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1.
São Paulo; s.n; 20220810. 120 p.
Thesis in Portuguese | LILACS, BBO | ID: biblio-1381642

ABSTRACT

O uso de substâncias para melhorar a prática esportiva ou de trabalho, remonta a própria história, mesmo nas primeiras olimpíadas na Grécia, era tolerado o uso de remédios para melhorar o desempenho dos atletas, enquanto outros tipos de trapaça eram punidos até com a escravidão. Nossos tempos são de consumo de esportes em massa e grandes volumes financeiros como indústria de entretenimento. Tentando manter o jogo o mais justo possível, diversas entidades criaram regras cada vez mais rígidas para preservar a saúde do atleta e não deixar que haja trapaças por meio de substâncias proibidas. Tendo isso em vista, o CD (Cirurgião Dentista) precisa estar preparado para atender esse paciente a fim de não comprometer sua vida profissional no esporte e dar o melhor cuidado possível a ele. Este trabalho se propões a identificar os medicamentos mais utilizados pelos CDs, em suas várias especialidades, e identificar por meio da biotransformação as possíveis substâncias que levem ao doping.


Subject(s)
Humans , Specialties, Dental , Dentistry
2.
Ciênc. Saúde Colet. (Impr.) ; 27(1): 253-261, jan. 2022. tab
Article in Portuguese | LILACS | ID: biblio-1356027

ABSTRACT

Resumo Estudou-se a influência da Autoavaliação para Melhoria do Acesso e Qualidade (AMAQ) na produção de procedimentos especializados nos Centros de Especialidades Odontológicas (CEO). Utilizou-se dados da avaliação externa de 900 CEO do primeiro ciclo do Programa para Melhoria do Acesso e Qualidade (PMAQ/CEO) e Sistema de Informação Ambulatorial (SIA/SUS). A variável dependente foi a média mensal de procedimentos (proc/mês) dos CEO entre os três períodos: 1) outubro de 2012 a setembro de 2013; 2) outubro de 2013 a setembro de 2014; e 3) outubro de 2014 a setembro 2015. A principal variável independente foi o uso da AMAQ/CEO no segundo período. Tipo de CEO, média de cirurgiões-dentistas com carga-horária de 20h, estratégias contra absenteísmo, apoio matricial, protocolos clínicos e cobertura de cadastrados na Estratégia de Saúde Bucal das Família foram covariáveis. Utilizou-se modelos de regressão linear múltipla para análises ajustadas. Equipes que utilizaram a AMAQ-CEO apresentaram média de 515,0 proc/mês, 575,5 proc/mês, e 519,9 proc/mês no primeiro, segundo e terceiro períodos, respectivamente. As equipes que utilizaram AMAQ-CEO tiveram uma maior média de produção do que aquelas que não utilizaram, com diferença ajustada de 32,7 proc/mês, 64,7 proc/mês e 27,7 proc/mês no primeiro, segundo e terceiro períodos, respectivamente.


Abstract We studied the influence of Self-Assessment for Improving Access and Quality (AMAQ) in the production of specialized procedures in the of Dental Specialties Centers (DSC). Data were obtained from the 900 DSC submitted to the external evaluation of the Program for Improving Access and Quality (PMAQ-CEO) and the Outpatient Information System (SIA-SUS). The dependent variable was the monthly average of dental procedures (proc/mon) in the DSC performed in three periods: 1) October 2012 to September 2013; 2) October 2013 to September 2014; and 3) October 2014 to September 2015. The main independent variable was the use of AMAQ/CEO, which occurred during the second period. Type of DSC, average number of dentists with a 20-hour workload, strategies to reduce missing appointments, referral support, clinical protocols and coverage of PHC registered users were used as covariates. Multiple linear regression models were run to estimate adjusted differences. Teams that used AMAQ-CEO had a mean of 515.0 proc/mon, 575.5 proc/mon, and 519.9 proc/mon in the first, second and third periods, respectively. The DSC that used AMAQ-CEO had a higher mean than those that did not, with an adjusted difference of 32.7 proc/mon, 64.7 proc/mon and 27.7 proc/mon for the first, second and third periods, respectively.


Subject(s)
Humans , Outpatients , Self-Assessment , Specialties, Dental
3.
Article in English | LILACS, BBO | ID: biblio-1386803

ABSTRACT

Abstract Objective: To analyze patients' pain perception requiring endodontic treatment referred to a Dental Specialties Center. Material and Methods: Data was collected through a self-administered questionnaire for patients about their experience of pain and another for endodontists about the treatment performed. The results were analyzed descriptively using Pearson's Chi-square test and Fisher's Exact test, with Bonferroni correction (p≤0.05). Results: The median age of the patients was 39 years, and 71.1% were female. The median waiting time for treatment was five months. Pain was reported by 75.2% of patients, occurred more than one month earlier (63.6%), with moderate/severe intensity (66.9%), and most patients sought emergency treatment more than once (79.1%). In addition, pain was associated with sex (female; p=0.008); moderate/severe intensity (p<0.001); the number of times that patient had to go to the dentist because of the tooth treatment (twice or more; p=0.002); and type of tooth treated (posterior tooth; p=0.002). Conclusion: Severe pain episodes resulted in a repeated search for emergency services, which may overload the primary care service, especially if the waiting time for endodontic treatment is long.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Primary Health Care/methods , Toothache , Secondary Care , Pain Perception , Endodontists , Specialties, Dental , Chi-Square Distribution , Surveys and Questionnaires , Statistics, Nonparametric , Regenerative Endodontics/instrumentation
4.
Odontol. Clín.-Cient ; 20(2): 6-6, abr.-maio 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1369056
5.
Odontol. Clín.-Cient ; 20(3): 13-18, jul.-set. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1372007

ABSTRACT

A hipnose é conceituada como um estado modificado da consciência, mais próximo da vigília do que do sono. Configura-se como um ótimo método terapêutico auxiliar com diversos benefícios na odontologia, visto que é possível tratar o paciente no consultório empregando essa técnica junto ao tratamento em diversas especialidades odontológicas, além de que permite a dispensa do uso de medicamentos algumas vezes. Deste modo, o objetivo desse trabalho foi avaliar o conhecimento dos estudantes de odontologia sobre a hipnose terapêutica em tratamentos odontológicos. Tratou-se de um estudo exploratório descritivo de abordagem quantitativa realizado com alunos devidamente matriculados no 1º, 5º e 10º períodos dos cursos de Odontologia do Centro Universitário de João Pessoa - UNIPÊ, no Curso de Odontologia da Universidade Federal da Paraíba - UFPB, e no Curso de Odontologia da Faculdade Integrada de Patos - FIP. A amostra da pesquisa foi igual ao universo, sendo constituída de 257 estudantes. A coleta de dados foi realizada na Universidade Federal da Paraíba, UNIPÊ e na FIP sendo utilizado um questionário contendo questões objetivas relacionadas ao conhecimento sobre hipnose e sua aplicação. Com isso, constatou-se que os estudantes eram em sua maioria do gênero feminino (70%) com idade entre 18 e 21 anos (45,1%), não possuíam graduação (76%), não tinham conhecimento sobre as técnicas de hipnose (59%) e nem conheciam a resolução das Práticas Integrativas e Complementares (CFO nº82/2008). No entanto, a maioria dos entrevistados acreditava na técnica (75%), apresentavam vontade de fazer um curso sobre hipnose (77%) e acreditavam que o odontólogo possuía capacidade para realizar tal técnica (67%). Quando perguntados sobre as aplicações da hipnose na clínica odontológica houve o predomínio do controle de medo, trauma, ansiedade e tensão (17,9%). Em relação aos principais traumas no consultório observou-se que a maioria não tinha traumas (43,7%), seguido de barulho do motorzinho (12,1%). Concluiu-se que o fato de uma grande parcela dos estudantes de odontologia não possuir conhecimento acerca da hipnose, pode refletir na necessidade de inserção do conteúdo de Práticas Integrativas e Complementares nos cursos de graduação nessas instituições, além de que existem poucos estudos na literatura com essa temática ressaltando a importância do presente estudo... (AU)


Hypnosis is conceptualized as a modified state of consciousness, closer to waking than to sleep. It is configured as a great auxiliary therapeutic method with several benefits in dentistry, since it is possible to treat the patient in the office using this technique along with treatment in various dental specialties, in addition to allowing the dispensation of the use of medications sometimes. Thus, the objective of this work was to evaluate the knowledge of dentistry students about therapeutic hypnosis in dental treatments. It was an exploratory descriptive study with a quantitative approach carried out with students duly enrolled in the 1st, 5th and 10th periods of Dentistry courses at Centro Universitário de João Pessoa - UNIPÊ, in the Dentistry Course at Universidade Federal da Paraíba - UFPB, and in the Dentistry Course at Faculdade Integrada de Patos - FIP. The research sample was the same as the universe, consisting of 257 students. Data collection was carried out at the Federal University of Paraíba, UNIPÊ and at FIP, using a questionnaire containing objective questions related to knowledge about hypnosis and its application. Thus, it was found that the students were mostly female (70%) aged between 18 and 21 years old (45.1%), had no graduation (76%), had no knowledge about hypnosis techniques (59%) and did not even know the resolution of Integrative and Complementary Practices (CFO nº82 / 2008). However, most of the interviewees believed in the technique (75%), they wanted to take a course on hypnosis (77%) and believed that the dentist had the capacity to perform this technique (67%). When asked about the applications of hypnosis in the dental clinic, there was a predominance of fear, trauma, anxiety and tension control (17.9%). Regarding the main traumas in the office, it was observed that the majority had no traumas (43.7%), followed by the noise of the small engine (12.1%). It was concluded that the fact that a large portion of dentistry students do not have knowledge about hypnosis, may reflect the need to insert the content of Integrative and Complementary Practices in undergraduate courses in these institutions, in addition to the fact that few studies were literature with this theme emphasizing the importance of the present study... (AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Specialties, Dental , Complementary Therapies , Consciousness , Dental Clinics , Dentistry , Hypnosis, Dental , Anxiety
6.
Rev. baiana saúde pública ; 44(2): 95-115, 20200813.
Article in Portuguese | LILACS | ID: biblio-1364014

ABSTRACT

O funcionamento das organizações de forma fragmentada tem interferido na resolutividade do cuidado. Por isso, como estratégia da Política Nacional de Saúde Bucal para garantia da atenção secundária em saúde estão os Centros de Especialidades Odontológicas (CEO). Este estudo, de caráter exploratório transversal retrospectivo e abordagem quantitativa, objetivou analisar a organização dos serviços de atenção secundária em saúde bucal em um município do Nordeste brasileiro. Para tal, apoiou-se no fluxo de usuários e utilização desse nível de atenção e buscou o número de especialistas e usuários atendidos no ano de 2017 nos seis CEO existentes no território. Quanto à utilização dos serviços prestados pelos CEO, foi considerada a produção referente ao ano de 2017, disponível no Sistema de Informações Ambulatoriais (SIA). A pesquisa constatou que a oferta de atendimento disponibilizada foi menor do que a potencial nos seis CEO estudados. Identificou-se a falta de parâmetros de vinculação para referência de usuários aos CEO por meio da representação do fluxo de usuários em um mapa.


The fragmented functioning of organizations has interfered with the resoluteness of care. Hence, the National Dental Health Policy points to Dental Specialty Centers (CEO) as a strategy to ensure secondary health care. This retrospective cross-sectional exploratory study with a quantitative approach sought to analyze the organization of secondary oral health care services in a northeastern Brazilian municipality. To this end, it observed the flow of users and utilization of this level of care, looking at the number of specialists and users treated in 2017 in the six CEOs in the territory. As for the use of the services provided by the CEOs, the production for the year 2017, available in the Outpatient Information System (SIA), was considered. Results show that the service provided was lower than the potential in the six CEOs studied. The lack of linkage parameters for referral to the CEO was identified by representing the flow of users on a map.


El funcionamiento de las organizaciones de manera fragmentada ha interferido en la resolución de la atención. Frente a esto, una estrategia de la Política Nacional de Salud Dental para asegurar la atención médica secundaria son los Centros de Especialidades Odontológicas (CEO). Este estudio retrospectivo exploratorio, de enfoque cuantitativo, tuvo como objetivo analizar la organización de los servicios de atención secundaria de la salud bucal en un municipio del Nordeste de Brasil. Para ello, se basó en el flujo de usuarios y el uso de este nivel de atención, además de buscar el número de especialistas y usuarios atendidos a lo largo del 2017 en seis CEO existentes allí. En cuanto al uso de los servicios prestados por los CEO, se tuvo en cuenta la producción para el 2017, disponible en el Sistema de Información para Pacientes Ambulatorios (SIA). Se encontró que la oferta de servicios disponibles fue menor que la de potencial de los seis CEO estudiados. Hubo falta de parámetros para la referencia de los usuarios al CEO mediante la representación del flujo de usuarios en un mapa.


Subject(s)
Specialties, Dental , Delivery of Health Care , Dental Health Services , Dentistry
7.
Rev. bras. cancerol ; 66(3): 1-9, 2020.
Article in Portuguese | LILACS | ID: biblio-1120158

ABSTRACT

Introdução: Os Programas de Residência Multiprofissional constituem-se uma estratégia fundamental para a ampliação da capacidade para o enfrentamento do câncer. Objetivo: Analisar o panorama atual dos Programas de Residência Multiprofissional em Oncologia para cirurgiões- -dentistas no Brasil, bem como o número de profissionais egressos desses cursos, a partir de dados informados pelo Ministério da Educação (MEC). Método: Trata-se de um estudo quantitativo, exploratório. A primeira fase consistiu na solicitação à Equipe Técnica da Residência Multiprofissional do MEC do Brasil da relação de todos os Programas de Residência Multiprofissional em Oncologia que incluíssem a categoria profissional da odontologia. Adicionalmente, foi realizada busca manual. Na segunda fase, realizaram-se contato por e-mail e busca pelos editais disponíveis na Internet dos casos em que não houve resposta. Os dados investigados foram a presença de Programa ativo, inclusão da categoria profissional da odontologia, número de vagas ofertadas e de egressos para cada ano entre 2010 e 2020, que foram analisados descritivamente. Resultados:Foram identificados 13 Programas de Residência Multiprofissional em Oncologia para cirurgiões-dentistas, distribuídos em 12 centros, situados em dez cidades de oito Estados brasileiros, sobretudo, na Região Sudeste. Seis Programas foram implementados em 2010, seis em 2016 e um em 2020. No cenário Brasileiro, entre 2010 e 2020, foram ofertadas 216 vagas e formados pouco mais de 114 profissionais especializados nessa área. Conclusão: Ressalta-se a necessidade do incremento de centros, Programas e vagas para Residências Multiprofissionais em Oncologia para cirurgiões-dentistas no Brasil, bem como do reconhecimento da Oncologia como uma especialidade odontológica.


Introduction: Multiprofessional Residency programs represent a fundamental strategy to increase the capacity of cancer management. Objective: To analyze the current portrait of Multiprofessional Residency programs in oncology for dental surgeons in Brazil, as well as the number of professionals graduating from these courses, based on data reported by the Ministry of Education (MEC). Method: Quantitative, exploratory study. The first phase consisted in requesting to the Brazilian MEC Technical Team of Multiprofessional Residency to list all the Multiprofessional Residency Programs in Oncology that included the professional category of dentistry. Additionally, a manual search was performed. In the second phase, a contact was made by e-mail and a search in the available Internet public notices of the unanswered cases was conducted. The data searched and analyzed descriptively consisted in the existence of an active program, inclusion of the professional dentistry category, number of vacancies offered and graduates for each year between 2010 and 2020. Results: Thirteen Multiprofessional Residency programs in oncology for dental surgeons were identified, distributed in 12 centers, located in ten cities in eigtht Brazilian states, mainly in the Southeast region. Six programs were implemented in 2010, six in 2016 and one in 2020. In the Brazilian scenario, between 2010 and 2020, a total of 216 vacancies were offered and just over 114 professionals specialized in this area completed the academic formation. Conclusion: It is emphasized the necessity to increase the quantity of centers, programs and vacancies for Multiprofessional Residencies in Oncology for dental surgeons in Brazil, as well as the recognition of oncology as a dental specialty


Introducción: Los Programas de Residencia Multiprofesional constituyen una estrategia fundamental para expandir la capacidad de enfrentar el cáncer. Objetivo:Analizar el panorama actual de los Programas de Residencia Multiprofesional en oncología para cirujanos-dentistas en Brasil, así como el número de profesionales que concluyeron estos cursos, con base en datos reportados por el Ministerio de Educación (MEC). Método: Este es un estudio cuantitativo exploratorio. La primera fase consistió en pedirle al Equipo Técnico de Residencia Multiprofesional del MEC del Brasil que enumerara todos los Programas de Residencia Multiprofesional en Oncología que incluían la categoría profesional de odontología. Además, se realizó una búsqueda manual. En la segunda fase, se contactó por correo electrónico y se buscaron los avisos disponibles en Internet de los casos en que no hubo respuesta. Los datos investigados fueron la presencia de Programa activo, inclusión de la categoría profesional odontología, número de vacantes ofrecidas y número de graduados para cada año entre 2010 y 2020, que fueron analizados descriptivamente. Resultados: Se identificaron 13 Programas de residencia multiprofesional en oncología para cirujanos dentistas, distribuidos en 12 centros, ubicados en diez ciudades de ocho estados brasileños, principalmente en la región Sudeste. Se implementaron seis Programas en 2010, seis en 2016 y uno en 2020. En el escenario brasileño, entre 2010 y 2020, se ofrecieron 216 vacantes y se capacitaron poco más de 114 profesionales especializados en esta área. Conclusión: Se enfatiza la necesidad de aumentar el número de centros, Programas y vacantes para residencias multiprofesionales en oncología para dentistas en Brasil, así como del reconocimiento de la oncología como especialidad odontológica


Subject(s)
Humans , Specialties, Dental/education , Internship and Residency , Medical Oncology/education , Brazil , Education, Dental
8.
Epidemiol. serv. saúde ; 29(3): e2019429, 2020. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1101147

ABSTRACT

Objetivo: avaliar os fatores associados à insatisfação dos usuários dos centros de especialidades odontológicas (CEOs) do Brasil. Métodos: estudo transversal, com dados do Programa de Melhoria do Acesso e da Qualidade dos CEOs; realizado em 2014, o estudo incluiu amostra não probabilística de usuários; foram classificados como insatisfeitos aqueles que responderam ser o atendimento por eles recebido regular, ruim ou muito ruim. Resultados: foram incluídos 8.730 usuários, dos quais 4,8% relataram insatisfação; maior tempo de deslocamento até o serviço (OR=1,38 - IC95% 1,10;1,74) e maior tempo de espera (OR=1,37 - IC95% 1,07;1,75) associaram-se positivamente à insatisfação; encontrou-se associação negativa com o acolhimento (OR=0,12 - IC95% 0,09;0,16), a possibilidade de tirar dúvidas (OR=0,37 IC95% 0,24;0,58) e o recebimento de orientações (OR=0,33 - IC95% 0,25;0,44). Conclusão: a insatisfação dos usuários teve baixa prevalência e foi associada a fatores relativos à organização dos serviços e ao recebimento de informação e apoio.


Objetivo: evaluar los factores asociados con la insatisfacción de los usuarios de los centros de especialidades dentales (CEO) de Brasil. Métodos: estudio transversal con datos del Programa de Mejoramiento de Acceso y Calidad de los Centros de Especialidad Dental de 2014, que incluyó una muestra no probabilística de usuarios; los que respondieron que el servicio recibido era regular, malo o muy malo fueron clasificados como insatisfechos. Resultados: se incluyeron 8.730 usuarios, 4,8% reportaron insatisfacción; mayor tiempo de viaje (OR=1,38 - IC95% 1,10;1,74) y espera (OR=1,37 - IC95% 1,07;1,75) se asociaron positivamente con la insatisfacción; hubo asociación negativa con la recepción (OR=0,12 - IC95% 0,09;0,16), la posibilidad de despejar dudas (OR=0,37 - IC95% 0,24;0,58) y recibir orientación (OR=0,33 - IC95% 0,25;0,44). Conclusión: la prevalencia de insatisfacción fue baja y se asoció con factores relacionados con la organización de los servicios y la recepción de información y apoyo.


Objective: to evaluate factors related to the dissatisfaction of users of the specialized dental care centers (CEO) in Brazil. Methods: this was a cross-sectional study with data from the Dental Specialty Center Access and Quality Improvement Program; the study was conducted in 2014 and included a non-probabilistic sample of users; those who answered that the service received was regular, poor or very poor were classified as dissatisfied. Results: a total of 8,730 users were included, 4.8% reported dissatisfaction; longer time taken to get to the service (OR=1.38 - 95%CI1.10;1.74), and longer waiting time until treatment (OR=1.37 - 95%CI1.07;1.75), were positively associated with dissatisfaction, whereas negative association was found with attention received (OR=0.12 - 95%CI0.09;0.16), the possibility of asking questions about treatment (OR=0.37 - 95%CI0.24;0.58), and receiving advice during treatment (OR=0.33 - 95%CI0.25;0.44). Conclusion: prevalence of user dissatisfaction was low and was associated with factors related to service organization and receipt of information and support.


Subject(s)
Humans , Oral Health/statistics & numerical data , Patient Satisfaction/statistics & numerical data , Dental Health Services/organization & administration , Specialties, Dental , Secondary Care , Brazil , Cross-Sectional Studies
9.
Braz. oral res. (Online) ; 34: e054, 2020. tab
Article in English | LILACS, BBO | ID: biblio-1132715

ABSTRACT

Abstract Currently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Pneumonia, Viral/prevention & control , Coronavirus Infections/prevention & control , Practice Patterns, Dentists'/standards , Dentists/standards , Pandemics/prevention & control , Betacoronavirus , Pneumonia, Viral/epidemiology , Specialties, Dental/standards , Specialties, Dental/statistics & numerical data , Turkey/epidemiology , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Risk Factors , Sex Distribution , Coronavirus Infections/epidemiology , Practice Patterns, Dentists'/statistics & numerical data , Dental Clinics , Dentists/statistics & numerical data , SARS-CoV-2 , COVID-19 , Middle Aged
10.
Physis (Rio J.) ; 30(4): e300404, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1143435

ABSTRACT

Resumo O estudo tem como objetivo analisar a implementação regional dos Centros de Especialidades Odontológicas (CEO) no estado do Ceará. Trata-se de pesquisa avaliativa baseada em estudo de caso com abordagem qualitativa. Realizaram-se entrevistas semiestruturadas com 13 informantes-chave da gestão e da academia, complementadas por análise documental e observação não participante, no ano de 2018. A análise de conteúdo considerou o processo de regionalização e a trajetória da política de saúde bucal no estado. Observaram-se forte indução e liderança da Secretaria de Estado da Saúde, que permitiram a inserção da saúde bucal no processo de regionalização da atenção à saúde. Houve implantação em larga escala de CEO Regionais, em contraposição à diretriz municipalista induzida pela política federal. Ressaltam-se como fatores facilitadores: a expertise dos atores estaduais envolvidos na condução da política, a antecipação da política estadual de saúde bucal às diretrizes nacionais e a implantação dos Consórcios Públicos de Saúde responsáveis pela organização e oferta dos serviços especializados nas regiões de saúde. A experiência do Ceará sugere a importância do enfoque regional para fortalecimento e consolidação do acesso integral à saúde bucal no âmbito do Sistema Único de Saúde.


Abstract The study aims to analyze the regional implementation of the Dental Specialty Centers (CEO) in the state of Ceara, Brazil. It is an evaluative research based on a case study with a qualitative approach. Semi-structured interviews were conducted with 13 key informants from management and academia, complemented by document analysis and non-participant observation, in 2018. The content analysis considered the regionalization process and the trajectory of oral health policy in the state. There was a strong induction and leadership of the State Department of Health, which allowed the insertion of oral health in the process of regionalization of health care. There was a large-scale implementation of Regional CEOs, as opposed to the municipalist guideline induced by federal policy. The following stand out as facilitating factors: the expertise of the state actors involved in conducting the policy, the anticipation of the state oral health policy to national guidelines and the implementation of the Public Health Consortia responsible for organizing and offering specialized services in health regions. The experience of Ceara suggests the importance of the regional approach for strengthening and consolidating full access to oral health within the scope of the Unified Health System.


Subject(s)
Humans , Male , Female , Primary Health Care , Regional Health Planning , Specialties, Dental , Unified Health System , Oral Health , Health Policy , Brazil , Qualitative Research
11.
Educ. med. super ; 34(3): e2065, 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1133706

ABSTRACT

Introducción: Para 2025 todos los programas de especialidades odontológicas chilenas deberán estar acreditados para permitir a los egresados inscribir su título y desempeñarse laboralmente. En tal sentido, los docentes fueron evaluados con respecto a su nivel de producción académica. Esto significó un esfuerzo relevante para cumplir con los criterios de acreditación actuales. Objetivo: Identificar la percepción de los docentes de los programas de especialización de facultades de odontología de Santiago de Chile acerca de los actuales requerimientos de producción académica. Métodos: Se realizó un estudio cualitativo exploratorio, mediante entrevista activa con guión flexible, en 18 docentes de especialidades odontológicas de universidades representativas de la realidad nacional. Los datos fueron procesados mediante software cualitativo y se llevó a cabo un análisis de contenido descriptivo. Resultados: Se identificaron las principales narrativas de la percepción de los docentes sobre la valoración de los distintos indicadores de producción y los factores que modificaban su cumplimiento. Los indicadores más relevantes para los docentes fueron los relacionados con la experiencia clínica y docente, con énfasis en el carácter clínico y práctico de sus programas. El principal obstáculo para el cumplimiento de la producción académica resultó la falta de tiempo protegido para la investigación científica. Conclusiones: Los docentes percibieron dificultades para cumplir con los actuales requerimientos de producción académica, principalmente debido a la ausencia de tiempo protegido para la investigación científica. Si bien existieron mecanismos de apoyo a nivel institucional, aún se necesitan más herramientas que protejan el horario de trabajo académico y potencien el desempeño investigativo(AU)


Introduction: By 2025, all Chilean dental specialties programs must be accredited, so that this allows graduates to register their degree and work professionally. In this respect, professors were evaluated based on their level of academic production. This was a significant effort to meet the current accreditation criteria. Objective: To identify the perception that professors of specialty programs at dental schools in Santiago de Chile possess about the current requirements of academic production. Methods: An exploratory and qualitative study was carried out by means of conducting an active interview with a flexible questionnaire on 18 professors of dental specialties from universities representative of the national reality. The data were processed using a qualitative software, and descriptive content analysis was carried out. Results: The main aspects of the professors' perception about the assessment of the different production indicators and the factors that modified their compliance were identified. The most relevant indicators for professors were those related to clinical and teaching experience, with an emphasis on the clinical and practical nature of their programs. The main obstacle to the fulfillment of academic production was the lack of protected time for scientific research. Conclusions: The professors perceived difficulties in meeting current academic production requirements, mainly due to the absence of protected time for scientific research. Although support mechanisms existed at the institutional level, more tools are still needed to protect academic working hours and enhance research performance(AU)


Subject(s)
Humans , Perception , Schools, Dental , Specialties, Dental , Economics , Accreditation
12.
Rev. ABENO ; 20(1): 102-112, 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1349383

ABSTRACT

O objetivo doestudo é apresentar a situação atual da de Odontologia na União Europeia, no que tange à formação, ao trânsito de cirurgiões-dentistas,àregulação profissional e às especialidadesodontológicas. Para tanto, pautou-se em uma análise documental e revisão bibliográfica da literatura. Foram incluídos apenas artigos científicos publicados na íntegra, em português ou inglês, no período de 2009 a 2018, que estivessem relacionados ao tema da pesquisa. A busca dos artigos foi realizada nas bases de dados SciELO, LILACSe PubMed, por meio da combinação dos descritores: "Trabalho/Work", "Odontologia/Odontology", "Educação Superior/Education, Higher", "União Europeia/European Union". O estudo demonstrou que a União Europeiadetém em uma só legislação normas que regulam o trânsito dos cirurgiões-dentistas, embora o domínio da língua pareça ser um entrave à circulação. Ademais, a harmonização da formação da Odontologiafoi pactuada no bloco. Nesse sentido, a União Europeiamanda recados para o MERCOSUL, do qual o Brasilfaz parte.Interessante e necessária é a absorção pelo MERCOSUL das experiências exitosas e desfechos já encontrados pela União Europeia, nesse desafio de planificar a educação superior e o trânsito decirurgiões-dentistas, considerando as peculiaridades que o compõem (AU).


The aim of the study is to present the current situation of Dentistry in the European Union, with regard to the training, international mobility of dentists, professional regulation and dental specialties. In order to do so, a documental analysis and review of the literature was carried out. Only scientific articles published in full, in Portuguese or English, from 2009 to 2018, that were related to the research topic were included. The search for the articles was carried out in the SciELO, LILACS and PubMed databases, through the combination of the descriptors: "Work", "Dentistry", "Higher Education", "European Union". The study showed that the European Union has in one legislation rules that regulate the mobility of dentists, although the issue of the language seems to be an obstacle to such circulation. Furthermore, the harmonization of the formation of Dentistry was agreed among members of the bloc. In this sense, the European Union sends messages to MERCOSUL, group in which Brazil is a member. The absorption by MERCOSUL of the successful experiences and outcomes already found by the European Union is somehow interesting and necessary, in a matter of higher education and the mobility of dentists, considering the peculiarities that compose it (AU).


Subject(s)
Specialties, Dental , Work , Dentists , Health Human Resource Training , European Union , Data Interpretation, Statistical , Databases, Bibliographic , Universities , Qualitative Research , Documentation/methods , Legislation, Dental
13.
Ciênc. cuid. saúde ; 18(2): e45946, 2019-03-18.
Article in Portuguese | LILACS | ID: biblio-1121491

ABSTRACT

Introduction: Brazilian municipalities in border regions with other countries have assisted cross-border citizens who seek to solve health problems in the services offered by SUS. Objective: to analyze oral health care based on the profile of foreigners and Brazilian residents in countries bordering the city of Foz do Iguaçu, Paraná, who sought dental care in primary care (AB) in this municipality. Methodology: Quantitative cross-sectional study whose sources were the total dental records of users assisted from 2010 to 2015 (n=751). The data collected reflect sociodemographic conditions, history of dental care, medical and dental history and dental history for users under five years of age and were analyzed using simple descriptive statistics. Results: Brazilians living in Paraguay (98.67%); did not continue treatment (81.09%), restorative treatment was the most accomplished in AB (51.93%), endodontic the most sought in the Dental Specialties Center (47.77%), presenting a higher percentage of abandonment and pendency (56.78%). Discussion: cessation of treatment was one of the most worrying findings, suggesting barriers to integrality of care and underreporting of data, a limiting factor in the research. Conclusion: the integrality of dental care must be analyzed by management; in addition, it is suggested that the professionals be trained in the work process and in information records.


Introdução: Municípios brasileiros em regiões de fronteira com outros países têm assistido cidadãos transfronteiriços que buscam resolver problemas de saúde nos serviços ofertados pelo SUS. Objetivo: analisar a atenção à saúde bucal a partir do perfil de estrangeiros e de brasileiros residentes em países de fronteira com o município de Foz do Iguaçu, Paraná, que buscaram assistência odontológica na atenção básica (AB) desse município. Metodologia: Pesquisa quantitativa, transversal, cujas fontes foram a totalidade dos prontuários odontológicos de usuários atendidos de 2010 a 2015 (n=751). Os dados coletados retratam condições sociodemográficas, histórico de atendimento odontológico, história médica e odontológica e, história odontológica para usuários menores de cinco anos e foram analisados por meio de estatística descritiva simples. Resultados:São brasileiros residentes no Paraguai (98,67%); não continuaram o atendimento (81,09%), o tratamento restaurador foi o mais realizado na AB (51,93%), a endodontia mais procurada no Centro Especialidades Odontológicas (47,77%), apresentando maior percentual de abandono e pendência (56,78%). Discussão: A interrupção do tratamento foi um dos achados mais preocupantes, o que sugere barreiras na integralidade da assistência e a subnotificação de dados um fator limitante da pesquisa. Conclusão: a integralidade da assistência odontológica deve ser analisada pela gestão; além disso, sugere-se a capacitação dos profissionais quanto ao processo de trabalho e de registros de informações.


Subject(s)
Humans , Male , Female , Primary Health Care , Dentistry , Emigrants and Immigrants , Referral and Consultation , Specialties, Dental , Therapeutics , Border Areas , Underregistration , Unified Health System , Secondary Care , Medical Records , Oral Health , Dental Care , Border Health , Endodontics
14.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 3819, 01 Fevereiro 2019. tab
Article in English | LILACS, BBO | ID: biblio-998189

ABSTRACT

Objective: To identify the profiles of patients with special needs attended at a Center for Dental Specialties. Material and Methods: This was a cross-sectional and quantitative study using an inductive approach, and a comparative and statistical procedure for analysis of the patients with special needs. Information concerning socioeconomic, medical and dental conditions was collected. The data were analyzed using IBM SPSS, adopting a significance level of 5%. Results: It was observed that 58.6% of the users were males, single (54.7%), in the age group from 19 to 59 years (41.1%), being 97.4% without schooling. The most frequent clinical diagnoses were: deviations in intelligence (18.4%), behavioral deviations (18.4%) and physical defects (17.9%). We observed for oral health the presence of gingivitis (33.0%), and healthy gums (47.8%); the presence of caries (64.9%), with restored teeth (28.5%), and edentulism (12.3%). Dental intervention procedures were initiated with emphasis on: fluoride applications (39.7%) and subgingival scraping (34.9%). Topical fluoride applications (p=0.010) and prophylaxis (p=0.010) were realized in patients without autism. Also, prophylaxis (p=0.007) was more frequently performed and gingival alterations were more often verified (p=0.020) in patients without Down's syndrome. Conclusion: The users of the patients with special needs dental service can be generally described as male, single, aged between 19 and 54 years, with the special conditions of intelligence and behavioral deviation.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Specialties, Dental , Brazil , Oral Health , Disabled Persons/psychology , Dental Health Services , Health Services for Persons with Disabilities , Socioeconomic Factors , Health Profile , Cross-Sectional Studies/methods
15.
Rev. ABENO ; 19(2): 22-32, 2019. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1023056

ABSTRACT

Os Centros de Especialidades Odontológicas (CEO) são uma estratégia da Política Nacional de Saúde Bucal para garantir a atenção secundária em Odontologia, constituindo-se em unidades de referência para a atenção primária. Este estudo transversal analisou as características dos usuários e dos atendimentos na Especialidade de Endodontia do CEO da Universidade Federal do Rio Grande do Sul. Foi formulado um questionário baseado no Manual de Especialidades em Saúde Bucal, acrescido de perguntas que caracterizavam o perfil do usuário e aplicado aos estagiários atuantes no CEO a cada tratamento endodôntico concluído. A amostra totalizou 48 pacientes, obtida por conveniência, em amostragem consecutiva do tipo censo onde foram concluídos 56 tratamentos endodônticos, durante o período de agosto de 2016 a julho de 2017. O perfil dos usuários encaminhados foi, predominantemente, do sexo feminino (62,50%), na faixa etária de 31 a 50 anos (41,67%) e da raça branca (64,58%); os dentes que mais necessitaram tratamento foram os molares (67,86%); e na maioria dos casos encontravam-se em condições compatíveis com as preconizadas pelo Manual de Especialidades em Saúde Bucal; os tratamentos foram concluídos em 2 ou 3 consultas (66,67%); o tempo de espera dos usuários para atendimento foi inferior a 6 meses (83,33%). Os pacientes foram encaminhados por meio da ficha de referência (93,75%). O estudo evidenciou dados que podem contribuir para o desenvolvimento de estratégias que ampliem a produtividade por meio de investimentos em novas tecnologias e equipamentos que possam reduzir o número de consultas necessárias para a finalização dos tratamentos endodônticos, proporcionando atendimento para um número maior pacientes e reduzindo o tempo de espera (AU).


The Dental Specialties Centers (CEO) are a strategy of the National Oral Health Policy to assure the secondary care in Dentistry, constituting referral units for the primary attention. This cross-sectional study analyzed the characteristics of users and attendances in the specialty of Endodontics of the CEO at Universidade Federal do Rio Grande do Sul. A questionnaire was designed, based on the Oral Health Specialties Handout, besides questions that characterized the profile of users, and was applied to the trainees at the CEO at every completed endodontic treatment. The sample included 48 patients, obtained by convenience, inconsecutive census sampling, with conclusion of 56 endodontic treatments during the period August 2016 to July 2017. The profile of users was predominantly females (62.50%), in the age range 31 to 50 years (41.67%) of White ethnicity 64.58%); the teeth with greatest treatment needs were the molars (67.86%); and most cases were in conditions compatible with those advocated by the handout. The treatments were completed in 2 or 3 sessions (66.67%), and the waiting time of users for attendance was shorter than 6 months (83.33%). The patients were indicated using a referral form (93.75%). The study revealed data that may contribute to the development of strategies to broaden the productivity by investments in new Technologies and equipment, aiming to reduce the number of sessions required for finalization of endodontic treatments, providing attendance to a larger number of patients and reducing the waiting time (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Specialties, Dental , Secondary Care , Brazil , Endodontics , Cross-Sectional Studies/methods , Surveys and Questionnaires , Problem-Based Learning/methods , Molar
16.
Rev. ABENO ; 19(4): 22-33, 2019.
Article in Portuguese | LILACS, BBO | ID: biblio-1052218

ABSTRACT

O artigo analisa as motivações e veredas do processo de escolha pela Cirurgia e Traumatologia BucoMaxilo-Faciais e da atuação profissional de especialistas na área, atuantes em um município catarinense. Estudo qualitativo, exploratório-descritivo, cujos dados foram coletados por entrevistas semiestruturadas com 05 cirurgiões-dentistas, analisados por meio da análise temática ajustada. Quando indagados sobre a motivação que os conduziu à escolha pela especialidade, os participantes revelaram: o caráter versátil da área, de natureza integrativa e não apenas reparadora; a cultura experimentada e produzida desde a tenra idade, identificação e preferência. As veredas percorridas no processo de escolha e na atuação profissional foram influenciadas pelo bom relacionamento com professores, concomitante a um bom embasamento teórico em cirurgia; participação em monitoria; atividade extracurricular (estágio); e, satisfação pessoal. No mix público-privado, depoimentos sinalizaram a ampliação da área, a tendência à saturação do mercado privado, o trânsito entre mercados, a formação de qualidade e o mérito de aproveitar o que é ofertado, além de apontamentos sobre a dificuldade em ingressar no setor público, ainda que a demanda seja realidade. O Centro de Especialidades Odontológicas do Sistema Único de Saúde foi apresentado como lócus de oferta promissora de trabalho e como estratégia para início de carreira. Novos estudos qualitativos de abordagem bioética são necessários e oportunos (AU).


The article analyzes the motivations and paths of the process that leads to the choice of Oral Maxillofacial Surgery and Traumatology and the professional performance of specialists in this field and develop this activity in a city in the state of Santa Catarina, Brazil. It is a study of qualitative approach and exploratory and descriptive nature, whose data were collected by semi-structured interviews with 05 surgeon dentists who were examined through the adjusted thematic analysis. When inquired about the motivation that led them to choose such specialty, the participants revealed: the versatile character of the field what provides it with an integrative nature and not only the reconstructive one; the culture experienced and produced since early age; identification; and preference. The paths traced upon the process of choice and professional performance have been influenced by the good relationship with the teachers, concomitant with a good theoretical background in surgery, monitoring participation; extracurricular activity (internship); and evidence of personal satisfaction. Within the public and private mix, testimonies have signaled the expansion of the field, the trend to the private market saturation, the transit between markets, quality education and the merit of taking advantage of what is offered, besides notes about the difficulty of entering the public sector yet the demand is a reality. The Unified Health System (SUS) Odontology Specialties Center has been introduced as locus of a promising offer of work and as a strategy to start the career. New qualitative studies of bioethical approach are needed and opportune (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Specialization , Specialties, Dental , Qualitative Research , Oral and Maxillofacial Surgeons , Brazil/epidemiology , Epidemiology, Descriptive , Interviews as Topic/methods , Dentists
17.
Rev. cir. traumatol. buco-maxilo-fac ; 18(4)out.-dez. 2018. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1254512

ABSTRACT

A Odontologia do Esporte é uma nova especialidade odontológica, que tem, dentre os seus objetivos, prevenir, tratar e reabilitar atletas. Uma das atuações do cirurgião-dentista que atua nessa área é a confecção de protetores faciais e bucais individualizados. Atualmente, existe um maior número de investigação científica sobre protetores bucais que os faciais; consequentemente, os bucais são normatizados, e os faciais, ainda não. Eles são utilizados somente depois de o atleta ter sofrido traumas, porque evitam que o osso sofra refratura ou deslocamento, permitindo ao atleta não se manter temporariamente afastado da prática dos esportes... (AU)


Sports Dentistry is a new dental specialty whose goal is to prevent, treat and rehabilitate athletes. One of the activities of the dentist that acts with the Sports Dentistry is the confection of individualized facial masks and mouthguards. There is a greater number of scientific research on mouthguards than on facial masks, as a result of which mouthguards are normalized and facial masks not yet. They are used only after the athlete has suffered traumas, so with their use it prevents the bone from suffering refraction or displacement and allows the athlete not to stay temporarily away from the practice of sports... (AU)


Subject(s)
Humans , Female , Adolescent , Facial Nerve Injuries , Dentistry , Facial Masks , Facial Injuries , Mouth Protectors , Specialties, Dental , Sports , Stress, Psychological , Wounds and Injuries , Bone and Bones
18.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3178, 15/01/2018. tab
Article in English | LILACS, BBO | ID: biblio-966750

ABSTRACT

Objective: To analyze the indicators of planning and management actions for the work process organization in Centers of Dental Specialties (CEO) presented in the external evaluation tool to the Improving Access and Quality of CEO - AIQP-CEO Program and to provide a follow-up and monitoring tool of goals. Material and Methods: Crosssectional study with the use of secondary data from the external evaluation of 930 CEOs in Brazil. A descriptive analyses of indicators identified in the "Planning and managing actions for work process organization in CEO" sub-dimension was performed. It provides two monitoring tools: monthly production for each specialty, and monthly minimal and mandatory performance of CEO goals. Results: It was shown that 85.4% of CEO teams have made the monitoring of the goals established to each offered specialty, and 73.1% have performed self-assessment in the last six months, in which most of the teams (647 - 69.6%) have used the Self-Assessment to the Improving Access and Quality Program - SAIQP. It was demonstrated that of the 680 teams that performed selfassessment, 612 (65.8%) consider the results in the teamwork organization. Conclusion: The PMAQ CEO external evaluation brought important information to the qualification process of health services. Concerning the planning, the majority of teams performed the follow-up of goals and self-assessment, and they used the self-assessment results in the teamwork organization. According to results, some tools should be used to support CEO teams in the follow-up of the monthly production by specialty and in the monitoring of goals.


Subject(s)
Specialties, Dental , Health Management , Health Planning , Health Services Accessibility , Brazil , Indicators of Health Services/methods , Cross-Sectional Studies/methods , Health Services Research
19.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3211, 15/01/2018. tab
Article in English | LILACS, BBO | ID: biblio-966833

ABSTRACT

Objective: To evaluate the different management aspects of Centers for Dental Specialties (CEO) in Brazil. Material and Methods: Quantitative study with analysis of secondary data. The results of external evaluation of the first PMAQ-CEO cycle were considered, especially those related to planning and self-assessment, demand organization, work process, human resources as well as the availability of supplies/materials/dental equipment. The selected data were analyzed based on the calculation of proportions using the Microsoft Office Excel and Statistical Package for the Social Sciences (SPSS) programs. Results: The planning of actions in CEOs is conducted in nearly 80% of units, with the participation of dental surgeons, receiving support, mainly, from the local dental health or state public manager. The access to CEO is given, mostly, in a referenced or mixed (referenced and spontaneous) form. Only 49% of CEOs offer permanent education actions for workers. The work management process has been guided by quality standards of PMAQ-CEO for 77% of managers. Conclusion: The study allowed perceiving the presence of an often shared management, on the CEO organization, on self-evaluation process, planning, demand organization and work process, as well as human resources and infrastructure, showing conformity with the Oral Health National Policy guidelines. However, the results show that some problems with regard to the evaluation as work routine and management of access to CEOs still persist, pointing to the need for further studies and effort of managers to overcome them.


Subject(s)
Humans , Male , Female , Specialties, Dental/organization & administration , Public Health Dentistry , Health Services , Brazil , Cross-Sectional Studies , Data Interpretation, Statistical , Health Management , Observational Studies as Topic , Health Planning
20.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 4004, 15/01/2018. tab, graf
Article in English | LILACS, BBO | ID: biblio-966853

ABSTRACT

Objective: To evaluate the prevalence and socio demographic factors associated with failed dental appointments among dental patients in a government dental clinic. Material and Methods: This was a cross-sectional study of 419 participants who were non-first clinic attendees at a government dental clinic in Enugu, Nigeria. Data was collected on socio-demographic profile, mode of transportation and reasons for failed appointment, using a pretested structured questionnaire. Bi-variate analysis was conducted to test the association between study participants' age, sex, occupation, mode of transportation and failed dental appointment using Chi-square test and p<0.05 was considered significant. Results: The age of the study participants ranged from 5 years to 90 years. More females (57.8%) than males (42.2%) participated in the study. The prevalence of failed appointment was 27.7%. The major reasons for failed appointments were "being busy with other activities" (12.4%) and "far distance" (6.9%). Only 0.7% of the study participants received telephone calls as reminder. There was no statistically significant association between age (p=0.40), sex (p=0.12), level of education (p=0.40), occupation (p=0.52), mode of transportation (p=0.71) and failed dental appointment. Conclusion: The prevalence of failed dental appointment was high in this population. Being busy and far distance were the commonest reasons for failed appointments. Very few study participants were reminded of their appointment.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Patients , Specialties, Dental/organization & administration , Oral Health , Nigeria , Chi-Square Distribution , Cross-Sectional Studies/methods , Surveys and Questionnaires
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