ABSTRACT
Resumen Introducción: El objetivo de la investigación fue establecer cuál es la simbología utilizada por los profesionales en odontología para documentar los hallazgos odontológicos más comunes en sus expedientes; con la finalidad de incluirla en un formato único odontológico estandarizado con fines de identificación en Costa Rica. Materiales y métodos: Mediante un cuestionario se identificó y comparó la simbología utilizada por profesionales en odontología generales y especialistas para registrar los hallazgos odontológicos en sus expedientes. Se realizó una fase piloto con 8 cuestionarios y posterior a las correcciones se aplicó a una muestra de 49 odontólogos que incluyó a profesionales en odontología generales y de todas las especialidades. Las técnicas estadísticas utilizadas para el análisis de la información recolectada en las encuestas son las distribuciones de frecuencia, cruce de variables, comparación de medias con base en el análisis de variancia. El nivel mínimo de confianza para las comparaciones fue del 95%. El procesamiento estadístico de los datos se diseñó una base de datos creada en EPI-INFO 6.4, el procesamiento estadístico de los datos se realizó en SPSS versión 13.0 y en Excel. Resultados: De los 49 participantes, 56% fueron hombres y 44% mujeres. La edad varía entre 25 y 65 años; la edad promedio fue de 44,5 años (IC 95%: 41,7 - 47,3) y una edad mediana [1] de 43 años, la cual no tuvo diferencia estadísticamente significativa (p = 0,552) entre la edad promedio entre los hombres y mujeres. El 70% de los odontólogos usan expediente físico, mientras que sólo un 17% usan expediente digital, y el 13% usan ambos; en el expediente digital es en el que se presenta la mayoría de problemas con un 62,5 %, en comparación al físico que tiene una prevalencia de 36,4% donde el principal problema es que no se comprendió la letra en un 86,7%. Conclusiones: El examen clínico odontológico es de extrema utilidad para colaborar en el proceso de identificación de víctimas mortales, sin embargo, se logró identificar, que no todos los profesionales en odontología en Costa Rica realizan una adecuada documentación en sus expedientes clínicos. Se propone una simbología estandararizada para dicha documentación.
Abstract Introduction: The objective of the research was to establish what is the symbology used by dentistry professionals to document the most common dental findings in their records; with the purpose of including it in a single standardized dental format for identification purposes in Costa Rica. Materials and methods: Through a questionnaire the symbology used by general dentists and specialists was identified and compared to record the dental findings in their files. A pilot phase with 8 questionnaires was carried out and after the corrections, it was applied to a sample of 49 dentists that included general and all specialties dentists. The statistical techniques used for the analysis of the information collected in the surveys are frequency distributions, crossing of variables, comparison of means based on the analysis of variance. The minimum level of confidence for the comparisons was 95%. The statistical processing of the data was designed a database created in EPI-INFO 6.4, the statistical processing of the data was performed in SPSS version 13.0 and in Excel. Results: The sample was conformed by 49 participants, 56% were men and 44% women. The age varies between 25 and 65 years; the average age was 44.5 years (95% CI: 41.7 - 47.3) and a median age [1] of 43 years, which had no statistically significant difference (p = 0.552) between the average age between men and women. A 70% of dentists use physical records, while only 17% use digital records, and 13% use both; digital files present the majority of problems with 62.5%, compared to the written format who has a prevalence of 36.4% where the main problem is that the letter was not understood in an 86.7 %. Conclusions: Dental records are extremely useful to collaborate in the process of human identification in fatalities; however, it was possible to identify that not all dental professionals in Costa Rica make adequate documentation in their clinical records. A standardized symbology is proposed for such documentation.
Subject(s)
Dental Care/organization & administration , Dentistry , Forms and Records Control , Practice Management, Dental/organization & administrationABSTRACT
Se realizó un estudio exploratorio transversal, durante las actividades prácticas odontológicas de 40 alumnos de cuarto y quinto año de la Facultad de Odontología de la Universidad Nacional de Córdoba (FOUNC). Objetivo general: proponer desde la gestión por procesos una estrategia de intervención para disminuir el riesgo de trastornos musculo esqueléticos por malas posturas; objetivos específicos: diagnosticar el nivel de riesgo de trastornos osteomusculares; describir las principales causas para adopción de posturas incorrectas y proponer un diagrama de actividades como estrategia de mejora basada en gestión por procesos, en un procedimiento.
Summary: A descriptive, exploratory and transversal study was conducted during dental practice activities of 40 students in fourth and fifth year in the Faculty of Dentistry at the National University of Córdoba (FOUN). General Ojective: to propose process management from an intervention strategy to reduce the risk of musculo skeletal disorders by poor posture, specific objectives: to diagnose the level of risk of musculoskeletal disorders, describe the main causes for adopting bab posture and propose diagram activities as a strategy for improvement based on process management in a procedure.
Subject(s)
Male , Female , Humans , Adolescent , Ergonomics/methods , Practice Management, Dental/organization & administration , Practice Management/organization & administration , Students, Dental , Education, Dental/organization & administration , Dentistry , Cross-Sectional Studies , ArgentinaABSTRACT
O objetivo deste estudo foi avaliar custos de implantação e manutenção da assistência odontológica no setor público. Os custos foram atualizados/depreciados de acordo com a vida útil e considerados na perspectiva do serviço e da sociedade. Os resultados mostraram que, para o serviço, o custo total de implantação de uma unidade odontológica com sete consultórios foi de R$ 860.643,67 no primeiro ano e R$ 545.419,23 para manutenção, sendo clínica geral a especialidade mais cara. Para a sociedade, o custo total foi de R$ 990.065,06 (implantação) e R$ 668.369,55 (manutenção) e a especialidade mais cara foi prevenção. Custos de capital representaram um pequeno percentual dos custos de uma unidade odontológica, entretanto, deveriam ser considerados, pois podem modificar os resultados. Devido ao alto custo, intervenções preventivo-promocionais realizadas no ambiente clínico não deveriam ser recomendadas, devendo ser substituídas por ações populacionais amplas e de menor custo, uma vez que valores consideráveis necessitam ser desembolsados pela população de baixa renda para participar de programas públicos gratuitos.
The aim of this study was to assess the costs of setting up and maintaining dental care in the public sector. Costs were updated or depreciated according to the service's lifespan and were analyzed from the perspective of the service itself and society. According to the findings, for the service the total cost of setting up a dental care unit with seven rooms was BRL$860.643.67 in the first year, plus BRL$545,419.23 for maintenance, and clinical dental care was the most expensive specialty. For society, the total cost was BRL$990,065.06 (implementation) and BRL$668,369.55 (maintenance), and the most expensive specialty was prevention (US$1.00 = BRL$1.62). Capital costs represented a small percentage of total costs for a dental care unit, but they need to be considered, since they can modify the results. Due to the high costs, preventive and promotional interventions should not be performed in the clinical setting, but should be replaced by broader and less expansive population-based interventions, since considerable sums need to be spent by the low-income population to participate in free public programs.
Subject(s)
Humans , Delivery of Health Care/economics , Dental Care/economics , Dental Health Services/economics , Health Plan Implementation/economics , National Health Programs/economics , Oral Health , Brazil , Costs and Cost Analysis , Dental Caries/prevention & control , Dentistry , Fees, Dental , Practice Management, Dental/organization & administrationABSTRACT
As diferentes maneiras de perceber produtos e serviços, levaram os estudiosos de marketing a segmentar mercados em forma de especialização, buscando atender de maneira quase individual os clientes (one to one), em suas necessidades, preferências e desejos. Esta é a maneira mais segura de mantê-los e fidelizá-los. Para se chegar mais perto desta modernidade, é necessário que se conheça melhor e com dados mais concretos, o que pensam os clientes a respeito dos serviços que se está praticando. Nesse sentido e para, a partir disto, se pretender a conquista de novos clientes, é proposto um modelo de pesquisa de avaliação, com adição de uma pergunta milagrosa
Subject(s)
Practice Management, Dental/organization & administration , Marketing of Health Services , Advertising , Dental Research , Surveys and QuestionnairesABSTRACT
La Odontología, como cualquier otra carrera, tiene que ser manejada de una manera empresarial, aceptando conceptos como Marketing, Reingeniería y Calidad total como parte del trabajo diario. Sólo así será posible tratar al paciente de manera eficiente