From: Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis
Variable | Category | n (%) | Deadline | Crude OR (95%CI) | p-value | ||
---|---|---|---|---|---|---|---|
Up to one day | *More than one day | ||||||
n (%) | n (%) | ||||||
General sample | 900 (100.0%) | 434 (48.2%) | 466 (51.8%) | ||||
CEO variables | |||||||
The CEO is a reference center to carry out the anatomohistopathological analysis of biopsy specimens | Yes | 862 (95.8%) | 418 (48.5%) | 444 (51.5%) | Ref | ||
No | 38 (4.2%) | 16 (42.1%) | 22 (57.9%) | 1.29 (0.67–2.50) | 0.4418 | ||
The CEO has a record of users with suspected or diagnosed oral cancer | Yes | 661 (73.4%) | 343 (51.9%) | 318 (48.1%) | Ref | ||
No | 239 (26.6%) | 91 (38.1%) | 148 (61.9%) | 1.75 (1.30–2.37) | 0.0003 | ||
The CEO is a reference center to receive confirmed cases of oral cancer | Yes | 846 (94.0%) | 410 (48.5%) | 436 (51.5%) | Ref | ||
No | 54 (6.0%) | 24 (44.4%) | 30 (55.6%) | 1.18 (0.68–2.04) | 0.5670 | ||
Sum of the weekly workload of dentists working in the minimum specialties (Stomatology) | ≤ 20 h (median) | 523 (58.1%) | 246 (47.0%) | 277 (53.0%) | 1.35 (0.95–1.93) | 0.0922 | |
> 20 h | 163 (18.1%) | 89 (54.6%) | 74 (45.4%) | Ref | |||
Not applicable | 214 (23.8%) | 99 (46.3%) | 115 (53.7%) | - | |||
Are the actions developed in this CEO the result of planning and periodic evaluations? | Yes | 668 (74.2%) | 325 (48.7%) | 343 (51.3%) | Ref | ||
No | 232 (25.8%) | 109 (47.0%) | 123 (53.0%) | 1.07 (0.79–1.44) | 0.6610 | ||
The CEO professionals carry out training with primary care professionals for the detection of oral cancer | Yes | 585 (65.0%) | 298 (50.9%) | 287 (49.1%) | Ref | ||
No | 315 (35.0%) | 136 (43.2%) | 179 (56.8%) | 1.37 (1.04–1.80) | 0.0264 | ||
There are quotas pre-defined by the Primary Care oral health team to refer users to stomatology | Yes | 104 (11.6%) | 51 (49.0%) | 53 (51.0%) | Ref | ||
No | 682 (75.8%) | 328 (48.1%) | 354 (51.9%) | 1.04 (0.69–1.57) | 0.8575 | ||
Does not have this specialty | 114 (12.7%) | 55 (48.2%) | 59 (51.8%) | 1.03 (0.61–1.76) | 0.9069 | ||
There are agreed clinical protocols that guide the reference of patients from primary care to the CEO to stomatology | Yes | 619 (68.8%) | 306 (49.4%) | 313 (50.6%) | Ref | ||
No | 281 (31.2%) | 128 (45.6%) | 153 (54.4%) | 1.17 (0.88–1.55) | 0.2802 | ||
This CEO has a municipal scope only (it is a reference only for this municipality) | Yes | 604 (67.1%) | 277 (45.9%) | 327 (54.1%) | 1.33 (1.01–1.76) | 0.0431 | |
No | 296 (32.9%) | 157 (53.0%) | 139 (47.0%) | Ref | |||
This CEO is a reference for how many primary care oral health teams? | ≤ 12 (median) | 306 (34.0%) | 140 (45.8%) | 166 (54.2%) | 1.01 (0.73–1.39) | 0.9564 | |
> 12 | 298 (33.1%) | 137 (46.0%) | 161 (54.0%) | Ref | |||
Not applicable | 296 (32.9%) | 157 (53.0%) | 139 (47.0%) | - | |||
Municipality variables | |||||||
Oral health coverage | ≤ 64.39% (median) | 450 (50.0%) | 228 (50.7%) | 222 (49.3%) | Ref | ||
> 64.39% | 450 (50.0%) | 206 (45.8%) | 244 (54.2%) | 1.22 (0.94–1.58) | 0.1424 | ||
Social Prosperity | Very high | 456 (50.7%) | 228 (50.0%) | 228 (50.0%) | Ref | ||
High | 106 (11.8%) | 49 (46.2%) | 57 (53.8%) | 1.16 (0.76–1.78) | 0.4842 | ||
Medium | 125 (13.9%) | 58 (46.4%) | 67 (53.6%) | 1.15 (0.78–1.72) | 0.4759 | ||
Low | 105 (11.7%) | 55 (52.4%) | 50 (47.6%) | 0.90 (0.59–1.39) | 0.6600 | ||
Very low | 108 (12.0%) | 44 (40.7%) | 64 (59.3%) | 1.45 (0.95–2.22) | 0.0843 | ||
Gini Index | ≤ 0.52 (median) | 494 (54.9%) | 246 (49.8%) | 248 (50.2%) | Ref | ||
> 0.52 | 406 (45.1%) | 188 (46.3%) | 218 (53.7%) | 1.15 (0.88–1.50) | 0.2969 |