RESUMO
BACKGROUND: The number of oral health technicians (OHT) in the public health service in Brazil is lower than the number of training school graduates. Thus, the objective of this study was to investigate possible factors associated with the inclusion of OHT in the public health service in Minas Gerais, Brazil, and its implications on oral health indicators. METHODS: This cross-sectional ecological study used a database (Excel) composed of 122 municipalities that participated in an OHT training course that took place between 2012 and 2013. Municipal contextual variables, including oral health indicators and sociodemographic indicators, related to the organization of health services were incorporated before and after the course. The dependent variable was the entry of graduates into the public health service according to a self-report survey conducted in 2015. A descriptive analysis of the variables was carried out, followed by bivariate analyses between the independent variables and the dependent variable using Pearson's chi-square test. The independent variables selected for multivariate logistic regression were statistically significant at p < 0.20. In the final model, significant effects were identified for variables with p < 0.05. The statistical software SPSS 18.0 for Windows was used. RESULTS: After the course, the variable of the public service organization and the two variables of oral health indicators were associated with the outcome. The organization services variable "presence of oral health team modality II" and the variable "indicator of coverage of first dental programmatic consultation" presented an association tendency with the entry of OHT in the multivariate logistic regression model, but these associations were not statistically significant because they had significance levels of p = 0.075 and p = 0.191, respectively. The variable "collective action indicator supervised dental brushing" was associated with the entry of egress (p = 0.045) remaining in the final model. CONCLUSION: The model of organization of the oral health service formed through the implementation of modality II oral health teams positively influenced the inclusion of OHT in the public health service in Minas Gerais, with improvement in the oral health indicators of the municipalities.
Assuntos
Higienistas Dentários/organização & administração , Administração em Saúde Pública , Brasil , Estudos Transversais , Assistência Odontológica/organização & administração , Higienistas Dentários/estatística & dados numéricos , Indicadores Básicos de Saúde , Humanos , Saúde Bucal/estatística & dados numéricos , Administração em Saúde Pública/métodos , Administração em Saúde Pública/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
Este estudio de carácter descriptivo, se realizó acerca del desempeño de auxiliares de odontología certificadas por la Universidad del Valle, en los años 1991, 1992 y 1993 de las categorias auxiliar de consultorio dental y auxiliar de higiene oral. Constituyeron la muestra cincuenta y dos auxiliares de un total de noventa egresadas. Para el análisis de la información, se tomó en cuenta, el concepto emitido sobre estas auxiliares por los odontólogos y directivos de las entidades públicas y privadas ubicadas en Cali. Se aplicaron dos instrumentos, uno fue autodiligenciado por los odontólogos y el otro se aplicó a directivos mediante una entrevista personal. Los resultados muestran que el concepto sobre conocimientos, destrezas y calidad humana de las auxiliares en la mayoria de los casos fué favorable. Estos resultados permitirán proponer cambios en los programas vigentes de auxiliares de la Escuela de Odontología y para programar cursos de educación permanente.
This descriptive study is about the achievement of the dental auxiliaries who graduated from the University of Valley of Cali. These dental assistants studied to be either auxiliaries in dental clinics and auxiliaries of oral hygiene in 1991, 1992 and 119. The sample consisted of the information about 52 dental assistants. To analyze the data, two facts were taken into account: the regard expressed by the dentists about their assistants and the regard expressed by the administrators on the same assistants. These assistants, the dentist and the administrators work in public institutions and private dental clinics in Cali. Two kinds of instruments were used to get the information. These first one consisted of a written questionnaire which was filled out by the dentists and the second was an oral questionnaire answered by the administrators. The results showed favorable approbation which involved good knowledge, skills and human quality. The results will help to propose changes to improve the present programs for dental assistants. Moreover, they will contribute in the design of new courses for the current and continous training.