Autor: |
Gouvêa DB; Universidade Federal do Rio Grande do Sul, School of Dentistry, Pediatric Dentistry, Porto Alegre, RS, Brazil., Neves M; Universidade Federal do Rio Grande do Sul, School of Dentistry, Community Dental Health, Porto Alegre, RS, Brazil., Rodrigues JA; Universidade Federal do Rio Grande do Sul, School of Dentistry, Pediatric Dentistry, Porto Alegre, RS, Brazil. |
Jazyk: |
angličtina |
Zdroj: |
Brazilian oral research [Braz Oral Res] 2023 Jun 19; Vol. 37, pp. e058. Date of Electronic Publication: 2023 Jun 19 (Print Publication: 2023). |
DOI: |
10.1590/1807-3107bor-2023.vol37.0058 |
Abstrakt: |
Dental Specialties Centers (CEOs) are clinics representing part of the secondary oral health care system of the Brazilian Unified Health System (SUS). Pediatric dentistry is not a requirement for service accreditation. However, the CEO of the Federal University of Rio Grande do Sul (CEO-UFRGS) has provided dental care for children aged 3-11 years since 2017. The utilization rates of health services are influenced by absenteeism. Therefore, evaluation of absences for dental appointments is of primary importance. This study aimed to evaluate referral characteristics, absenteeism, and resolubility of pediatric dentistry appointments at the CEO-UFRGS. This retrospective cross-sectional study was conducted at the Dental Teaching Hospital of the university and analyzed secondary data from referrals and medical records. From August 2017 to December 2019, 167 referrals and 96 medical records were reviewed, from which data of individual variables related to the referral process and treatment were collected. Data were collected by a single trained examiner and analyzed using SPSS software. The main reasons for referral to secondary care were dental caries and pulpal or periapical diseases associated with difficult-to-manage behavior. An absenteeism rate of 28.1% at the first pediatric dental visit and a resolution rate of 65.6% were found. Binary logistic regression analysis indicated that each day of waiting for specialized care resulted in a 0.3% of higher chance of absence for appointment. This also increased the chance by 0.7% in child who attended the first visit to complete treatment, suggesting that the waiting time for attendance was associated with absenteeism and resolubility. Public policies that expand providing child dental care in secondary care are recommended to improve access to and resolubility of services. |
Databáze: |
MEDLINE |
Externí odkaz: |
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