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UFMG
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Repositório Institucional da UFMG
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Repositório Institucional da UFMG
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UFMG
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Universidade Federal de Minas Gerais (UFMG)
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Universidade Federal de Minas Gerais (UFMG)
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2023-11-14T20:27:20Z2023-11-14T20:27:20Z2022507482https://doi.org/10.1111/cdoe.127221600-0528http://hdl.handle.net/1843/60969https://orcid.org/0000-0002-6169-7708https://orcid.org/0000-0001-7875-4492https://orcid.org/0000-0002-6708-0450https://orcid.org/0000-0001-7151-5827https://orcid.org/0000-0001-7793-1688https://orcid.org/0000-0003-1842-2300https://orcid.org/0000-0001-6299-4432Objectives: To assess which factors were associated with the achievement of endodontic goals. Methods: Cross-sectional study using secondary data from the second cycle of the Program for the Improvement of Access and Quality in the dental speciality centres—in Portuguese PMAQ-CEO. The independent variables extracted from this database were related to dental speciality centres (CEO in Portuguese). In addition, variables referring to the CEO host city were incorporated into the model. The outcome variable was the number of endodontic goals achieved calculated from the production of the CEO available in the Ambulatory Health Information System in 2018. Descriptive analyses and multilevel Poisson regression were performed with the software SPSS 23.0 and STATA 14.0. Results: CEOs with more than 20% of patients' absenteeism were 26% less likely to reach the goals of the endodontics specialty; CEOs with availability of endodontists for more than 40 hours a week were two times more likely to reach the goals than those with less than 40 hours in endodontics specialty. CEOs with a waiting time for endodontic procedures greater than 45 days achieved a number of goals 31% lower than those with a waiting time up to 45 days. CEO type I and CEO type II showed 2.10 and 1.20 higher likelihood to reach the number of goals of the endodontics specialty than CEO type III. The number of endodontic instruments in sufficient number was positively associated with the achievement of goals. CEOs located in municipalities that reached more than 5% in the supervised brushing indicator had 2.26 greater likelihood to achieve the goals than those that did not reach this percentage. Conclusion: Contextual and local determinants are associated with the achievement of goals in the endodontic specialty in the dental speciality centres in Brazil.Objetivos: Avaliar quais fatores estiveram associados ao alcance dos objetivos endodônticos. Métodos: Estudo transversal utilizando dados secundários do segundo ciclo do Programa de Melhoria do Acesso e da Qualidade nos centros de especialidades odontológicas – PMAQ-CEO. As variáveis independentes extraídas deste banco de dados foram relacionadas aos centros de especialidades odontológicas (CEO). Além disso, variáveis referentes à cidade sede do CEO foram incorporadas ao modelo. A variável desfecho foi o número de metas endodônticas alcançadas calculado a partir da produção do CEO disponível no Sistema de Informação Ambulatorial de Saúde em 2018. Análises descritivas e regressão de Poisson multinível foram realizadas com os softwares SPSS 23.0 e STATA 14.0. Resultados: CEOs com mais de 20% de absenteísmo dos pacientes tiveram 26% menos chances de atingir as metas da especialidade endodontia; CEOs com disponibilidade de endodontistas por mais de 40 horas semanais tiveram duas vezes mais chances de atingir as metas do que aqueles com menos de 40 horas na especialidade de endodontia. CEOs com tempo de espera para procedimentos endodônticos superior a 45 dias alcançaram um número de metas 31% menor do que aqueles com tempo de espera de até 45 dias. O CEO tipo I e o CEO tipo II apresentaram probabilidade 2,10 e 1,20 maior de atingir o número de metas da especialidade endodontia do que o CEO tipo III. A quantidade de instrumentos endodônticos em número suficiente esteve positivamente associada ao alcance das metas. CEOs localizados em municípios que atingiram mais de 5% no indicador de escovação supervisionada tiveram 2,26 vezes mais probabilidade de atingir as metas do que aqueles que não atingiram esse percentual. Conclusão: Determinantes contextuais e locais estão associados ao alcance de metas na especialidade endodôntica nos centros de especialidades odontológicas do Brasil.Outra AgênciaengUniversidade Federal de Minas GeraisUFMGBrasilFAO - FACULDADE DE ODONTOLOGIACommunity dentistry and oral epidemiologyAtribuição-NãoComercial-SemDerivados 3.0 Portugalhttp://creativecommons.org/licenses/by-nc-nd/3.0/pt/info:eu-repo/semantics/openAccessAtenção à saúdeServiços de saúde bucalEndodontiaSaúde públicaAtenção secundária à saúdeDelivery of health careDental health servicesEndodonticsPublic healthSecondary careContextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres: a multilevel analysisDeterminantes contextuais e locais associados ao alcance de metas na especialidade de endodontia nos centros de especialidades odontológicas brasileiros: uma análise multinívelinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleohttps://onlinelibrary.wiley.com/doi/10.1111/cdoe.12722Rafaela da Silveira PintoSimone Dutra LucasPaulo Sávio Angeiras de GoesSamuel Lucas da SilvaÉrika Said Monteiro NevesLívia Guimarães ZinaMario Vianna Vettoreapplication/pdfreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGORIGINALContextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres_ a multilevel analysis.pdfContextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres_ a multilevel analysis.pdfapplication/pdf236857https://repositorio.ufmg.br/bitstream/1843/60969/1/Contextual%20and%20local%20determinants%20associated%20with%20the%20achievement%20of%20goals%20in%20the%20endodontics%20specialty%20in%20Brazilian%20dental%20speciality%20centres_%20a%20multilevel%20analysis.pdfc167d3fbdf113e08b747116c11b1280aMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufmg.br/bitstream/1843/60969/2/license_rdfcfd6801dba008cb6adbd9838b81582abMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82118https://repositorio.ufmg.br/bitstream/1843/60969/3/license.txtcda590c95a0b51b4d15f60c9642ca272MD531843/609692023-11-14 17:27:21.245oai:repositorio.ufmg.br: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ório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-11-14T20:27:21Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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