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Analysis of secondary care in oral health in the state of Minas Gerais, Brazil

机译：巴西米纳斯吉莱斯州口腔健康的二级保健分析

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The scope of this study was to describe and analyze specialized outpatient procedures in periodontics, endodontics and oral surgery performed in the State of Minas Gerais in 2010. Secondary data for the procedures performed in healthcare facilities and registered in the Information System of the Unified Health System were used. Descriptive and bivariate analysis was performed, considering p 0.05. 707,559 procedures were performed in 2,547 health units distributed in 693 (81%) counties in the State. Of these procedures, 55% are in the area of surgery, 28% in periodontics and 17% in endodontics. The units are predominantly public under municipal administration, 52.5% of which have an oral health team (OHT) and 96.9% have no qualification as Dental Specialty Centers (DSCs). DSCs are more efficient than the other units (p 0.001), but there is a significant percentage that fails to comply with the goals of the Ministry of Health. Municipalities that have DSCs have higher population, more OHTs, lower potential coverage and better HDI. A significant number of specialized procedures are performed in the State of Minas Gerais, especially in primary care settings. DSC establishments are more efficient than non-DSC, considering the average number of procedures. The minimum production goals are met by a minority of DSCs.
机译：本研究的范围是描述和分析2010年在米纳斯吉拉斯州进行的牙周病，牙髓病和口腔外科手术的专门门诊程序。在医疗机构中进行的程序的辅助数据并已在Unified Health System信息系统中注册被使用。考虑p <0.05，进行描述性和双变量分析。在分布于该州693（81％）个县的2547个卫生部门中执行了707,559例程序。在这些程序中，有55％用于外科手术，28％用于牙周，17％用于牙髓。这些单位主要是市政当局的公共部门，其中52.5％拥有口腔保健团队（OHT），而96.9％则没有牙科专科中心（DSC）的资格。 DSC比其他单位效率更高（p <0.001），但是有很大一部分不符合卫生部的目标。拥有DSC的城市人口更多，OHT数量更多，潜在覆盖面更低，HDI更好。在米纳斯吉拉斯州执行了大量专业程序，尤其是在初级保健环境中。考虑到平均程序数量，DSC机构比非DSC机构效率更高。少数DSC达到了最低生产目标。

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