Evidence map›Paper›PMID 33725008›Full record

ArticlePloS one2021

Progress and challenges in potential access to oral health primary care services in Brazil: A population-based panel study with latent transition analysis.

Ana Graziela Araujo Ribeiro, Rafiza Félix Marão Martins, João Ricardo Nickenig Vissoci, Núbia Cristina da Silva, Thiago Augusto Hernandes Rocha, Rejane Christine de Sousa Queiroz, Aline Sampieri Tonello, Catherine A Staton, Luiz Augusto Facchini, Erika Bárbara Abreu Fonseca Thomaz

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Water fluoridation, functional dentition and tooth loss in Brazilian adults: a multilevel analysis of SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Ana Graziela Araujo RibeiroDentistry Department, Graduate Program in Dentistry, Federal University of Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0001-7191-3497
Rafiza Félix Marão MartinsDentistry Department, CEUMA University, São Luís, Maranhão, Brasil.
João Ricardo Nickenig VissociGlobal Emergency Medicine Innovation and Implementation (GEMINI), Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, United States of America.
Núbia Cristina da SilvaMAPH Consortium, Belo Horizonte, Minas Gerais, Brasil.
Thiago Augusto Hernandes RochaGlobal Emergency Medicine Innovation and Implementation (GEMINI), Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, United States of America.
Rejane Christine de Sousa QueirozDepartment of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brasil.
Aline Sampieri TonelloDepartment of Public Health, Center of Biological Sciences of Health, Federal University of Maranhão, São Luís, Maranhão, Brasil.
Catherine A StatonGlobal Emergency Medicine Innovation and Implementation (GEMINI), Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, United States of America.
Luiz Augusto FacchiniDepartment of Social Medicine, Postgraduate Programs in Epidemiology, Nursing and Family Health, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brasil.
Erika Bárbara Abreu Fonseca ThomazDepartment of Public Health, Graduate Program in Public Health and Dentistry, Federal University of Maranhão, São Luís, Maranhão, Brasil.
Universidade Federal do Maranhão · BRDuke University · USUniversidade Ceuma · BRUniversidade Federal de Pelotas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCompared indicators of potential access to oral health services sought in two cycles of the Program for Improvement of Access and Quality of Primary Care (PMAQ-AB), verifying whether the program generated changes in access to oral health services.

methodsTransitional analysis of latent classes was used to analyze two cross-sections of the external evaluation of the PMAQ-AB (Cycle I: 2011-2012 and Cycle II: 2013-2014), identifying completeness classes for a structure and work process related to oral health. Consider three indicators of structure (presence of a dental surgeon, existence of a dental office and operating at minimum hours) and five of the work process (scheduling every day of the week, home visits, basic dental procedures, scheduling for spontaneous demand and continuation of treatment). Choropleth maps and hotspots were made.

resultsThe proportion of elements that had one or more dentist (CD), dental office and operated at minimum hours varied from 65.56% to 67.13 between the two cycles of the PMAQ-AB. The number of teams that made appointments every day of the week increased 8.7% and those that made home visits varied from 44.51% to 52.88%. The reduction in the number of teams that reported guaranteeing the agenda for accommodating spontaneous demand, varying from 62.41% to 60.11% and in the continuity of treatment, varying from 63.41% to 61.11%. For the structure of health requirements, the predominant completeness profile was "Best completeness" in both cycles, comprising 71.0% of the sets at time 1 and 67.0% at time 2. The proportion of teams with "Best completeness" increased by 89.1%, the one with "Worst completeness" increased by 20%, while those with "Average completeness" decreased by 66.3%.

conclusionWe identified positive changes in the indicators of potential access to oral health services, expanding the users' ability to use them. However, some access attributes remain unsatisfactory, with organizational barriers persisting.

Indexed as

BrazilHealth Services AccessibilityHumansOral HealthPrimary Health CareQuality of Health Care

Identifiers

PMID33725008
PMCPMC7963056
OpenAlexW3137959909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.