Primary dental care evaluation in Brazil: an item response theory approach

Reis, Clarice Magalhães Rodrigues dos; Mambrini, Juliana Vaz de Melo; Matta-Machado, Antônio Thomaz Gonzaga da; Amaral, João Henrique Lara do; Werneck, Marcos Azeredo Furquim; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.1111/jphd.12210

Cited by 13 publications

(25 citation statements)

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“…According to the results of evaluation of the health teams, they can receive a financial incentive for the continuity of systematic progress. Previous studies based on data from the PMAQ-AB have already evaluated the performance of dental procedures [8, 9] and oral health preventive procedures [10], as well as the interrelation between PHC and specialized care [11]. However, despite financial incentives provided by the Brazilian MS to expand and qualify PHC, no detailed evaluation of the performance of prosthetic procedures has been carried out as yet.…”

Section: Introductionmentioning

confidence: 99%

Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Cunha

Matta-Machado

Lucas

et al. 2018

BioMed Research International

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Objectives To describe dental prosthesis provision in the Brazilian public health service and report the performance of dental prosthesis procedures according to the Brazilian macroregions. Methods A structured interview was conducted with senior-level health professionals from each of the 18,114 oral health teams (OHT). The dependent variables were performance of removable prostheses and prosthesis procedures, including provision of fixed prostheses by OHT. Descriptive statistics were produced together with performing a cluster analysis using SPSS version 19.0. Results The manufacture of any type of prosthesis was done by a minority of OHT (43%). The most commonly provided types of dental prosthesis were removable full and partial dentures. Cluster 1 (teams that performed prosthesis procedures the most) was composed of a smaller number of teams (n = 5,531), and Cluster 2 (composed of teams that do not perform prosthetics or that perform them in small amounts) consisted of 12,583 teams. The geographic distribution of clusters reveals that the largest proportion of Cluster 1 teams is located in the Northeast (33.9%) and Southeast (33.6%). Conclusions A minority of OHT produce dental prostheses. There is an unequal geographical distribution of clusters.

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Section: Introductionmentioning

confidence: 99%

Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Cunha

Matta-Machado

Lucas

et al. 2018

BioMed Research International

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“…The study results are in agreement with previous studies which also showed that these regions have better indicators. 27,28,29 Differences in the quantities of opioid analgesics dispensed may reflect the existence of differences in access to these drugs between states. Most Brazilian states have relatively low dispensing rates of opioid analgesics for dental care purposes.…”

Section: Discussionmentioning

confidence: 99%

A national study on the use of opioid analgesics in dentistry

Lino

Sohn²,

Singhal

et al. 2019

Braz. oral res.

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The aim of this study was to assess the frequency of opioid analgesics prescribed by Brazilian dentists, potential regional differences and their association with socioeconomic and health-related factors. Data for all opioid prescriptions by dentists was obtained from the 2012 database of the National Controlled Substances Management System, regulated by the Brazilian Health Surveillance Agency. The number of defined daily doses (DDD) and DDDs per 1,000 inhabitants per day for each Brazilian state were calculated as the primary outcomes. DDDs were compared by regions and Brazilian states. Spearman's rho correlation coefficient was used to determine the influence of the states' characteristics, such as the Human Development Index; poverty; education; number of dentists per 100,000 inhabitants; visit to the dentist; dental care plan; good or very good oral health; number of pharmaceutical establishments per 100,000/inhabitants; and ability to get all prescribed medications. Data analysis was performed using IBM SPSS Statistics 25.0. A total of 141,161 prescriptions for opioids analgesics by 36,929 dentists were recorded, corresponding to 658,855 doses of opioids dispensed in 2012. The most commonly dispensed opioids were codeine associated with paracetamol (83.2%; n = 117,493). The national DDDs per 1,000 inhabitants per day was 0.0093 (range: 0.0002-0.0216). DDD per 1,000 inhabitants per day was positively associated to visits to dentists (rs = 0.630; P < 0.001) and inversely associated to poverty (rs =-0.624; p = 0.001). There are significant differences in opioid prescriptions in dentistry among the Brazilian states. These differences may be associated with non-clinical factors.

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“…The result was graphically illustrated as biplot [11]. Under the Item Response Theory (IRT) approach three-parameter logistic model were applied [12][13][14][15]. Item difficulties, item discriminations, guessing and item information were calculated.…”

Section: Discussionmentioning

confidence: 99%

Factors affect on implementation of home dental care

Nomura

Kakuta²,

Okada³

et al. 2019

Preprint

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Background In Japanese super aging society, there is a need to establish home dental care service supply system. Current situation of home dental care should be analyzed.Methods A cross-sectional survey was conducted using a self-administered postal questionnaire distributed to all members of Iwate Dental Association. Implementation of home and nursing home dental care, number of staffs of dental clinic and the contents of dental home care were analyzed. For the analysis, correspondence analysis, item response theory, and zero-inflated model were used.Results Among 354 dental clinics, 187 (52.8%) were implemented home dental care and 195 (55.1%) were implemented nursing home dental care. Dental clinics handle home dental care by part-time workers. Denture treatment and oral care was the common treatment of dental home care.Conclusion More than half of the dental clinics were not managed the home dental care. Infrastructure improvement is necessary for the sufficient supply of dental home care service.

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Primary dental care evaluation in Brazil: an item response theory approach

Abstract: Although the analyzed items are insufficient to determine the performance of OHTs, the items related to prosthesis and oral cancer tend to discriminate high-performing OHTs from other OHTs.

Cited by 13 publications

References 27 publications

Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

A national study on the use of opioid analgesics in dentistry

Factors affect on implementation of home dental care

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