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矩阵支持:巴西专科牙科中心与初级口腔卫生保健之间的接口
Thaislaine Gonçalves Martins Santos1, Livia Fernandes Probst2,3, Rafaela da Silveira Pinto4
1Master's Degree Program in Family Health, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil. thaislainemartins@gmail.com.
BMC health services research
|October 3, 2024
概括
牙科护理中的矩阵支持 (MS) 显示与初级医疗保健 (PHC) 的整合不佳. 内部的工作流程,而不是外部因素,阻碍了合作,表明需要改善全面口腔卫生服务的管理.
科学领域:
- 口腔卫生服务研究研究
- 卫生系统整合 卫生系统整合
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- 矩阵支持 (MS) 是一种策略,旨在加强跨不同卫生服务水平的护理整合.
- 初级医疗保健 (PHC) 和专业牙科服务之间的有效整合对于全面的患者护理至关重要.
研究的目的:
- 检查巴西牙科专科中心 (CEOs) 中的矩阵支持 (MS) 和与PHC集成的工作流程之间的关联.
- 确定情境变量对二级口腔卫生保健和PHC之间的整合的影响.
主要方法:
- 一项量化,横截面的研究分析了来自质量改善和 CEO 准入计划 (PMAQ-CEO) 的二次数据.
- 使用了第二个PMAQ-CEO周期的外部评估数据,并纳入了统一卫生系统 (SUS) 的上下文变量.
- 用描述性分析和多重回归模型来评估变量关联.
主要成果:
- 大约50%的首席执行官没有与PHC口腔健康团队合作开发治疗项目.
- 缺乏合作项目与复杂病例的讨论不足,缺乏联合继续教育,缺乏临床协议开发有关.
- 在SUS中发现了PHC和二级口腔保健之间的沟通缺陷,突出了需要管理干预的需要.
结论:
- 首席执行官内部的工作流程对 PHC 口腔健康团队的整合有重大影响.
- 个人CEO因素,而不是市政的上下文变量,在缺乏整合方面更有影响力.
- 加强全面的口腔卫生保健需要加强管理和改善专业中心的内部工作流程.
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