Reorganization of secondary and tertiary health care levels: impact on the outcomes of oral cancer screening in the São Paulo State, Brazil
| Autor: | Gilberto Alfredo Pucca Júnior, Maria Ercília de Araújo, Claudia Cazal, Dorival Pedroso da Silva, Fernanda Campos Sousa de Almeida, Antonio Carlos Frias |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Longitudinal study campaign public policy Population Health Promotion Internal medicine Statistical significance Health care medicine Humans Longitudinal Studies education General Dentistry Early Detection of Cancer Aged Retrospective Studies Aged 80 and over education.field_of_study Oral cancer screening business.industry screening Public health public health Cancer Oral Neoplasm Middle Aged medicine.disease Surgery Female Mouth Neoplasms oral neoplasms business Delivery of Health Care Brazil |
| Zdroj: | Brazilian Dental Journal, Volume: 23, Issue: 3, Pages: 241-245, Published: 2012 Brazilian Dental Journal v.23 n.3 2012 Brazilian Dental Journal Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP |
| ISSN: | 0103-6440 2001-2004 |
| DOI: | 10.1590/s0103-64402012000300010 |
| Popis: | This study presents the strategies for prevention and early detection of oral cancer by means of screening in the elderly population of São Paulo, the richest and the most populous state of Brazil. This research was a retrospective longitudinal study based on the analysis of secondary data. The variables - number of participating cities, coverage of screening, and number of suspicious and confirmed cases of oral cancer - were divided into two periods: 2001-2004 and 2005-2008. Data were analyzed statistically by the chi-square test at 5% significance level. The implementation of a nationwide public oral health policy in 2004 and the reorganization of the secondary and tertiary health care were evaluated as mediator factors able to interfere in the achieved outcomes. From 2001 to 2008, 2,229,273 oral examinations were performed. There was an addition of 205 participating cities by the end of the studied period (p |
| Databáze: | OpenAIRE |
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