牙疼痛患者在初级卫生保健机构的牙医预约:纵向分析
Fabiano Costa Diniz1, Maria Inês Barreiros Senna2, Érika Talita Silva1
1Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Preventive and Community Dentistry, Belo Horizonte, MG, Brazil.
Brazilian oral research
|January 8, 2025
概括
巴西的牙痛治疗率在巴西.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙痛是一个重大的公共卫生问题,影响在初级卫生保健 (PHC) 机构寻求护理的个人.
- 了解牙痛的流行病学对于国家牙科计划的资源配置和服务规划至关重要.
- 在巴西的不同社会经济和地理背景下,牙科护理的获取和使用存在差异.
研究的目的:
- 估计从2018年到2022年在巴西初级卫生保健 (PHC) 中治疗牙痛的发病率.
- 为了分析牙痛治疗率,根据巴西市政府的人口规模分层分层.
- 评估COVID-19大流行对牙痛牙科预约率的影响.
主要方法:
- 一个纵向生态研究设计,利用来自初级保健健康信息系统的公共国家数据.
- 分析了来自巴西5,332个城市 (95.72%) 的日常公共牙科服务使用记录.
- 计算牙痛牙医预约率 (每1000名用户) 和应用纵向回归模型来评估P2-2020前后的时间变化.
主要成果:
- 牙疼痛的牙医预约的平均率在每1000名用户中从9.65 (P2-2020) 到27.24 (P1-2018) 之间.
- 与较小的市镇相比,较大的市镇始终表现出较低的牙痛治疗率.
- 在COVID-19之前,较大的市政当局的利率下降幅度比较大 (每四个月下降20.56%) 比较小的市政当局下降 (下降7.25%). 在COVID-19后,较小的市政区经历了增长 (+2.27%),低于较大的市政区.
结论:
- 在PHC中牙疼痛的牙医预约率凸显了巴西公共卫生服务用户中牙疾病的持续负担.
- 巴西各市镇的牙痛治疗率存在显著差异,受人口规模的影响.
- COVID-19大流行明显改变了牙痛治疗模式,强调了适应性和响应性牙科公共卫生服务的需要.
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