An analysis of the completeness of referral forms and cases evaluated by an oral medicine specialized service

Introduction: Oral lesions are present in approximately 30% of the population worldwide. Although the mouth is an anatomical region that can be easily accessed for direct visual examination, most dentists of dental surgeons have reported difficulties in the diagnosis and management of oral diseases....

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Detalhes bibliográficos
Autores: Guzenski, Bianca Dutra, Casotti, Thiago Tomazetti, Strey, Jéssica Rodriguez, Martins, Manoela Domingues, Rados, Pantelis Varvaki, Carrard, Vinícius Coelho
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Recursos:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Repositório Institucional da UFRGS
Idioma:inglés
OAI Identifier:oai:www.lume.ufrgs.br:10183/233704
Acesso em linha:http://hdl.handle.net/10183/233704
Access Level:acceso abierto
Palavra-chave:Encaminhamento e consulta
Atenção primária à saúde
Odontologia
Medicina bucal
Saúde pública
Referral and consultation
Primary healthcare
Dentistry
Oral medicine
Public health
Descrição
Resumo:Introduction: Oral lesions are present in approximately 30% of the population worldwide. Although the mouth is an anatomical region that can be easily accessed for direct visual examination, most dentists of dental surgeons have reported difficulties in the diagnosis and management of oral diseases. The primary aim of this study was to assess the completeness of referral forms of the patients referred by dentists from the primary care basic health units to an Oral Medicine service. The secondary aim was to analyze if the complexity of the cases justify the referral to a specialist. Methods: Data from 131 referral forms of patients referred from June 2014 to April 2016 were retrieved from the records. The referral’s completeness analysis comprised two stages. Stage 1 mainly comprised patient and applicant’s information. In the Stage 2, the documents were scored according to amount of information, including the description of the lesion characteristics and the procedures required for the patients’ diagnosis and management. The referral was considered justifiable if some procedures not available at primary care were required for diagnosis or treatment. Results: Five (9.8%) referral forms were considered well filled. Diagnosis agreement was 71.4%. Regarding the need of referral, 40,6% of the cases (n = 50) could be settle at the primary care. Conclusion: In conclusion, few referral forms had high-quality information and the many cases could be managed at primary care health services.