Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis
Abstract Background Timely diagnosis of oral cancers is critical, and performing biopsies of oral lesions with suspected malignancy is a crucial step in achieving this goal. The waiting time for the diagnosis may be related to the progression and prognosis of malignant neoplasms. Objective The aim o...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09437-0 |
| _version_ | 1797827569100259328 |
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| author | Alessandro Diogo De-Carli Amanda Ramos da Cunha Gleyson Kleber do Amaral-Silva Jader Vasconcelos Mara Lisiane de Moraes dos Santos Livia Fernandes Probst |
| author_facet | Alessandro Diogo De-Carli Amanda Ramos da Cunha Gleyson Kleber do Amaral-Silva Jader Vasconcelos Mara Lisiane de Moraes dos Santos Livia Fernandes Probst |
| author_sort | Alessandro Diogo De-Carli |
| collection | DOAJ |
| description | Abstract Background Timely diagnosis of oral cancers is critical, and performing biopsies of oral lesions with suspected malignancy is a crucial step in achieving this goal. The waiting time for the diagnosis may be related to the progression and prognosis of malignant neoplasms. Objective The aim of this observational, cross-sectional, national-level study was to identify the factors associated with the waiting time for scheduling an oral biopsy, based on the identification of its need. Methods We used secondary data from the Brazilian public health system, obtained from the 2nd cycle of the National Program to Improve Access and Quality of Dental Specialty Centers (PMAQ-CEO). The study outcome was the waiting time for scheduling an oral biopsy, starting from the identification of the need for the exam. We analyzed individual and contextual variables using multilevel statistical analysis. Results In 51.8% of DSC the waiting time for scheduling a biopsy was non-immediate; in 58.1% of CEOs, the sum of the weekly workload of dentists working in the Stomatology specialty is up to 20 h per week; in terms of coverage, 67.1% of the CEOs have only municipal coverage and 34.0% are references for up to 12 oral health teams in primary health care; only the coverage variable remained significant in the multivariate model (p < 0.05). Of the contextual variables, none of the variables remained significant (p > 0.05). When these were analyzed together, only the coverage remained significant (p < 0.05); Conclusion Our analysis indicates that the waiting time for scheduling an oral biopsy is longer in CEOs that cover only one municipality and is not related to contextual factors. |
| first_indexed | 2024-04-09T12:51:32Z |
| format | Article |
| id | doaj.art-54ce386379354969bdd9d395e89bc4a1 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T12:51:32Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-54ce386379354969bdd9d395e89bc4a12023-05-14T11:12:32ZengBMCBMC Health Services Research1472-69632023-05-0123111010.1186/s12913-023-09437-0Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysisAlessandro Diogo De-Carli0Amanda Ramos da Cunha1Gleyson Kleber do Amaral-Silva2Jader Vasconcelos3Mara Lisiane de Moraes dos Santos4Livia Fernandes Probst5Faculty of Dentistry, Federal University of Mato Grosso do SulSchool of Public Health, University of São PauloFaculty of Dentistry, Federal University of Mato Grosso do SulMunicipal Health SecretariatIntegrated Health Institute, Federal University of Mato Grosso do SulHealth Technology Assessment Unit, Oswaldo Cruz German HospitalAbstract Background Timely diagnosis of oral cancers is critical, and performing biopsies of oral lesions with suspected malignancy is a crucial step in achieving this goal. The waiting time for the diagnosis may be related to the progression and prognosis of malignant neoplasms. Objective The aim of this observational, cross-sectional, national-level study was to identify the factors associated with the waiting time for scheduling an oral biopsy, based on the identification of its need. Methods We used secondary data from the Brazilian public health system, obtained from the 2nd cycle of the National Program to Improve Access and Quality of Dental Specialty Centers (PMAQ-CEO). The study outcome was the waiting time for scheduling an oral biopsy, starting from the identification of the need for the exam. We analyzed individual and contextual variables using multilevel statistical analysis. Results In 51.8% of DSC the waiting time for scheduling a biopsy was non-immediate; in 58.1% of CEOs, the sum of the weekly workload of dentists working in the Stomatology specialty is up to 20 h per week; in terms of coverage, 67.1% of the CEOs have only municipal coverage and 34.0% are references for up to 12 oral health teams in primary health care; only the coverage variable remained significant in the multivariate model (p < 0.05). Of the contextual variables, none of the variables remained significant (p > 0.05). When these were analyzed together, only the coverage remained significant (p < 0.05); Conclusion Our analysis indicates that the waiting time for scheduling an oral biopsy is longer in CEOs that cover only one municipality and is not related to contextual factors.https://doi.org/10.1186/s12913-023-09437-0Public Health DentistryMouth NeoplasmsSecondary carePublic Health Systems ResearchCommunity DentistryBiopsy |
| spellingShingle | Alessandro Diogo De-Carli Amanda Ramos da Cunha Gleyson Kleber do Amaral-Silva Jader Vasconcelos Mara Lisiane de Moraes dos Santos Livia Fernandes Probst Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis BMC Health Services Research Public Health Dentistry Mouth Neoplasms Secondary care Public Health Systems Research Community Dentistry Biopsy |
| title | Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis |
| title_full | Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis |
| title_fullStr | Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis |
| title_full_unstemmed | Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis |
| title_short | Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis |
| title_sort | factors related to the waiting time for scheduling an oral biopsy in brazil a multilevel analysis |
| topic | Public Health Dentistry Mouth Neoplasms Secondary care Public Health Systems Research Community Dentistry Biopsy |
| url | https://doi.org/10.1186/s12913-023-09437-0 |
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