NDLI: Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis

Content Provider	Springer Nature : BioMed Central
Author	De-Carli, Alessandro Diogo da Cunha, Amanda Ramos do Amaral-Silva, Gleyson Kleber Vasconcelos, Jader dos Santos, Mara Lisiane de Moraes Probst, Livia Fernandes
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.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-09437-0.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-023-09437-0
Journal	BMC Health Services Research
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-05-09
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Public Health Dentistry Mouth Neoplasms Secondary care Public Health Systems Research Community Dentistry Biopsy Appointments and schedules
Content Type	Text
Resource Type	Article
Subject	Health Policy

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