What we know about management and organisation of primary dental care in Brazil

Detalhes bibliográficos
Autor(a) principal: Tatiana Pereira Santos
Data de Publicação: 2019
Outros Autores: Antonio Thomaz Gonzaga da Matta Machado, Mauro Henrique Nogueira Guimarães de Abreu, Renata de Castro Martins
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: http://dx.doi.org/10.1371/journal.pone.0215429
http://hdl.handle.net/1843/58904
https://orcid.org/0000-0001-8794-5725
https://orcid.org/0000-0002-8911-0040
Resumo: This cross-sectional study evaluated the management and organisation of primary dental care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used. Dentists from 18,114 Oral Health Teams (OHTs) answered a structured questionnaire in 2014. The data were analyzed descriptively and by cluster analysis. Half the Brazilian OHTs (51.0%) undertake planning and programming of activities. The majority of OHTs (66.4%) conducted monitoring and analysis of indicators and oral health information. The majority of OHTs had performed some self-evaluation process in the last 6 months (67.5%) and utilised self-evaluation results for planning and programming actions (71.4%). The OHTs grouped in Cluster 1 demonstrated better management organisation, followed by the teams grouped in Cluster 2. In the Brazilian macroregions, the more OHTs were grouped in Cluster 1 in the Southeast (87.5%), Northeast (85.4%) and South (82.7%) regions. The majority of OHTs have satisfactory management and organisation. However, some need improvement, mainly in planning and programming actions based on health indicators and self-evaluation. All Brazilian OHTs need to participate in PMAQ-AB and it is important to continue evaluating the data to improve oral health care.
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spelling 2023-09-25T17:05:04Z2023-09-25T17:05:04Z2019144http://dx.doi.org/10.1371/journal.pone.02154291932-6203http://hdl.handle.net/1843/58904https://orcid.org/0000-0001-8794-5725https://orcid.org/0000-0002-8911-0040This cross-sectional study evaluated the management and organisation of primary dental care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used. Dentists from 18,114 Oral Health Teams (OHTs) answered a structured questionnaire in 2014. The data were analyzed descriptively and by cluster analysis. Half the Brazilian OHTs (51.0%) undertake planning and programming of activities. The majority of OHTs (66.4%) conducted monitoring and analysis of indicators and oral health information. The majority of OHTs had performed some self-evaluation process in the last 6 months (67.5%) and utilised self-evaluation results for planning and programming actions (71.4%). The OHTs grouped in Cluster 1 demonstrated better management organisation, followed by the teams grouped in Cluster 2. In the Brazilian macroregions, the more OHTs were grouped in Cluster 1 in the Southeast (87.5%), Northeast (85.4%) and South (82.7%) regions. The majority of OHTs have satisfactory management and organisation. However, some need improvement, mainly in planning and programming actions based on health indicators and self-evaluation. All Brazilian OHTs need to participate in PMAQ-AB and it is important to continue evaluating the data to improve oral health care.Este estudo transversal avaliou a gestão e organização da atenção básica odontológica no Brasil. Para tanto, foram utilizados dados do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Dentistas de 18.114 Equipes de Saúde Bucal (ESB) responderam a um questionário estruturado em 2014. Os dados foram analisados de forma descritiva e por análise de cluster. Metade das ESB brasileiras (51,0%) realiza planejamento e programação de atividades. A maioria das ESB (66,4%) realizou monitoramento e análise de indicadores e informações de saúde bucal. A maioria das ESB realizou algum processo de autoavaliação nos últimos 6 meses (67,5%) e utilizou os resultados da autoavaliação para planejar e programar ações (71,4%). As ESB agrupadas no Cluster 1 demonstraram melhor organização da gestão, seguidas pelas equipes agrupadas no Cluster 2. Nas macrorregiões brasileiras, mais ESB foram agrupadas no Cluster 1 nas regiões Sudeste (87,5%), Nordeste (85,4%) e Sul (82,7%). %) regiões. A maioria das ESB tem gestão e organização satisfatórias. Contudo, alguns necessitam de melhorias, principalmente no planeamento e programação de ações baseadas em indicadores de saúde e na autoavaliação. Todas as ESB brasileiras precisam participar do PMAQ-AB e é importante continuar avaliando os dados para melhorar a assistência à saúde bucal.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorengUniversidade Federal de Minas GeraisUFMGBrasilFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVAMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALPLoS ONEAtenção primária à saúdeSaúde públicaSaúde bucalAtenção primária à saúde - organização & administraçãoAtenção primáriaServiço públicoSaúde bucalGerenciamentoWhat we know about management and organisation of primary dental care in BrazilO que sabemos sobre gestão e organização da atenção básica odontológica no Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215429Tatiana Pereira SantosAntonio Thomaz Gonzaga da Matta MachadoMauro Henrique Nogueira Guimarães de AbreuRenata de Castro Martinsapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/58904/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALWhat we know about management and organisation of primary dental care in Brazil.pdfWhat we know about management and organisation of primary dental care in Brazil.pdfapplication/pdf243127https://repositorio.ufmg.br/bitstream/1843/58904/2/What%20we%20know%20about%20management%20and%20organisation%20of%20primary%20dental%20care%20in%20Brazil.pdf14cd7ac5616e98a22744cf138a000692MD521843/589042023-10-02 18:59:43.655oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-10-02T21:59:43Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv What we know about management and organisation of primary dental care in Brazil
dc.title.alternative.pt_BR.fl_str_mv O que sabemos sobre gestão e organização da atenção básica odontológica no Brasil
title What we know about management and organisation of primary dental care in Brazil
spellingShingle What we know about management and organisation of primary dental care in Brazil
Tatiana Pereira Santos
Atenção primária
Serviço público
Saúde bucal
Gerenciamento
Atenção primária à saúde
Saúde pública
Saúde bucal
Atenção primária à saúde - organização & administração
title_short What we know about management and organisation of primary dental care in Brazil
title_full What we know about management and organisation of primary dental care in Brazil
title_fullStr What we know about management and organisation of primary dental care in Brazil
title_full_unstemmed What we know about management and organisation of primary dental care in Brazil
title_sort What we know about management and organisation of primary dental care in Brazil
author Tatiana Pereira Santos
author_facet Tatiana Pereira Santos
Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
author_role author
author2 Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
author2_role author
author
author
dc.contributor.author.fl_str_mv Tatiana Pereira Santos
Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
dc.subject.por.fl_str_mv Atenção primária
Serviço público
Saúde bucal
Gerenciamento
topic Atenção primária
Serviço público
Saúde bucal
Gerenciamento
Atenção primária à saúde
Saúde pública
Saúde bucal
Atenção primária à saúde - organização & administração
dc.subject.other.pt_BR.fl_str_mv Atenção primária à saúde
Saúde pública
Saúde bucal
Atenção primária à saúde - organização & administração
description This cross-sectional study evaluated the management and organisation of primary dental care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used. Dentists from 18,114 Oral Health Teams (OHTs) answered a structured questionnaire in 2014. The data were analyzed descriptively and by cluster analysis. Half the Brazilian OHTs (51.0%) undertake planning and programming of activities. The majority of OHTs (66.4%) conducted monitoring and analysis of indicators and oral health information. The majority of OHTs had performed some self-evaluation process in the last 6 months (67.5%) and utilised self-evaluation results for planning and programming actions (71.4%). The OHTs grouped in Cluster 1 demonstrated better management organisation, followed by the teams grouped in Cluster 2. In the Brazilian macroregions, the more OHTs were grouped in Cluster 1 in the Southeast (87.5%), Northeast (85.4%) and South (82.7%) regions. The majority of OHTs have satisfactory management and organisation. However, some need improvement, mainly in planning and programming actions based on health indicators and self-evaluation. All Brazilian OHTs need to participate in PMAQ-AB and it is important to continue evaluating the data to improve oral health care.
publishDate 2019
dc.date.issued.fl_str_mv 2019
dc.date.accessioned.fl_str_mv 2023-09-25T17:05:04Z
dc.date.available.fl_str_mv 2023-09-25T17:05:04Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/58904
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.1371/journal.pone.0215429
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0001-8794-5725
https://orcid.org/0000-0002-8911-0040
url http://dx.doi.org/10.1371/journal.pone.0215429
http://hdl.handle.net/1843/58904
https://orcid.org/0000-0001-8794-5725
https://orcid.org/0000-0002-8911-0040
identifier_str_mv 1932-6203
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv PLoS ONE
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
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reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
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