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Factors associated with the inclusion of oral health technicians into the public health service in Brazil.
Cruz, Ana Cláudia Pereira Dos Santos; Lucas, Simone Dutra; Zina, Lívia Guimarães; Pinto, Rafaela da Silveira; Senna, Maria Inês Barreiros.
Afiliação
  • Cruz ACPDS; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Lucas SD; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Zina LG; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Pinto RDS; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. rafaelasilveirapinto@gmail.com.
  • Senna MIB; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Hum Resour Health ; 17(1): 35, 2019 05 24.
Article em En | MEDLINE | ID: mdl-31126300
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Administração em Saúde Pública / Higienistas Dentários Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Hum Resour Health Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Administração em Saúde Pública / Higienistas Dentários Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Hum Resour Health Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido