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牙周手术与巴西各州2018年至2023年的总量变量之间的相关性
Henrique Almeida Bortt1, Francisco Hecktheuer Silva2, Myrna Maria Arcanjo Frota Barros3
1School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Odontology
|March 3, 2026
概括
这项研究检查了巴西的牙周手术,发现牙科专家中心与牙周医生的手术增加有关,而初级医疗保健投资有利于一般牙医. 在2020-2021年期间,总体而言,牙周手术的数量有所下降.
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:
- 牙周病的管理包括supragingival (SSPP) 和subgingival (SRP) 缩放和根平整.
- 了解影响全科医生牙医 (GD) 和牙周科医生提供这些程序的因素对于优化口腔卫生保健系统至关重要.
- 来自巴西统一卫生系统 (UHS) 的综合数据为分析区域差异和影响因素提供了独特的机会.
研究的目的:
- 调查SSPP和SRP程序百分比和巴西联邦单位 (FU) 内的总量变量之间的相关性.
- 在社会经济和医疗保健基础设施因素方面,比较通用牙医和牙周科医生之间的手术模式.
- 分析随着时间的推移,牙周手术的趋势,包括2020-2021年期间的影响.
主要方法:
- 利用了来自UHS和巴西地理和统计研究所 (2018-2023) 的汇总数据.
- 结果变量:SSPP和SRP程序的总数及其在FU中的百分比.
- 独立变量:人口,种族,GDP,HDI,PHC覆盖率,BHU,DSC数量和PHC投资. 使用相关系数和多层波桑回归分析.
主要成果:
- 总共进行了42,312,458次SSPP和29,850,275次SRP手术.
- 与2018-2019年相比,在2020-2021年期间牙周手术显著减少 (CR=0.38).
- 牙科专家中心 (DSC) 与牙周科医生增加的SSPP和SRP百分比相关,而更大的初级医疗保健 (PHC) 投资与GD的更高百分比相关.
结论:
- 在2020-2021年期间,牙周手术的数量出现了显著下降.
- 牙科专家中心的可用性与更高比例的专业牙周治疗有关.
- 对初级医疗保健基础设施的投资似乎支持一般牙医进行的牙周手术数量增加.
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