scholarly journals Oral health care: the knowledge and work of the community health agent

2014 ◽  
Vol 43 (2) ◽  
pp. 124-130
Author(s):  
Elizandra de Queiroz Venancio ◽  
Elza Maria de Queiroz Venancio de Paula ◽  
Cássia Barbosa Reis
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Community Health ◽  
Health Workers ◽  
Social Representations ◽  
Oral Health Care ◽  
Structured Interviews ◽  
Mato Grosso ◽  
The Impact ◽  
Community Health Agent

Introduction: With the reorganization of oral health policy in 2004, the community health agent is regarded as a facilitator of oral health practices in her area. Objective: To identify knowledge and practice of community health agents in oral health care. Material and method: This is a qualitative study, based on the theory of social representations, and the data were collected through semi-structured interviews, using the collective subject discourse as the technique of tabulation and analysis of data. The sample consisted of 11 interviews, delimited by saturation. Data collection was conducted during the period April-June 2010, in Dourados, Mato Grosso do Sul. Result: The results indicate that respondents understand what oral health is, realize the impact of oral health on overall health, guide the community regarding oral health carein their work practices, operate and provide care in the basic health unit, but have not been trained to act as instructors. Conclusion: The community health workers have knowledge of common sense oral health, acquired through their own life experiences and observation of the world, but show some uncertainty due to lack of training.This points to the need for investment in ongoing education for these professionals so that they can continuously assist the population in the process of empowerment of knowledge about health.

scholarly journals AVALIAÇÃO DA AUTO-CONCEPÇÃO DE SAÚDE BUCAL DE UM MUNICÍPIO CLASSIFICADO COMO DE EXTREMA POBREZA NO ESTADO DO CEARÁ

2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Vandré Taumaturgo Mesquita ◽  
Patricia Alexandra Martinez ◽  
Evamiris Landim Vasques ◽  
Viviane Gonçalves Figueiredo
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Community Health ◽  
Health Workers ◽  
Health Policies ◽  
Positive Outcomes ◽  
Real Situation ◽  
Dental Services ◽  
Poor Access ◽  
Accurate Perception

The oral health of a population was assessed by questionnaires applied in order to gain knowledge about the real situation of SUS when it comes to dental services. We conducted 400 interviews in Reriutaba-CE on the oral health of these individuals. The research used the community health workers as the group responsible for delivering the forms. The questionaries were distributed throughout the county in regard to the sample. It has been found that in spite of this population sample’s poor access to dental services, they have a fairly accurate perception regarding self oral health, indicating that new health policies may experience positive outcomes regarding oral health care.

scholarly journals Social representations of the health care of the Mbyá-Guarani indigenous population by health workers

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Mirian Benites Falkenberg ◽  
Helena Eri Shimizu ◽  
Ximena Pamela Díaz Bermudez
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Indigenous Health ◽  
Social Representations ◽  
Rio Grande ◽  
Multidisciplinary Teams ◽  
Rio Grande Do Sul ◽  
Structured Interviews ◽  
Care Needs ◽  
Mbya Guarani

ABSTRACT Objective: to analyze the social representations of health care of the Mbyá-Guarani ethnic group by multidisciplinary teams from the Special Indigenous Health District in the south coast of Rio Grande do Sul state (Distrito Sanitário Especial Indígena Litoral Sul do Rio Grande do Sul), Brazil. Method: a qualitative method based on the theory of social representations was used. Data were collected via semi-structured interviews with 20 health workers and by participant observation. The interviews were analyzed with ALCESTE software, which conducts a lexical content analysis using quantitative techniques for the treatment of textual data. Results: there were disagreements in the health care concepts and practices between traditional medicine and biomedicine; however, some progress has been achieved in the area of intermedicality. The ethnic boundaries established between health workers and indigenous peoples based on their representations of culture and family, together with the lack of infrastructure and organization of health actions, are perceived as factors that hinder health care in an intercultural context. Conclusion: a new basis for the process of indigenous health care needs to be established by understanding the needs identified and by agreement among individuals, groups, and health professionals via intercultural exchange.

scholarly journals The Effect of Physician Oral Health Services on Dental Use and Expenditures under General Anesthesia

2019 ◽  
Vol 5 (2) ◽  
pp. 146-155 ◽  
Author(s):  
B.D. Meyer ◽  
R. Wang ◽  
M.J. Steiner ◽  
J.S. Preisser
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Health Services ◽  
General Anesthesia ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Oral Health Care ◽  
Oral Health Services ◽  
The Impact

Background: Despite early evidence touting the effectiveness of physician-provided oral health services (POHS), recent evidence suggests these services might have little impact on caries-related outcomes in children. General anesthesia (GA) is often used to treat early childhood caries and may be considered the most extreme utilization outcome. We sought to assess the impact of POHS utilization on dental GA utilization and expenditures. Methods: We used the Medicaid claims of a birth cohort of children born in 2008 in North Carolina ( N = 32,558) to determine the impact of POHS on dental utilization and expenditures under GA for individual children. Children were followed until their eighth birthday. We analyzed the association of the number of prior POHS visits with visit-specific outcomes of dental treatment under GA using population-averaged models fit with generalized estimating equations with exchangeable working correlation structure. Results: Children with 2 or more previous POHS visits had reduced odds of GA (odds ratio [OR] = 0.93; confidence interval [CI], 0.87–0.99; P = 0.029) and expenditures ($114; CI,−$152.61 to −$75.19; P < 0.001) compared to those without physician-provided oral health visits, adjusting for age, sex, race/ethnicity, and geographic residence. Dental expenditures did not differ between POHS and non-POHS subjects at non-GA visits. Conclusions: POHS decreased the odds of having dental GA treatment and dental expenditures at GA visits. The role of physicians in oral health care can reduce the impact on the most severe outcome—treatment under general anesthesia. Knowledge Transfer Statement: The results of this study have important financial implications for state Medicaid programs and disease management programs trying to mitigate the costs of treating early childhood caries under general anesthesia. Children who receive physician oral health care are less likely to use and more likely to save money on general anesthesia to complete dental treatment.

scholarly journals THE CORRELATION AMONG KNOWLEDGE, ATTITUDE AND MOTHER’S BEHAVIOR IN ORAL AND DENTAL HEALTH CARE

2018 ◽  
Vol 11 (1) ◽  
pp. 66
Author(s):  
Ni Nengah Arini Murni ◽  
Suwanti Suwanti
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Health Workers ◽  
Dental Health ◽  
Sampling Technique ◽  
Oral Health Care ◽  
P Value ◽  
Dental Health Care ◽  
Knowledge And Attitude

Abstract : The study aimed to determine the correlation among knowledge and attitude with the behavior of pregnant women in dental and oral health care during pregnancy. The research was analytic observational and in terms of time used crossectional approach. The population in this study were pregnant women at Narmada Community Health Center whereas the sample obtained by 34 people who came to check Antenatal Care (ANC) in June 2015 taken by accidental sampling technique. Data collection of knowledge, attitude and behavior variables used questionnaire and Statistical analysis was performed by using Chi Square test. The research finding indicated that from 34 respondents, 17 pregnant women (50%) had lack knowledge level about oral and dental health care during pregnancy. The attitude of pregnant women in dental and oral care during pregnancy was 73.5% (poor attitudes), and in terms of respondents’ behaviour was the same like respondents’ attitude by 73.5% (poor attitude). Therefore, it can be concluded that there was a significant correlation between knowledge with pregnant women behavior in dental and oral health care (P value = 0.013) and there was significant correlation between attitude with respondents behaviour in oral and dental care during pregnancy (P value = 0.004). Suggestion: It is expected for Health Care Institutions and health workers need to do an effort of sustainable counselling to communities, especially pregnant women about risk factors that can cause dental caries which can affect the health of both fetus and mother, increasing promotive efforts, for instance the improvement and maintenance of health and preventive efforts for communnities and pregnant women in order to have a good knowledge and attitude in maintaining oral an dental health care during pregnancy can be preserved and further enhanced, hence the sense of responsibility in terms of a behavior in the community or pregnant women concerning dental and oral health increases in line with knowledge improvement and developing attitudes.

scholarly journals A study of the impact of dental hygienist concern on oral health care of the elderly

2019 ◽  
Vol 43 (4) ◽  
pp. 217
Author(s):  
Jung Won Yun ◽  
Yu Hee Lee ◽  
Kyeung Ae Jang ◽  
Jung Hwa Lee
Keyword(s):  
Health Care ◽  
Oral Health ◽  
The Elderly ◽  
Oral Health Care ◽  
Dental Hygienist ◽  
The Impact

scholarly journals The Persistence of Oral Health Disparities for African American Children: A Scoping Review

2019 ◽  
Vol 16 (5) ◽  
pp. 710 ◽  
Author(s):  
Dominique Como ◽  
Leah Stein Duker ◽  
José Polido ◽  
Sharon Cermak
Keyword(s):  
Health Care ◽  
African American ◽  
Oral Health ◽  
African Americans ◽  
Oral Care ◽  
The United States ◽  
Oral Health Care ◽  
African American Children ◽  
American Children ◽  
The Impact

Oral health is an important yet often neglected component of overall health, linked to heart disease, stroke, and diabetic complications. Disparities exist for many groups, including racial and ethnic minorities such as African Americans. The purpose of this study was to examine the potential factors that perpetuate oral health care disparities in African American children in the United States. A systematic search of three literature databases produced 795 articles; 23 articles were included in the final review. Articles were analyzed using a template coding approach based on the social ecological model. The review identified structural, sociocultural, and familial factors that impact the ability of African Americans to utilize oral care services, highlighting the importance of the parent/caregiver role and the patient–provider relationship; policy-level processes that impact access to quality care; the value of autonomy in treatment and prevention options; and the impact of sociocultural factors on food choices (e.g., food deserts, gestures of affection). In conclusion, oral health care remains an underutilized service by African American children, despite increasing access to oral care secondary to improvements in insurance coverage and community-based programs.

scholarly journals Interprofessional Collaboration and Smartphone Use as Promising Strategies to Improve Prenatal Oral Health Care Utilization among US Underserved Women – Results from a Qualitative Study

2020 ◽  
Author(s):  
Lin Wang ◽  
Johana Ren ◽  
Kevin Fiscella ◽  
Sherita Bullock ◽  
Mechelle R Sanders ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Utilization ◽  
Focus Groups ◽  
Low Income ◽  
Oral Health Care ◽  
Mitigation Strategies ◽  
Care Utilization ◽  
Dissemination And Implementation ◽  
Structured Interviews

Abstract Objectives: Data on barriers and facilitators to prenatal oral health care among low-income US women are lacking. The objective of this study was to understand barriers/facilitators and patient-centered mitigation strategies related to use of prenatal oral health care among underserved US women.Methods: We used community-based participatory research to conduct two focus groups with eight pregnant/parenting women; ten individual in-depth interviews with medical providers, dental providers and community/social workers; and one community engagement studio with five representative community stakeholders in 2018-2019. Using an interpretive description research design, we conducted semi-structured interviews and focus groups, which were audio-recorded, transcribed, and analyzed for thematic content.Results: We identified individual and systemic barriers/facilitators to utilization of prenatal oral health care by underserved US women. Strategies reported to improve utilization included healthcare system-wide change to promote inter-professional collaborations, innovative educational programs to improve dissemination and implementation of prenatal oral health care guidelines, and specialized dental facilities providing prenatal oral health care to underserved groups. Furthermore, use of smartphones offers an innovative entry point to promote utilization of prenatal oral care at the individual level.Conclusions for practice: Low-income women face multiple, addressable barriers to receipt of oral health care during pregnancy. Inter-professional collaboration holds strong promise for improving prenatal oral health care utilization.

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