Factors related to the performance of Specialized Dental Care Centers

Abstract

The Specialized Dental Care Centers (SDCC) have the mission to expand access to public medium complexity dental care and support the primary health care actions at this level of complexity. However, it is necessary to ensure the quality of services and to evaluate such services continuously to identify weaknesses and strengths that support the processes of leadership/management. Nevertheless, there is a dearth of studies on the assessment of oral health in specialized care that may indicate which factors should be investigated. Therefore, this integrated literature review sought to explore the plethora of publications on the evaluation of SDCC in the LILACS and MEDLINE data bases in October 2013 to identify factors possibly related to the performance of such health services. Thus, 13 references were included in this review pointing to forms of organization and management of work processes related to the creation of healthcare networks (operation of regulation centers and setting up of health consortiums). They include the contextual characteristics of the places where SDCCs are located (population size, Family Health Strategy coverage, Municipal Human Development Index, governance, governing capacity) were factors that influenced the SDCCs performance.

Dental emergency: scoping review

“…Studies on the care network and the integration of the PHC with the Dental Specialties Centers (DSC) presented some results similar to those in the PHC and DEC, such as failures in continuing education and reduced engagement in participation forums and, although there are also weaknesses identified in services and in the interface, they seem to register better results when it comes to the identification of objectives, presence of protocols and reference flows[43,44]. The policies that involve secondary care in the care network, the DSC and the DEC are recent, but they have occupied different positions, since, even though both are based on the National Oral Health Policy, the regulations of the DEC services are associated with the NPEA, whose priority is not dental care[7,45,46].…”

Theoretical and Methodological Aspects of the External Evaluation of the Improvement, Access and Quality of Centers for Dental Specialties Program

“…A panorama of the main researches developed has shown advances such as: expansion of the offer, coverage and use of these services [2][3][4][5][6][7][8], and high degree of satisfaction of users [9,10]. However, the achievement of production goals, as evaluated by the CEO's performance and related factors, persists as a challenge [11][12][13][14].…”

Impacto da Política Nacional de Saúde Bucal – Programa Brasil Sorridente – sobre a provisão de serviços odontológicos no Estado do Rio de Janeiro

“…Nos municípios de pequeno porte, esta interface depende da pactuação de consórcios com outros municípios para que se assegure o fluxo de referências e contra referências. Caso isto não seja observado, a viabilidade do CEO pode estar comprometida 14 . O pequeno número de CEOs instituídos nos municípios de pequeno porte observado neste estudo pode estar associado a dificuldades no estabelecimento destes consórcios.…”