Risk assessment for oral urgent treatment in Primary Healthcare: a cross-sectional study
- PDF / 317,795 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 81 Downloads / 203 Views
(2020) 20:1012
RESEARCH ARTICLE
Open Access
Risk assessment for oral urgent treatment in Primary Healthcare: a cross-sectional study Danielle Viana Ribeiro Ramos1,2, João Luiz Miraglia1, Camila Nascimento Monteiro1* , Danielle Borchardt1, Leonardo Tribis1, Thais Paragis Sanchez1, Daiana Bonfim1, Danielle da Costa Palacio2, Maria da Luz Rosário de Souza2 and Marília Jesus Batista de Brito Mota2,3
Abstract Background: The World Health Organization has advocated for the integration of dental care into the primary healthcare (PHC) setting, including oral urgent treatment (OUT). However, the knowledge necessary for OUT implementation in this setting is still limited. Thus, this study aimed to describe the impact of the implementation of oral disease risk assessment tools for oral health management in PHC. Methods: This was a cross-sectional study that included individuals served by a single public PHC unit, with integrated oral healthcare teams, located in the south region of the city of São Paulo, Brazil, between April of 2015 and March of 2017. Data were collected from dental records. Three co-primary endpoints: same day treatment offered, first future appointment scheduled fulfilled, and treatment plan completed were compared before and after the implementation of oral disease risk assessment for OUT. Results: A total of 1214 individuals that sought OUT, 599 before and 615 after the implementation of oral disease risk assessment for OUT were included in the study. All three co-primary endpoints had significant changes after the implementation of oral disease risk assessment for OUT. Individuals were significantly more likely to be offered same day treatment after (39.9%; 95% CI:36.0–43.9%) than before (9.4%; 95% CI: 7.2–12.0%), to fulfill their first future appointment scheduled after (34.9%; 95% CI:31.1–38.8%) than before (20.7%; 95% CI: 17.5–24.2%), and to have their treatment plan completed after (14.3%; 95% CI:11.6–17.4%) than before (10.0%; 95% CI: 7.7–12.7%) the intervention. Conclusions: This study provided evidence of the positive impact oral disease risk assessment tools could have in the organization of OUT in PHC settings. Keywords: Oral health, Emergencies, Risk assessment, Health services, Access, Primary healthcare
Background Despite being largely preventable, oral diseases remain a global public health challenge affecting nearly half of the world’s population, particularly among low- and middleincome countries [1, 2]. Furthermore, dental diseases * Correspondence: [email protected] 1 Hospital Israelita Albert Einstein, São Paulo, Brazil Full list of author information is available at the end of the article
have an important economic impact on society [3], share common risk factors with other non-communicable diseases (e.g., free sugar consumption, tobacco use and wider social determinants of health), and might exacerbate the burden of other diseases [1, 4]. Although recognized as an integral part of overall health and wellbeing, oral health continues to be neglected [5]. In order to
Data Loading...
