Factors associated with avoiding referrals by dental teleconsulting sessions in Brazil

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dc.creatorLígia Cristelli da Paixão
dc.creatorMauro Henrique Nogueira Guimarães de Abreu
dc.creatorAntônio Paulino Ribeiro Sobrinho
dc.creatorRenata de Castro Martins
dc.date.accessioned2025-02-21T22:18:06Z
dc.date.accessioned2025-09-09T01:13:57Z
dc.date.available2025-02-21T22:18:06Z
dc.date.issued2023-03-14
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.3390/ijerph20065104
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/1843/80316
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relationPrograma Institucional de Internacionalização – CAPES - PrInt
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.rightsAcesso Aberto
dc.subjectTelemática médica
dc.subjectCuidados primários de saúde
dc.subjectConsulta médica
dc.subjectOdontologia
dc.subject.otherTelehealth
dc.subject.otherPrimary health care
dc.subject.otherReferral and consultation
dc.subject.otherDentistry
dc.subject.otherCOVID-19
dc.titleFactors associated with avoiding referrals by dental teleconsulting sessions in Brazil
dc.typeArtigo de periódico
local.citation.epage8
local.citation.issue6
local.citation.spage1
local.citation.volume20
local.description.resumoThis cross-sectional analytical study assessed the frequency of avoided referrals of primary care to other care levels by dental teleconsulting and its association with individual and contextual variables using a multilevel approach. It appraised asynchronous dental teleconsulting sessions from the secondary database of the Monitoring and Evaluation System of the Telehealth Results during 2020, during the COVID-19 pandemic. The outcome was “whether referral to secondary care was avoided”. Individual variables were related to teleconsulting and professionals that requested it: sex, dental specialty, and dentistry field. Contextual variables were related to each municipality that requested responses: Municipal Human Development Index, oral health teams (OHTs) in primary health care coverage, dental specialty centers coverage, illiteracy rate, Gini index, longevity, and per capita income. A descriptive analysis was made using the Statistical Package for the Social Sciences. Hierarchical Linear and Nonlinear Modeling software was used to perform multilevel analyses to assess the association of individual and contextual variables with avoiding patient referral to other care levels. Most teleconsulting sessions avoided patient referral to other care levels (65.1%). Contextual variables explained 44.23% of the variance in the outcome. Female dentists were more likely to avoid patient referrals than male dentists (OR = 1.74; CI = 0.99–3.44; p = 0.055). In addition, an increase of one percentage point in OHT/PHC coverage of municipalities increased the likelihood of avoiding patient referral by 1% (OR = 1.01; CI = 1.00–1.02; p = 0.02). Teleconsulting sessions efficiently avoided patient referral to other care levels. Both contextual and individual factors were associated with avoided referrals by teleconsulting sessions.
local.identifier.orcidhttps://orcid.org/0000-0003-0924-4565
local.identifier.orcidhttps://orcid.org/0000-0001-8794-5725
local.identifier.orcidhttps://orcid.org/0000-0002-3598-7592
local.identifier.orcidhttps://orcid.org/0000-0002-8911-0040
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://www.mdpi.com/1660-4601/20/6/5104

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