Regional Inequalities in the Availability of Equipment, Supplies and Specialized Reference in Oral Radiology in Brazilian Primary Health Care

Manoelito Ferreira Silva-Junior; Felipe Bittarello; Vitória Monteiro; Pollyana Kassia de Oliveira Borges; Marcia Helena Baldani

Authors

Manoelito Ferreira Silva-Junior
Felipe Bittarello
Vitória Monteiro
Pollyana Kassia de Oliveira Borges
Marcia Helena Baldani

Keywords:

Primary Health Care, Public Health Dentistry, Radiology

Abstract

Objective: To analyze the availability of equipment, supplies and specialized reference in oral radiology in primary care health by comparing Brazilian geographic regions. Material and Methods: The time series analysis was carried out with secondary data extracted from official databases of the Brazilian Ministry of Health of the external evaluation cycles of the National Program for Improvement of Access and Quality of Primary Health Care (PMAQ-AB). The comparisons of Brazilian regions were performed using Chi-square and Z tests adjusted by the Bonferroni method, and among cycles (years) using the Cochran's Q test (p<0.05). Results: In Brazil, there was an increase in the availability of X-ray equipment between 2014 and 2018 (21.9% vs. 36.3%), and supplies where there was X-ray equipment, which included lead aprons (75.6% vs. 86.4%), dark chamber (darkroom) (86.4% vs. 93.9%) and chemical products for the X-ray film processing (80.7% vs. 86.1%) (p<0.001). The specialized reference in oral radiology was higher in 2018 (71.4%) compared to 2012 (46.8%) and 2014 (66.9%) (p<0.001), with the same trend in the Northeast region (p<0.001). North and Northeast showed growing numbers for most items evaluated, with a reduction in regional inequalities. Conclusion: The availability of equipment, supplies, and specialized reference among Brazilian regions increased. Although regional inequalities persist in Brazil, a reduction was observed in the analyzed period.

References

Aps JKM, Lim LZ, Tong HJ, Kalia B, Chou AM. Diagnostic efficacy of and indications for intraoral radiographs in pediatric dentistry: A systematic review. Eur Arch Paediatr Dent 2020; 21(4):429-462. https://doi.org/10.1007/s40368-020-00532-y

Lira-Junior R, Cavalcanti YD, Almeida LFD, Sales MAO. Overview of dental radiology in Brazil: Availability of equipment and ambulatory production of radiographs. Rev Cubana Estomatol 2012; 49(3):223-231.

Nascimento PBPL, Costa SM, Rímulo ALM, de Almeida AMR. Dental radiologic service in cities of the midwest region of the State of Minas Gerais, Brazil. ROBRAC 2014; 23(64):30-34. https://doi.org/10.36065/robrac.v23i64.676

Pucca Junior GA, Gabriel M, Araujo ME, Almeida FC. Ten years of a national oral health policy in Brazil: Innovation, boldness, and numerous challenges. J Dent Res 2015; 94(10):1333-1337. https://doi.org/10.1177/0022034515599979

Travassos C, de Oliveira EXG, Viacava F. Geographic and social inequalities in the access to health services in Brazil: 1998 and 2003. Ciênc Saúde Coletiva 2006; 11(4):975-986. https://doi.org/10.1590/S1413-81232006000400019

Schenkel MA. The role of health policy on inequalities in the regions of Brazil. Guaju 2017; 3(2):104-121. https://doi.org/10.5380/guaju.v3i2.55105

Albuquerque MV, de Viana ALA, Lima LD, de Ferreira MP, Fusaro ER, Iozzi FL. Regional health inequalities: Changes observed in Brazil from 2000-2016. Ciênc Saúde Colet 2017; 22(4):1055-1064. https://doi.org/10.1590/1413-81232017224.26862016

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde mais perto de você – acesso e qualidade. Programa Nacional de melhoria do acesso e da qualidade da Atenção Básica (PMAQ). Manual instrutivo. Brasília: MS; 2012. [In Portuguese].

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Manual instrutivo do PMAQ para as equipes de Atenção Básica (Saúde da Família, Saúde Bucal e Equipes Parametrizadas) e NASF / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. 2. ed. Brasília: Ministério da Saúde, 2015. 64 p. [In Portuguese].

Cantanhede LM, de Carvalho HLCC, Rodrigues VP, de Oliveira AEF, Lopes FF, da Cruz CFN. Regional availability of dental X-Ray equipments in Brazilian public health care services, 2006-2011. Rev Pesq Saúde 2014; 14(2):105-108. https://doi.org/10.18764/

Gomes MC. Panorama dos Serviços de Radiologia Odontológica no Sistema Único de Saúde, nos anos de 2014 a 2017. Florianópolis: Universidade Federal de Santa Catarina, 2018: Trabalho de Conclusão de Curso em Odontologia. 2018. [In Portuguese].

Chisini LA, Martin ASS, Silva JVJBF, Brambatti N, de Pietro FS, Conde MCM, et al. Brazilian National Health System dental x-ray coverage in Southern Brazil in 2016: An ecological study. Epidemiol Serv Saúde 2019; 28(1):1-7. https://doi.org/10.5123/S1679-49742019000100005

Silva MF, Carvalho WAS, Costa CDD. Avaliação da disponibilidade de equipamento de diagnóstico por imagem em uso na cidade de Ceres - GO. Rev Eletronic Facul Evang Ceres 2019; 8(1):20. [In Portuguese].

Lira-Junior R, Brito DBA, Cavalcanti YW, Delmontes LN, do Prado RL, Padilha WWN. Characterization of dental radiographic service in the state of Paraíba: Highlighting inequalities and sub-records. Acta Sci Health Sci 2013; 35(1):139-143. https://doi.org/10.4025/actascihealthsci.v35i1.10403

Taghiloo H, Taghiloo S, Rahbar M, Safabakhsh D. Comparison of the accuracy of digital radiography with conventional radiography and visual examination in the detection of permanent teeth interproximal caries. Pesqui Bras Odontopediatria Clín Integr 2019; 19:e4387. https://doi.org/10.4034/PBOCI.2019.191.28

White SC, Pharoah MJ. Oral radiology: Principles and interpretation. 6th. ed. Philadelphia: Mosby Co.; 2009. p. 78-99.

American Dental Association Council on Scientific Affairs. The use of dental radiographs: Update and recommendations. J Am Dental Assoc 2006; 137(9):1304-1312. https://doi.org/10.14219/jada.archive.2006.0393

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. A saúde bucal no Sistema Único de Saúde [recurso eletrônico]. Brasília: Ministério da Saúde, 2018. 350 p. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/saude_bucal_sistema_unico_saude.pdf [Accessed on May 17, 2022]. [In Portuguese].

Oliveira HM. Almeida MSC, Costa CHM, Sousa Filho LF. Radiation protection means used in dental health care establishments. RFO 2016; 21(2):167-171. https://doi.org/10.5335/rfo.v21i2.5771

Campos CFS. Luminance study of light box of a clinical odontology of an University of São Paulo State. Colloquium Vitae 2017; 9:69-75. https://doi.org/10.5747/cv.2017.v09.nesp.000300

Grigoletto JC, Santos CB, Albertini LB, Takayanagui AMM. Radiographic processing effluents management status in healthcare centers. Radiol Bras 2011; 44(5):301-307. https://doi.org/10.1590/S0100-39842011000500008