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Using information and communication technologies (ICTs) to solve the repressed demand for primary dental care in the Brazilian Unified Health System due to the COVID-19 pandemic: a randomized controlled study protocol nested with a before-and-after study including economic analysis.
Natal, Karina Haibara; Machado, Thais Gomes; Bracco, Fabiana; Lemos, Luiz Ivan; Vigano, Maria Eduarda; Machado, Gabriela Manco; Yampa-Vargas, Jhandira Daibelis; Raggio, Daniela Prócida; Mendes, Fausto Medeiros; Imparato, José Carlos Pettorossi; Lucena, Edson Hilan Gomes; Cavalcanti, Yuri Wanderley; Silva, Cícero Inacio; Souza Filho, Guido Lemos; Macedo, Mary Caroline Skelton; Carrer, Fernanda Campos Almeida; Braga, Mariana Minatel.
Afiliación
  • Natal KH; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Machado TG; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Bracco F; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Lemos LI; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Vigano ME; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Machado GM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Yampa-Vargas JD; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Raggio DP; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Mendes FM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Imparato JCP; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil.
  • Lucena EHG; Department of Clinical and Social Dentistry, Federal University of the Paraiba, Paraiba, Brazil.
  • Cavalcanti YW; Department of Clinical and Social Dentistry, Federal University of the Paraiba, Paraiba, Brazil.
  • Silva CI; Federal University of São Paulo, São Paulo, Brazil.
  • Souza Filho GL; Department of Computer Science, Federal University of the Paraiba, Paraiba, Brazil.
  • Macedo MCS; Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Carrer FCA; Department of Social Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Braga MM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Lineu Prestes Avenue, 2227, São Paulo, SP, 05508000, Brazil. mmbraga@usp.br.
BMC Oral Health ; 22(1): 112, 2022 04 07.
Article en En | MEDLINE | ID: mdl-35392886
BACKGROUND: With the COVID-19 pandemic, thousands of children had their dental care interrupted or postponed, generating a pent-up demand for primary care. To minimize the impact of this outage, information and communication technologies (ICT) could be an alternative. The aim of this study is to elucidate the impact of implementing the ICTs in primary dental care for children on resolving the pent-up demand for primary dental care to children in the national health system service (SUS) due to the COVID-19 pandemic. METHODS: Different research strategies are being proposed to demonstrate such effect and extrapolating findings to a real-world context to guide further research, practice and policies: two clinical trials (one randomized controlled by the waiting list trial (RCT) and a before-and-after study), one simulation study to prospect trial results to a broader population and three economic evaluations using different effects. Children enrolled in a reference dental unit will be invited to participate in the before-and-after study for trials. The first 368 families will be randomized for the RCT to the intervention vs waiting list. All participants will receive the intervention, but the waiting list group will be assessed before the intervention is available for them. The intervention comprises standardized non-face-to-face primary dental care using the V4H platform. The problem-solving and the family's perception will be the primary outcomes set for the before-and-after study and RCT, respectively. They will be measured 2 weeks after randomization. Based on trial findings, we will develop theoretical models to estimate how the intervention could benefit the population included in the national health system.  Three economic evaluations will be carried out considering different trial effects (cost-effectiveness analyses). A societal perspective and the pandemic time horizon will be considered. Possible social impact (inequalities) will also be explored. DISCUSSION: This ongoing trial may be an essential contribution to clarify positive and negative aspects related to the use of technologies for non-face-to-face dental care for children. Trial products may bring relevant contributions to the pandemic context and the post-pandemic period. Potential benefits may be feasible to implement and preserve in the health system even in the post-pandemic period. Trial registration Clinicaltrials.gov registration NCT04798599 (registered March 2021).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pandemias / COVID-19 Tipo de estudio: Clinical_trials / Health_economic_evaluation / Prognostic_studies / Qualitative_research Límite: Child / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pandemias / COVID-19 Tipo de estudio: Clinical_trials / Health_economic_evaluation / Prognostic_studies / Qualitative_research Límite: Child / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido