Ciências Odontológicas

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17573
Programa de Pós-Graduação em Ciências Odontológicas

Centro: CCS
Telefone: (27) 3335 7244
URL do programa: http://www.odontologia.ufes.br/pt-br/pt-br/pos-graduacao/PPGCienciasOdontologicas

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Navegando Ciências Odontológicas por Assunto "Atenção Primária à Saúde"

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    Barreiras e facilitadores à implementação de uma ferramenta digital de detecção precoce de câncer de boca na atenção primária à saúde : um estudo qualitativo das percepções dos profissionais de saúde
    (Universidade Federal do Espírito Santo, 2025-12-09) Menezes, Amanda Ferreira; Esposti, Carolina Dutra Degli ; https://orcid.org/0000-0001-8102-7771; http://lattes.cnpq.br/7465412734380334; Zeidler, Sandra Lúcia Ventorin von ; https://orcid.org/0000-0002-8897-5747; http://lattes.cnpq.br/5785612863130498; https://orcid.org/0000-0002-1002-2110; http://lattes.cnpq.br/2022867562359986; Silva, Everton Nunes ; https://orcid.org/0000-0001-8747-4185; http://lattes.cnpq.br/3121617627863531; Valle, Isabella Bittencourt do ; https://orcid.org/0000-0002-3221-3057; http://lattes.cnpq.br/3069021711512099
    Oral cancer (OC) is a public health problem in Brazil due to its high morbidity and mortality. The impact of OC can be reduced through diagnosis at early stages, when the chances of cure are greater and the patient's prognosis is favorable. Primary Health Care (PHC) is the main gateway to the Unified Health System (SUS) and is responsible for screening and early diagnosis of the disease. Digital technologies have been incorporated as support tools for screening high-risk populations for the disease. This study aimed to analyze the perception of PHC professionals regarding barriers and facilitators to the implementation of the web-responsive platform "SobreVidas", designed for screening and monitoring populations at risk for OC. This is an intervention research with a qualitative approach in which a semi-structured script based on the COM-B and TDF theoretical models was used to interview eight PHC professionals in Espírito Santo, Brazil. The results identified as barriers work overload, duplicate records, lack of interoperability with existing electronic health records, and technological infrastructure limitations. As facilitators, the clinical specificity of the tool for screening high-risk groups for OC, agility in clinical records, and the potential for improving clinical practice were highlighted. It is concluded that the adoption of digital technologies in PHC requires strategies that address organizational, structural, and behavioral factors to favor their effective incorporation into health services
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    Caracterização dos fatores dificultadores do diagnóstico precoce do câncer de boca por cirurgiões-dentistas do serviço público de saúde do Estado do Espírito Santo – um estudo transversal
    (Universidade Federal do Espírito Santo, 2025-07-17) Martins, Bárbara Campo Dall’Orto; Almeida, Tahyná Duda Deps; https://orcid.org/0000-0002-5780-1576; http://lattes.cnpq.br/5705338964053484; Barros, Liliana Aparecida Pimenta de; https://orcid.org/0000-0002-1649-3116; http://lattes.cnpq.br/8635277660080840; https://orcid.org/0009-0001-0880-7752; http://lattes.cnpq.br/7874095033006385; Toporcov, Tatiana Natasha; https://orcid.org/0000-0002-8929-5137; http://lattes.cnpq.br/5345064895953228 ; Pigatti, Fernanda Mombrini; https://orcid.org/0000-0001-8495-8571; http://lattes.cnpq.br/8243371686189167
    Oral cancer represents a serious public health issue in Brazil, characterized by high morbidity and mortality rates, largely due to late-stage diagnosis. Primary Health Care (PHC), as the preferred entry point to the Brazilian Unified Health System (SUS), plays a strategic role in the early detection of the disease, particularly through the work of dental surgeons. This cross-sectional study aimed to identify the main barriers to the early diagnosis of oral cancer within the PHC network in the state of Espírito Santo, Brazil. A structured questionnaire was applied to 248 dental surgeons, alongside an analysis of diagnostic support infrastructure data. The findings revealed low service resolvability, evidenced by the limited performance of biopsies among PHC professionals (16.13%), a high rate of insecurity in diagnosing potentially malignant lesions (64.5%), and lack of knowledge regarding institutional referral pathways. Among professionals who reported limited knowledge and low confidence in diagnosing oral potentially malignant disorders, 47.9% stated they did not feel capable of performing a biopsy (p < 0.001). These results suggest that limited practical training and structural deficiencies compromise the effectiveness of PHC, highlighting the need for integrated continuing education initiatives, expansion of diagnostic support networks, and stronger coordination across levels of care.