Darbo tikslas. Įvertinti privataus ir viešojo odontologijos centrų pacientų nuomonę apie profesionalią burnos higieną. Tyrimo metodika. Buvo atlikta anoniminė anketinė apklausa viename privačiame ir viename viešajame odontologijos centruose, esančiuose Kauno mieste. Buvo išdalinta 200 anketų, jas užpildė ir gražino 172 respondentai (atsako dažnis 86 proc.). Tyrimo objektas – pacientai nuo 18 metų amžiaus, atėję atlikti profesionalios burnos higienos procedūros į burnos higienos kabinetą. Statistinė duomenų analizė atlikta naudojant SPSS 13.0 for Windows versijos programinį paketą. Kokybinių kintamųjų ryšio hipotezėms tikrinti taikytas Chi kvadrato (χ²) kriterijus. Proporcijų lygybei tikrinti taikytas z kriterijus. Rezultatai. Pirmą kartą burnos higienos procedūrą atliko 16,9 proc. pacientų, kartą per pusę metų procedūrą atlieka 26,7 proc. pacientų, kartą per metus – 43,6 proc. pacientų, o kas kelis metus – 12,8 proc. pacientų. Geresnius burnos higienos įgūdžius bei žinias turėjo moterys. Jaunesnio amžiaus pacientai dažniau lankėsi pas burnos higienistą nei vyresnio amžiaus pacientai (atitinkamai 31,9 proc. ir 16,1 proc.; p<0,05) bei geriau vertino savo dantų būklę. Aukštąjį išsilavinimą turintys pacientai, turėjo geresnius burnos higienos įgūdžius bei geriau vertino savo dantų būklę, lyginant juos su aukštesnįjį ar vidurinį išsilavinimą turinčiais pacientais. Pacientai rinkosi viešąją, o ne privačią gydymo įstaigą dėl to, kad viešojoje gydymo įstaigoje pigesnės paslaugos... [toliau žr. visą tekstą] / Aim of the study. To evaluate the opinion of patients in private and public odontology centers about professional dental hygiene. Methods. An anonymous questionnaire was accomplished in one private and one public odontology centers in Kaunas. 200 questionnaires were distributed to patients and 172 patients responded (response rate 86 %). Patients older than 18 years were surveyed after their visits to dental hygienists. The data was analyzed by SPSS 13.0 for Windows statistical software. Chi square and z criterions were used to evaluate relations between the variables. Results. First time professional dental hygiene procedure was accomplished by 16,9 % pacients, one time per 6 months – 26,7 %, once a year – 43,6 % and one time in a few years – 12,8 % pacients. In a comparison of the responses of women and men, women had better dental hygiene skills and knowledge. Dental condition was estimated better in younger patients (younger than 45 years) and these patients were having professional dental hygiene procedures more often than older patients (31,9 % and 16,1 % respectively, p<0,05). While evaluating patient‘s skills, knowledge and opinion about dental hygiene it was noticed that respondents with higher education had more knowledge about dental hygiene, compared with respondents with secondary education. Patients selected public odontology centre because of cheaper service, good geographical location and a belonging to these institutions. Patients chose private odontology... [to full text]

Made available in DSpace on 2011-05-04T12:42:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / O presente estudo tem por objetivo analisar a evolução dos fatores históricos que ensejaram a formação do atual desenho do setor de saúde suplementar no Brasil, tendo por principal base teórica a teoria da estruturação de Anthony Giddens. A pesquisa utiliza o método da análise de documentos e entrevistas semi-estruturadas, envolvendo a análise qualitativa dos dados coletados com vistas à compreensão dos fenômenos estudados, segundo a perspectiva dos atores. Neste sentido, a pesquisa identifica os principais atores que compõem a estrutura do setor e suas relações recíprocas, inferindo sobre os recursos de poder utilizados, procurando mostrar, por meio de uma descrição histórica linear, com cortes em fatos determinantes, a evolução da constituição do setor. Ao final, o estudo mostra que o setor da saúde suplementar se formou a partir de inúmeras ações do Estado, principalmente após a década de setenta, como fruto de uma estratégia alternativa de disseminação de serviços de saúde à população brasileira. O estudo avalia que os fenômenos da crescente longevidade da população brasileira e aconseqüente redução nos postos de trabalho e na renda familiar poderão acarretar uma elitização do setor da saúde suplementar representando um grave problema para o final da próxima década para este sensível segmento da política social do governo brasileiro. / The aim of the present study is to analyze the evolution of the historical and institutional elements that generate the current design of the private health market in Brazil. Its main theoretical basis is the Theory of Structuration, by Anthony Giddens. The research’ data were collected through documents and semi structured interviews involving the qualitative analyze due to understand the field’s phenomena under an actors’ perspective. The research identifies the several players that integrate the market, and their reciprocal relationship besides of the powers’ resources used to reach them. Thus, it tries to show, through a historic linear description, and emphasis in the determinant facts, the evolution of the market’s constitution. The study demonstrates that the field had formed from several Estate’ actions, basically after the past seventy’ decade, as result of a alternative Government’ strategy towards a Brazilian population’s dissemination plan of health’ services that enforced the institutionalization of social structures, with a strong internal interaction. In the end, the study estimates that the crescent longevity’ Brazilian’s population and the consequent work’s dismiss may cause a private health’ elitism conforming a future problem in this sensible segment of the social politics of the Brazilian government.