatments (82%) and fillings (84%). By contrast, prescriptions increased by 66% overall; representing 76%, 121% and 44% in antibiotics, non-opioid analgesics, and opioid analgesics respectively. In both years, antibiotics were the most prescribed drugs (66% in 2019 versus 62% in 2020) followed by non-opioid analgesics (28% in 2019 versus 33% in 2020); opioids accounted for the remainder (6.5% in 2019 and 5% in 2020). The largest drug prescription increases occurred during April-May 2020, when access to care was most restricted: antibiotics and non-opioid analgesics were 300% and 738% higher than the same time in 2019. Conclusions: Teledentistry and pharmacotherapy were used to triage and organise dental patients accessing care during the early stages of the pandemic. However, teledentistry did not replace definitive in person dental treatment, particularly for low income populations with high incidence of toothache and odontogenic infection. Reduced provision of dental procedures was accompanied by an increase in drug prescribing. Expedient access to care must be provided to address the dental needs of this population avoiding risks of further complications associated with infection and overprescribing antibiotics and opiates.

MODERNIZATION OF PUBLIC ADMINISTRATION MECHANISMS IN THE PUBLIC HEALTH SYSTEM OF UKRAINE

2017 ◽  
Author(s):  
Svetlana Vovk ◽  
◽  
Tatyana Vovk ◽  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Administration ◽  
Large Scale ◽  
National Health System ◽  
The State ◽  
Healthcare Sector ◽  
Individual Treatment ◽  
Social Infrastructure ◽  
Dental Services

Today it is becoming obvious that ensuring high and sustainable rates of development of the country, achieving strategic goals of national significance is impossible without an interested partnership between the state and the private sector. Currently, programs focused on the use of budget funds do not allow ministries and departments to implement large-scale, strategic projects. At the same time, the growing weight, the growing importance of social infrastructure, the responsibility of the state for its development in conditions of insufficient financial opportunities, make it necessary to update and improve investment tools in order to increase cost efficiency and better meet the needs of society. Taking this into account, the use of reserves to improve the effectiveness and quality of Public Administration mechanisms in the medical sphere requires solving certain theoretical and practical problems, to which we refer: determining the content of the effectiveness of Public Administration mechanisms in the country's health system; determining the main theoretical and methodological factors that determine the conditions, trends and means of Public Administration mechanisms, that is, those basic provisions and tools that determine the development of PPP in the healthcare sector; scientific substantiation of mechanisms for using these factors to improve the efficiency of the medical industry and the state of Public Health. In practice, the fact that state, municipal and private health systems should be considered as elements (subsystems) of a larger entity – the National Health System-is often forgotten or ignored. The system of Organization of medical care to the population is a complex combination of programs, institutions, institutions that are designed to solve various tasks: from the treatment of acute and chronic diseases to prevention, from individual treatment to measures aimed at improving public health, from primary health care to inpatient treatment, from the provision of dental services to the treatment of occupational diseases, etc.

scholarly journals Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

2016 ◽  
Vol 45 (6) ◽  
pp. 344-350 ◽  
Author(s):  
Aline Blaya MARTINS ◽  
Creta SEIBT ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
Fernando Neves HUGO
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Unified Health System ◽  
Primary Health

Abstract Objective This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole. Material and method In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings. Result Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services. Conclusion These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC) services accessed.

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