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Scheduling delay in suspected cases of oral cancer

DOI: 10.1590/S1415-790X2011000400011

Keywords: mouth neoplasms, dental health services, human resources, dental staff, dentistry, dental prosthesis.

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Abstract:

the objective of the study was to evaluate scheduling delay of dental exams in the city of s?o paulo of patients suspected of having oral cancer. a cross-sectional study was performed in which telephone conversations simulated clinical situations that represented two types of patients: one presenting symptoms suggestive of oral cancer (ca), and another one suggesting the need for prostheses (pr). the scheduling delay was evaluated by the days until an appointment for care; and among public offices, by type of schedule (emergency or routine). negative binomial regression was used (95% statistical significance). five hundred and seventy-five public and private dental offices participated in the study. the mean scheduling delay for the ca group was 2.88 days, and for the pr group, 4.34 days (p = 0.01). the mean scheduling delay was shorter in private dental offices (2.59 days) than in offices that accepted health insurance (2.74 days) (p = 0.01); the delay was shorter when performed by the dentist rather than by the dental assistant, 2.45 versus 4.21 days (p = 0.01). in public services, 69% of patients in the cancer group were sent to the emergency service. dental services were accessible for scheduling clinical examinations among patients suspected of having oral cancer.

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