How Brazilian dentists work within a new community care context? A qualitative study

Leme, Pedro Augusto Thiene; Vedovello, Sílvia Amélia Scudeler; Bastos, Rodrigo Almeida; Turato, Egberto Ribeiro; Botazzo, Carlos; Meneghim, Marcelo de Castro

doi:10.1371/journal.pone.0216640

Cited by 3 publications

(4 citation statements)

References 38 publications

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“…To demystify this context and taking into account the rights and duties in the academic setting, the results of the present and previous studies 5,18,22 suggest that dental education should be supported by ethical, scientific, social, and health criteria. Constructing a humanized education in dentistry will allow dentists to work in both the private and public sectors with interprofessional skills.…”

Section: Discussionmentioning

confidence: 77%

“…Dentists' profile (graduate education and continuing professional development training) can influence the performance of OHTs 4 . However, Brazilian dental surgeons have shown a preference for private and traditional dental practice over the health care promotion model proposed by NOHP 5 . Thus, it is imperative that Brazilian dental schools develop programs to encourage undergraduate dental students into the NOHP for the delivery of public oral health services in Brazil according to the guidelines of the National Board of Education, which propose an interprofessional work process 6 .…”

Section: Introductionmentioning

confidence: 99%

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Undergraduate dental students’ perceptions of an internship at a Brazilian family health strategy center

Pacheco¹,

Albino²,

Silva³

et al. 2022

Rev ABENO

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We conducted a cross-sectional study to evaluate the perceptions of undergraduate dental students (UDSs) of an internship in primary dental care within a Family Health Strategy Team (FHS-T) and associated factors. Data were collected via a self-report questionnaire. Poisson regression models were used in multivariate analysis (p<0.05). Of 175 UDSs included, 150 (85.7%) classified the FHS-T internship as important to their dental education. Being enrolled in the Community Dental Health (CDH) III course (vs CDH I) increased by 9% (prevalence ratio [PR] 1.09; 95% confidence interval [CI], 0.99-1.21) the likelihood of students classifying the internship as important to their dental education. Considering the start of the FHS-T internship in the 7th semester adequate (vs inadequate) increased this likelihood by 15% (PR 1.15; 95% CI, 1.05-1.25). Classifying user embracement and home visits as important (vs unimportant) activities also increased this likelihood by 8% (PR 1.08; 95% CI, 0.99-1.17) and 21% (PR 1.21; 95% CI, 1.09-1.33), respectively. Our results suggest that the early insertion of UDSs in the FHS-T and their involvement in ‘user embracement’ and ‘home visits’ activities can significantly contribute to delivering interprofessional dental education.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Undergraduate dental students’ perceptions of an internship at a Brazilian family health strategy center

Pacheco¹,

Albino²,

Silva³

et al. 2022

Rev ABENO

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“…The literature has called attention to the fact that the crisis caused by the pandemic 28,29 brings with it an opportunity to rethink public management practices and the work of oral health professionals. Efforts must be made to be more responsive to the needs of the population, prioritize groups with a greater burden (or risk of development) of oral diseases, recover the preventive approach, and discuss such obstacles in the oral healthcare system 2,6,30,31 .…”

Section: Discussionmentioning

confidence: 99%

Adaptations in dental public health services during the COVID-19 pandemic in municipalities of Southern Brazil: a grounded theory and collaborative research

Pereira¹,

Godoi²,

Costa³

et al. 2022

Acta Odontol Latinoam

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The aim of this study was to analyze oral health actions in four municipalities in Brazil during the COVID-19 pandemic according to a theoretical framework model on oral healthcare management. It was a qualitative study carried out in two stages. A theoretical-empirical model on the significance of oral healthcare management was developed, following the Grounded Theory method. Fourteen dentists and five healthcare managers participated, through open interview. Subsequently, collaborative research was performed, and the model was applied to analyze the documents produced to address the pandemic by each of four municipalities in Santa Catarina State. The model provided a framework for analyzing actions for coping with the pandemic regarding oral health services. Actions were identified in all dimensions of the model: reduction in supply of dental care due to restricted access to elective services; search for biosafety care standards; dissemination of standardized science-based guidelines; attempt to maintain comprehensive dental assistance through re-adaptation of specialized services and collective actions; and relocation of oral health professionals to assist in other sectors. The oral health care management framework can serve as a reference for redesigning oral health actions and services in other municipalities during the COVID-19 pandemic, in a broader perspective.

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“…Program was launched almost two decades ago, it has failed to implement even its most basic concepts and faced countless challenges throughout the years [6][7][8][9][10][11] In the Federal District, the local government's Department of Health has aimed to restructure standards and guidelines for oral health primary care as indicated in the Family Health Strategy model. Oral Health Teams were implemented, and the levels of oral health care were adjusted based on optimized management and e ciency of the Health Care Networks [12].…”

Section: Introductionmentioning

confidence: 99%

Organization of the demand for primary oral health care in the Brazilian Unified Health System

Sasaki

Neres

Silva

et al. 2022

Preprint

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Organizing the demand for oral healthcare is a big challenge for the oral health teams, because it needs careful planning and requires time and communication with other professionals. The present study aims to describe the organization of the demand for oral health treatment in primary care units in Brazil. In this descriptive and qualitative study, the workflow processes during the demand organization were mapped out according to the information from semi-structured, in-depth interviews with open-ended question; and described using a business process management modelling tool. The care routine was at first described as the “AS IS” model, which was evaluated by the oral team professionals, rearranged, and further described as the “TO BE” model. The model describing the “AS IS” situation was used for a global view of the process to optimize the resources, redistributed tasks and reduced waste and repetitions based on the resulting workflow obtained with the study. It was also taken in consideration the fact that the unit faced a significant increase in the demand of patients due to restrictions offered by the dental service in addition to non-urgent treatments being avoided by patients during COVID-19 pandemic. In the present study, structuring the work processes in a visual way using modelling tools was useful to picture the entire treatment process and adjust when needed. The use of the modelling tool was useful to understand and reorganize the workflow of the demand organization and ultimately improve the efficiency of the resources. The use of such managerial tools helped the oral health professionals to efficiently rearrange their tasks and set priorities to meet their needs. With the use of management tools, each unit can readjust its structures and ways of working, aiming to improve the quality of public health care services provided to patients.

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How Brazilian dentists work within a new community care context? A qualitative study

Cited by 3 publications

References 38 publications

Undergraduate dental students’ perceptions of an internship at a Brazilian family health strategy center

Undergraduate dental students’ perceptions of an internship at a Brazilian family health strategy center

Adaptations in dental public health services during the COVID-19 pandemic in municipalities of Southern Brazil: a grounded theory and collaborative research

Organization of the demand for primary oral health care in the Brazilian Unified Health System

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