What we know about management and organisation of primary dental care in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
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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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 |
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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 |
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eng |
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PLoS ONE |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL |
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Universidade Federal de Minas Gerais |
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