在巴西的激励政策之后,产前牙科护理的使用变化
H S Schuch1, M Furtado1, A D P Chiavegatto Filho2
1Harvard School of Dental Medicine, Harvard University, Boston, MA, USA.
Journal of dental research
|August 6, 2024
概括
"防止巴西"计划在全国范围内显著提高了孕妇在产前牙科护理的使用率. 这一政策在巴西的社会经济不利地区产生了更大的积极影响.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 口腔卫生流行病学 口腔卫生流行病学
背景情况:
- 巴西联邦政府于2020年推出了"防止巴西"计划.
- 该倡议旨在提高城市在七个关键医疗保健指标上的表现,包括产前牙科护理.
- 在怀孕期间改善口腔健康对于母亲和孩子的福祉至关重要.
研究的目的:
- 评估"防止巴西"政策对巴西孕妇使用口腔卫生服务的影响.
- 分析该政策对全国和不同地理区域的产前牙科诊断率的影响.
- 根据社会经济因素,确定政策影响的差异.
主要方法:
- 利用来自巴西公共卫生系统 (2018-2023) 的横截面数据.
- 来自卫生部和巴西地理和统计研究所的数据链接.
- 在5,562个巴西城市中,雇员中断时间序列分析,控制社会经济,人口和劳动力变量.
主要成果:
- 孕妇口腔保健使用率从15% (2018年) 升至69% (2023年).
- 在全国范围内,牙科护理使用率在政策实施后的4个月期间平均增加4.6个百分点.
- "防止巴西"计划在北方和东北地区表现出最实质性的积极影响,这些地区的社会经济状况较差.
结论:
- "防止巴西"政策有效地改善了巴西各地的产前牙科护理.
- 该政策表现出了显著的积极效果,特别是在社会经济不利地区.
- 调查结果强调了有针对性的健康政策在解决区域健康差异方面的成功.
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