Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

MARTINS, Aline Blaya; SEIBT, Creta; NEVES, Matheus; HILGERT, Juliana Balbinot; HUGO, Fernando Neves

doi:10.1590/1807-2577.06116

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Brasil

Revista de Odontologia da UNESP

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Original Articles • Rev. Odontol. UNESP 45 (6) • Nov-Dec 2016 • https://doi.org/10.1590/1807-2577.06116 copy

Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

Tratamento odontológico disponível e sua associação com a satisfação com os serviços de atenção primária à saúde acessados por idosos

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole.

Material and method

In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings.

Result

Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services.

Conclusion

These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC) services accessed.

Descriptors:
Primary Health Care; health services for the aged; oral health services; patient satisfaction

*Variables*	*Categories*	*Satisfaction with service (N Total=401)*
		No (Would not recommend the service)N(%)	Yes (Would recommend the service) N(%)	P-Value
Gender	Male	27(30.7)	95(30.4)
Gender	Female	61(69.3)	218(69.9)	.953
Age	≤70 years old	46(52.3)	200(63.9)
Age	≥71 years old	42(47.7)	113(36.1)	.048
Marital Status	Married	41(46.6)	139(44.4)
Marital Status	Widow/Single/Divorced	47(53.4)	174(55.6)	.771
Education	≤5 years	61(69.3)	227(72.5)
Education	≥6 years	27(30.7)	86(27.5)	.555
Retired	Yes	74(84.1)	247(78.9)
Retired	No	14(15.9)	66(21.1)	.283
Sufficient income	Yes	22(25.0)	101(32.3)
Sufficient income	No	66(75.0)	212(67.7)	.191
Participation in elderly groups	Yes	7(8)	41(13.1)
Participation in elderly groups	No	81(92)	272(86.9)	.189
Smoking habit	Smoker	20(22.7)	67(21.4)
Smoking habit	Non-smoker	68(77.3)	246(78.6)	.790
Drinking habit	Never drinks	58(65.9)	221(70.6)
	Rarely drinks (max 1x/month)	15(17.0)	44(14.1)
	Occasionally drinks (2 to 4x/month)	7(8.0)	32(10.2)
	Often	8(9.1)	16(5.1)	.421
Number of referred morbidities	≥ 3	40(45.5)	132(42.2)
	2	21(23.9)	61(19.5)
	≤1	27(30.7)	120(38.3)	.384
Number of teeth	0	28(31.8)	116(37.1)
	1-20	45(51.1)	166(53.0)
	≥21	15(17)	31(9.9)	.163
Number of root fragments	0	73(83.0)	263(84.0)
Number of root fragments	1 or more	15(17.0)	50(16.0)	.810
Type of health service accessed	Family Health Center	15(17.0)	74(23.6)
Type of health service accessed	Basic Health Center	73(83.0)	239(76.4)	.188
Having dental treatment available in the PHC services	No	41(46.6)	82(26.2)
Having dental treatment available in the PHC services	Yes	47(53.4)	231(73.8)	.001

VARIABLES				Prevalence Ratio Crude (CI 95%)		p		Adjusted PRa (CI 95%)		p		Adjusted PRb (CI 95%)		P
*1^st Block – Predisposing Features*
Gender	Female			1				1
Gender	Male			0.97 (0.86-1.10)		0.69		0.96 (0.86-1.09)		0.59
Age	≤70 years old			1				1
Age	71 years old or more			0.89 (0.79-1.00)		0.05		0.88 (0.78-0.99)		0.03
Marital Status	Married			1				1
Marital Status	Widow/Single/Divorced			1.04 (0.93-1.16)		0.42		1.04 (0.93-1.16)		0.45
Education	≤6 years			1				1
Education	≥7 years			0.94 (0.83-1.06)		0.31		0.94 (0.83-1.06)		0.34
Retired	Yes			1				1
Retired	No			1.05 (0.92-1.19)		0.42		1.06 (0.93-1.20)		0.34
*2^nd Block – Resources*
Sufficient income	Yes			1				1				1
Sufficient income	No			0.92 (0.83-1.03)		0.16		0.93 (0.83-1.03)		0.17		0.93 (0.83-1.03)		0.17
Participation in elderly groups	Yes			1				1				1
Participation in elderly groups	No			0.90 (0.79-1.02)		0.12		0.90 (0.79-1.03)		0.13		0.88 (0.77-1.00)		0.06
*3^rd Block – Needs*
Number of referred morbidities	≥ 3			1				1				1
	2			0.96 (0.83-1.12)		0.68		0.96 (0.83-1.12)		0.63		0.95 (0.82-1.11)		0.56
	≤1			1.06 (0.95-1.19)		0.28		1.06 (0.95-1.19)		0.28		1.07 (0.95-1.19)		0.23
Number of teeth	≥20			1				1				1
	1-19			1.16 (0.94-1.44)		1.16		1.16 (0.94-1.44)		0.15		1.17 (0.95–1.45)		0.12
	0			1.19 (0.96-1.48)		0.10		1.20 (0.96-1.49)		0.10		1.22 (0.98-1.52)		0.06
Number of root fragments	0			1				1
Number of root fragments	≥1			0.98 (0.85-1.13)		0.81		1.00 (0.85-1.16)		0.99		1.01 (0.87-1.17)		0.89
*4^th Block – Behaviors*
Smoking habit		Smoker	1				1				1
Smoking habit		Non-smoker	1.01 (0.89-1.15)		0.79		0.99 (0.87-1.13)		0.94		1.01 (0.88-1.15)		0.85
Drinking habit		Never	1				1				1
		Often	0.84 (0.63-1.12)		0.24		0.84 (0.62-1.13)		0.24		0.85 (0.63-1.14)		0.27
		Occasionally	1.03 (0.88-1.21)		0.66		1.03 (0.88-1.21)		0.67		1.08 (0.92-1.27)		0.34
		Rarely	0.94 (0.80-1.10)		0.46		0.94 (0.80-1.10)		0.46		0.94 (0.80-1.10)		0.46
*5^th Block – Health Service*
Type of service accessed		Family Health Center	1				1				1
Type of service accessed		Basic Health Center	0.92 (0.82-1.03)		0.15		0.89 (0.80-1.00)		0.06		0.91 (0.81-1.02)		0.12
Having dental treatment available in the PHC services		No	1				1				1
Having dental treatment available in the PHC services		Yes	1.24 (1.01-1.52)		0.03		1.25 (1.09-1.44)		0.01		1.26 (1.09-1.44)		0.01

VARIABLES		Prevalence Ratio	p Value
Age	≤70 years old	1
Age	71 years old or more	0.88 (0.79-0.99)	0.03
Participation in elderly groups	Yes	1
Participation in elderly groups	No	0.90 (0.79-1.03)	0.13
Number of teeth	≥20	1
	1-19	1.20 (0.98-1.47)	0.07
	0	1.24 (1.01-1.53)	0.03
Having dental treatment available in the PHC services	No	1
Having dental treatment available in the PHC services	Yes	1.25 (1.09-1.43)	0.00

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[1] CONFLICTS OF INTERESTS The authors declare no conflicts of interest.