The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

Maria Aparecida Cunha, Mario Vianna Vettore, Thiago Resende dos Santos, Antônio Thomaz Matta-Machado, Simone Dutra Lucas and Mauro Henrique Nogueira Guimarães Abreu
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Maria Aparecida Cunha: Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil
Mario Vianna Vettore: Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil
Thiago Resende dos Santos: Department of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil
Antônio Thomaz Matta-Machado: Department of Preventive and Community Medicine, Universidade Federal de Minas Gerais, Belo Horizonte 30130.100, Brazil
Simone Dutra Lucas: Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil
Mauro Henrique Nogueira Guimarães Abreu: Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270.900, Brazil

IJERPH, 2020, vol. 17, issue 5, 1-10

Abstract: This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.

Keywords: public health; primary health care; dental prosthesis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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