Model for decision making in dental care: description and testing of an intervention model at local level
DOI:
https://doi.org/10.31052/1853.1180.v18.n3.11734Keywords:
Administration of health services, health management, dentistry, public healthAbstract
Abstract Objective: To describe a model to analyze dental care in a local geographical location in order to facilitate decision making related to care, based on scientific evidence. Methodology: The methodology includes (a) model design (MI) and (b) its testing application in a municipality (capital of the province). (a) The suggested model, built from a strategic approach, includes three stages (MM). MM1 (identifying) consists in the identification of problems through the collection of primary and secondary data. MM2 (analytic) related to the quantitative and qualitative analysis of the collected data. From the analyzed and prioritized information, the MM3 (propositive) makes recommendations in the social, legal-administrative, epidemiologic, perceptual and investigative areas. (b) The testing application of the model included the identification, analysis and prioritization of the problematic focuses arising from census data, statistics from health services and current programs. Data were processed with an explicative matrix and Hanton´s formula. A SWOT analysis (internal and external) made it possible to make suggestions and their potential transfer to health and education decisions. Results: (1) Testing the model in a local territory base (municipality) allowed the quick identification of problems in dental care and the integration of the collected information. (2) The model facilitated the translation of dental status into local reach health and educational activities, with possible impact on the health of the covered population. Conclusions: The MI can be applied in a short time and used to get timely information for decision making in a local area.
Downloads
References
Lomas J, Culyer T, Mc Cutcheon C, Mc Auley L, Law S : Conceptualizing and combining evidence for Health System Guidance. Canada, Canadian health Services Research Foundation. 2005
Contandriopoulos AP. A”Topography” of the concept of health. .En: Canadian Institutes for Health Research and Social sciences and Humanities Research Council: Social sciences and Humanities in Health Research . Otawa, CIHR/SSHRC, 2005
Huffy M. Gobernanza en salud pública: hacia un marco analítico. Rev Salud Pública 2010; 12 sup (1) : 29-61
Revista de Salud Pública, (XVIII) 3:15-30, dic 2014MULBANY P, BORDONI N | Modelo para la toma de decisiones en atencion odontologica28
Hufty M, Báscolo E, Bazzani R. Gobernanza y Salud: un aporte conceptual y analítico para la investigación. Cad. Saúde Pública, Rio de Janeiro. 2006; 22 Sup.: S35-S45
Hox J. Multilevel analysis: techniques and applications. Mahwah, NJ: Lawrence Erlbaum Associates; 2002. (pag 1-9; 142-56)
United Nations-Economic and Social Commission for Asia and the Pacific (UNESCAP). What is Good Governance?Disponible http://www.unescap.org/pdd/prs/ProjectActivities/Ongoing/gg/governance.pdf
Canadian Institutes of Health Research; 2009. Disponible http://www.learning.cihrirsc.gc.ca/course/view.php?id=10
Rossi P, Lipsey MW, Freeman HE. Evaluation; A Systematic Approach. New York: SAGE Pub; 2004
Gilson L (Ed) Health Policy And Systems Research. A methodology reader. Geneve: WHO/Alliance for Health Policy and Systems Research; 2012
Beltran E, Bordoni N. Guia básica para el diseño de estudios epidemiológicos. Rev. Fac Odont UBA. 2011; 26: 39-47.
Bougeois D, Llodra J, Christensen LB, Pitts N, Ottolenghi L, Senekola E. (Ed) . European Global Oral Health. Indicators Development Programme, Ginebra : European Commision Health and Consumer Directorate-general.; 2008
Piovano S, Squassi A, Bordoni N. Estado del arte de indicadores para la medición de caries dental. Revista de la Facultad de Odontologia (UBA) 2010; 58: 29-43
Page R, Martin JA, Loeb CF. The Oral Health Information Suite(OHIS) : Its Use in the Manegenebt of Periodontal Disease J Dent Education 2005; 69:509-20.
Foster Page LA, Thompson WM, Jokovik A, Locker D. Validation of the Child Perception Questionnaire. J Dent Res 2005; 84 (7): 649-5215. Radhakrishna RB. Tips for developing and Testing Questionnaires/Instruments. Extension Journal.2007; 45 (on line) IISN 1077-53
Disponible en HTTP”// www.joe.org/joe/2005
Inglehart M, Bagramian R. Oral Health-related Quality of life. Chicago: Quintaessence; 2002
Naito M, Yuasa H, Nomura Y, Nakayama T, Hamajima N, Hanada N. Oral Health status and heqlth-related quality of life: a systematic review. Journal pf Oral Science. 2006; 48: 1-7
Herdman M, Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res 1998; 1997 y 1998 7:323-35
Herdman M, Fox-Rushby J, Badia X. ‘Equivalence’ and the translation and adaptation of health-related quality of life questionnaires. Qual Life Res 1997; 6:237-47
Pahel BT, Rozier RG, Slade GD. Parental perceptions of children’s oral health: The Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 2007; 5:6.
Inglehart M, Bagramian A. Oral health-related quality of llfe. Chicago: Quintaessence Ed: 2002
Lopez R, Baelum V. Spanish version of the oral Health Impact Profile (OHIP-Sp) BMC Oral health 2006; 7: 6-11
Montero-Martin J, Bravo-Prez M, Albaladejo-Martinez A, Hernandez-Martin LA. Rosel-Gallardo EM. Validation the Oral Health Impact Profile (OHIP-14sp) for adults in Spain. J Clin Exp Dent 2009;1:1-7
Bordoni N, Ciaravino O, Zambrano O, Villena R, Beltran E , Squassi A. Early Childhood Oral Health Impact Scale (Ecohis). Traslation And Validation To Spanish Language. Acta Odont Latinoamer. 2012; 25(3): 270-8
Aguilar-Diaz FC, Irigoyen-Camacho ME. Validation of the CPQ 8-10ESP in Mexican schoolchildren in urban areas. Med Oral Patol Oral Cir Bucal. 2011; 16: 430-5
Pane S, Solans M, Gaite L, Serra-Sutton V, Estrada MD, Rajmil L. Instrumentos de calidad de vida relacionada con la salud en la edad pediátrica. Revision sistematica de la
Revista de Salud Pública, (XVIII) 3:15-30, dic 2014MULBANY P, BORDONI N | Modelo para la toma de decisiones en atencion odontologica29literatura. Actualización. Barcelona: Agencia d Avaluacio de tecnologia I Recerca Mediques; 2006
Montero J, Bravo M, Vocente MP, Lopez J, Albaladejo A Dimensional structure of the oral health quality of life in healthy spanish workers. Health and Quality of life outcome 2010; 8: 24
Bordoni N, Cadile M, Sotelo R, Squassi A. Teachers perception of oral health status. Design and validation of an evaluation instrument. Acta Odont Latinoam 2006; 19: 67-74
Sofaer S. Qualitative Research Methods. Int J Qual Health Care. 2002; 14:329-36
Hesse-Biber SN, Leavy P (Ed). Approaches to Qualitative Research. New York Oxford University Press, 2004
Hancock B. Trent focus for Research and Development in Primary Health Care. An introduction to qualitative research. Nottingham: Trent Focus Group ; 1998
Sheiham A, Watt R.The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000; 28: 399-406
Cuxart, A. Modelos estadísticos y evaluación: tres estudios en educación. Revista de Educación, 2000; No. 323: 369-393, Disponible en http://www.econ.upf.edu/ca/recerca/paper.php?id=421
Plewis, I. Statistics in Education. London: Arnold; 1997
Woodhouse, G., Goldstein, H. Educational performance indicators and LEA league tables. Oxford Review of Education 1988; 14 : 301-20.
Jones, K., Johnston, R.J., Pattie, C.J., People, Places and Regions: Exploring the use of Multilevel Modelling in the analysis of electoral data.. B. J. Political Science 1992; 22: 343-80.
Morales, L. “Citizens In Polities: The Individual and Contextual Determinants of Political Membership in Western Countries”. Madrid: WP 2001/164 Center for Advanced Study in the Social Sciences, Juan March Institute; 2003
Leyland AH, Goldstein H Multilevel modelling of health statistics. Londres: John Wiley and Sons; 2001
Snijders T, Bosker R. Multilevel analysis: an introduction to basic and advanced multilevel modeling. London: Sage Publications; 1999.
Fernandez Nuńez L. ¿Cómo analizar datos cualitativos? Fichas para investigadores No. 7. En Butlleti La Recerca. Barcelona: Universitat de Barcelona; 2006
Ryan GW , Bernard HR. Data management and analysis methods, En Denzim NK, Lincoln YS . Collecting and interpreting qualitative materials. (2º. Ed) Thousand Oaks , CA: Sage ; 2003;
Bogdam R, Biklen SK. Qualitative research for education. An introduction to theory and methods. Boston: Alliyn y Bacon; 1992 (2o. Ed)
Alarid HJ. Bases para la programación de los Sistemas Locales de Salud. Publicación No. 519. Washington: OPS/OMS; 1990
Ishikawa K. Introduccion al control de calidad. México: Diaz de Santos ; 1994.
DINEST-MED. Diagrama de Ishikawa. Revista del área de Innovaciones Educativas No. 31 Lima: Ed MED; 2004
Rovere M. Planificación de recursos humanos en salud. Buenos Aires: OPS; 2007
Godet M. La caja de hierro de la prospectiva estratégica. Paris: LIPSOR-CNAM; 2000
Bordoni N. Desafíos de la Investigación en Promoción de Salud. Proceedings 5º Conferencia Latinoamericana y 4º Conferencia Interamericana de Promoción de Salud y Educación para la Salud. (Sesión Especial II). México; 2012
Bordoni N. Proyectos universitarios para la mitigación de la marginación social. Perspectivas desde los investigadores. En Buenos Aires: UBA ( en prensa); 2014
Elliott P, Wakefield J, Best N, Briggs D (eds). Spatial Epidemiology: Methods and Applications. Oxford: Oxford University Press; 2000.
Maantay J. Mapping environmental injustices: pitfalls and potential of geographic
Revista de Salud Pública, (XVIII) 3:15-30, dic 2014MULBANY P, BORDONI N | Modelo para la toma de decisiones en atencion odontologica30information systems in assessing environmental health and equity. Environ Health Perspect 2002; 110 (suppl 2):161-71.
Moore DA, Carpenter TE. Spatial analytical methods and geographic information systems: use in health research and epidemiology. Epidemiol Rev 1999; 21:143-61.
Cuxart, A. Modelos estadísticos y evaluación: tres estudios en educación. Revista de Educación, 2000; No. 323: 369-93. Disponible en http://www.econ.upf.edu/ca/recerca/paper.php?id=421
Plewis, I. Statistics in Education. London: Arnold; 1997
Woodhouse, G., Goldstein, H. Educational performance indicators and LEA league tables. Oxford Review of Education. 1988; 14: 301-20.
Jones, K., Johnston, R.J., Pattie, C.J., People, Places and Regions: Exploring the use of Multilevel Modelling in the analysis of electoral data.. B. J. Political Science 1992; 22: 343-80.
Morales, L. “Citizens In Polities: The Individual and Contextual Determinants of Political Membership in Western Countries”, WP 2001/164 Center for Advanced Study in the Social Sciences, Juan March Institute. Madrid; 2003
Leyland AH, Goldstein H Multilevel Modelling of Health Statistics. Londres: John Wiley and Sons; 2001
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).
