scholarly journals Encouraging the work process of oral health teams can favour the planning of their actions in Primary Health Care

2021 ◽  
Author(s):  
Livia Fernandes Probst ◽  
Estêvão Azevedo Melo ◽  
Elaine Pereira da Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
Antonio Carlos Pereira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Outcome Variable ◽  
Multiple Model ◽  
Socioeconomic Indicators ◽  
Work Process ◽  
Care Needs ◽  
Cross Sectional ◽  
Primary Health

Abstract Background The social determinants of health are strongly related to dental care needs. Therefore, oral health services in primary health care (PHC) must be planned to be more responsive to the needs of their local populations. The aim of this study was to evaluate the variables that are associated with planning actions by oral health teams (OHTs) in PHC. Methods This analytical, cross-sectional study used data from the external evaluation of the third cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB), carried out between 2017 and 2018, in Brazil. The final sample consisted of 22,268 OHTs from 4,679 Brazilian municipalities. The outcome variable was action planning by the OHTs and the independent variables included characteristics of the OHTs and municipal PHC Management, in addition to municipal socioeconomic indicators. Five models were sequentially built for statistical analysis, namely: an empty model (with the intercept, only), a multiple model with variables related to OHTs, a multiple model with variables related to municipal management in PHC, a multiple model with the municipal indicators, and a multilevel logistic regression model with variables at the level of OHTs and municipalities. Results It was observed that 32.5% of the OHTs did not plan their actions. In the final adjusted model the characteristics of OHTs were more significant for the outcome than the variables related to municipal PHC Management and municipal socioeconomic indicators. Moreover, participating in meetings together with the PHC team and carrying out case and therapeutic project discussions were the variables with the greatest effect on the outcome, that is, adjusted OR of 3.75 (95%CI: 3.42–4.10) and adjusted OR of 3.74 (95%CI: 3.46–4.05), respectively. Conclusions It is concluded that the indicators complicating the planning of actions by the OHTs were mainly the characteristics inherent to the work process of the OHTs, particularly the failure to hold meetings together with the PHC team, case and therapeutic project discussions, self-assessment, as well as the embracement protocols.

scholarly journals Indicators for dental appointment scheduling in primary health care: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira da Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Appointment Scheduling ◽  
Outcome Variable ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
Dental Appointment ◽  
Dental Appointments

Abstract Background Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. Therefore, factors associated with dental appointments scheduling can affect positively or negatively the use of dental services. The aim of the present study was to evaluate the indicators for dental appointment scheduling in Primary Health Care (PHC). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user sought for a dental appointment at the Primary Health Care Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results Only 58.1% of the users interviewed at these Primary Health Care Units seek the available dental care. The variables with the greatest effect on the outcome were the patient’s age up to 42 years old (OR = 2.03, 95% CI: 1.96–2.10), at individual level, and ‘oral health teams that assisted no more than a single family health team (FHT)’ (OR = 1.29, 95% CI: 1.23–1.36) at contextual level. Other variables were also associated with the outcome, but with a smaller effect size. Conclusion In conclusion, users’ age and work process of OHT were indicators for dental appointment scheduling. Our results suggest that when OHT put the National Oral Health Policy guidelines into practice, by assisting only one FHT, the chance for PHC users seeking dental appointments is higher than OHTs that assist more than one FHT. Regarding age, patients aged up to 42 years are more likely to seek an appointment with a dentist.

scholarly journals Predictors of the Demand for Dental Appointments in Primary Health Care: A National Cross-Sectional Study

2021 ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
The Individual ◽  
Dental Appointment

Abstract Background Aiming to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide, it is necessary that public dental services act in an integrated manner within the Health System, particularly with the primary care services. However, even inside availability scenarios in health care, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. The aim of the present study was to evaluate the predictors of the demand for dental care in Primary Health Care Units (PHC) with Oral Health Teams (OHTs). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB, Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user requested a dental appointment at the Health Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results In the final model, of the variables at the individual level, the patient's age over 43 years (OR = 2.03, 95% CI: 1.96–2.10) was the one that had the greatest effect on the outcome. In turn, among the contextual variables related to the teams, the ones with the greatest effect on the outcome were 'oral health teams that assisted no more than a single family health team' (OR = 1.29, 95% CI: 1.23–1.36) or 'those in which the dental form constitutes the user's medical record' (OR = 1.21, 95% CI: 1.15–1.26) were predictors of the demand for a dental appointment in Primary Health Care. Conclusion It can be concluded that individual and contextual issues interfere in the demand for dental care. Oral health planning must consider an active search for patients with profiles that do not favor the spontaneous demand for oral health care, such as being older, male gender and non-white ethnicity. It is also concluded that the oral health teams that worked in line with the Brasil Sorridente guidelines are the teams most often sought after by the users.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

scholarly journals Factors associated with delay in seeking care by tuberculosis patients

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Search Time ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
A Value ◽  
Primary Health ◽  
Behavioral Variables

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.

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