Acesso e qualidade da atenção secundária e da assistência em estomatologia no Brasil

Leal, Rhuan Vitor Sodré; Emmi, Danielle Tupinambá; Araújo, Marizeli Viana de Aragão

doi:10.1590/s0103-73312021310205

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…However, even not statistically signi cant, regulation by PHC showed better bond and responsibility and social participation. According to a study by Leal et al 2021 22 there are still disparities in the form of access and offer of resources within the CEOs, a statement that is in line with the results of this study, where only 33.1% of the participants were asked about the best time for service. Failures in the regulation of access to CEOs may be connected to the lack of organizational controls and norms that de ne how referrals and counterreferrals of patients should be made, in addition to being of paramount importance that primary care professionals keep themselves updated and trained to identify cases in which regulation for specialized care is essential, as pointed out by Chaves et al 11 .…”

Section: Discussionsupporting

confidence: 86%

Regulation of dental consultations in primary health care and performance of services in Dental Speciality Centers

Silva

Viana

Buzinaro

et al. 2022

Preprint

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Objective: This study analyzed the regulation of dental specialty centers (CEOs) coordinated exclusively by Primary Health Care (PHC) in four primary outcomes: access and dental consultation, reception services, bonding and responsibility, and social participation. Methods: A cross-sectional study was carried out using secondary data from the National Program for the Improvement of Access and Quality of Dental Specialty Centers (PMAQ-CEO): second cycle, using multilevel logistic regression to calculate the odds ratio (OR) and individual covariates. Results: The analytical sample consisted of 9,599 CEO users who had completed all the variables analyzed. Of these, 63.5% were referred to the CEO by PHC. Dental care regulated by PHC was related to better access (OR 1.36, CI 95% 1.10-1.68), better reception (OR 1.33, CI 95% 1.03-1.71), better bonding and responsibility (OR 1.36, CI 95% 0.91-2.04), and social participation (OR 1.13, CI 95% 0.93-1.35) compared to those not regulated by primary health care as the exclusive pathway. Conclusion: The regulation of access to the CEO coordinated by PHC presented the best performance. It is suggested that this form of PHC regulation, as a route for dental specialty centers, can be established in the national oral health care policy for better service performance.

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Section: Discussionsupporting

confidence: 86%

Regulation of dental consultations in primary health care and performance of services in Dental Speciality Centers

Silva

Viana

Buzinaro

et al. 2022

Preprint

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“…Deste modo, para que as ações de planejamento contribuam para o aperfeiçoamento da gestão do SUS, os entes federados devem comprometer-se a realizar processos periódicos de monitoramento e avaliação, orientados pelas diretrizes, objetivos, metas e indicadores assumidos em cada esfera da gestão (Figueiredo et al, 2020). À vista disso, a institucionalização da avaliação em saúde, vem ganhando força em diferentes áreas do setor público em saúde, e assim, iniciativas como o Programa Nacional de Melhoria do Acesso e da Qualidade dos Centros de Especialidades Odontológicas (PMAQ-CEO) e estudos de avaliação de CEO devem ser destacadas, na medida que a avaliação dos serviços oferecidos à população, como uma prática rotineira e continuada nos diversos setores da saúde, contribuirá para que os padrões adequados de qualidade sejam equivalentes nos diferentes contextos do país (Leal;Emi;Araújo, 2021).…”

Section: Introductionunclassified

A prática do planejamento em saúde na atenção secundária: uma análise a partir do PMAQ-CEO - 1º Ciclo

Vieira

Quadros

Lira

et al. 2021

RSD

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O objetivo do estudo foi avaliar a prática do planejamento nos Centros de Especialidades Odontológicas (CEO) do estado do Amazonas que fizeram adesão ao Programa Nacional de Melhoria do Acesso e da Qualidade dos Centros de Especialidades Odontológicas (PMAQ/CEO) do 1º Ciclo. Realizou-se um estudo do tipo descritivo e seccional, utilizando-se microdados da avaliação externa do programa, a respeito das avaliações do módulo VIII referente à entrevista com profissionais, direcionado aos gerentes e cirurgiões-dentistas (CD). Os dados foram obtidos e tabulados pelo programa TabWin sendo exportados para o programa Excel. Dos 11 CEO estudados, somente 36,4% possuíam gerentes que atuavam exclusivamente na função e apenas 1 CEO realizou alguma ação de planejamento nos últimos 12 meses. Apesar de grande parte deles relatarem a realização de reuniões das equipes e procederem à autoavaliação, apenas 4 realizaram o monitoramento e análise das metas por especialidade e avaliaram as ações planejadas/programadas. Concluiu-se que a prática do planejamento nos serviços públicos de atenção secundária em saúde bucal no Amazonas ainda é frágil e incipiente para alcançar a melhoria do acesso e da qualidade dos serviços prestados à população.

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Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis

De-Carli

Cunha

Amaral‐Silva

et al. 2023

BMC Health Serv Res

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Background Timely diagnosis of oral cancers is critical, and performing biopsies of oral lesions with suspected malignancy is a crucial step in achieving this goal. The waiting time for the diagnosis may be related to the progression and prognosis of malignant neoplasms. Objective The aim of this observational, cross-sectional, national-level study was to identify the factors associated with the waiting time for scheduling an oral biopsy, based on the identification of its need. Methods We used secondary data from the Brazilian public health system, obtained from the 2nd cycle of the National Program to Improve Access and Quality of Dental Specialty Centers (PMAQ-CEO). The study outcome was the waiting time for scheduling an oral biopsy, starting from the identification of the need for the exam. We analyzed individual and contextual variables using multilevel statistical analysis. Results In 51.8% of DSC the waiting time for scheduling a biopsy was non-immediate; in 58.1% of CEOs, the sum of the weekly workload of dentists working in the Stomatology specialty is up to 20 h per week; in terms of coverage, 67.1% of the CEOs have only municipal coverage and 34.0% are references for up to 12 oral health teams in primary health care; only the coverage variable remained significant in the multivariate model (p < 0.05). Of the contextual variables, none of the variables remained significant (p > 0.05). When these were analyzed together, only the coverage remained significant (p < 0.05); Conclusion Our analysis indicates that the waiting time for scheduling an oral biopsy is longer in CEOs that cover only one municipality and is not related to contextual factors.

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Acesso e qualidade da atenção secundária e da assistência em estomatologia no Brasil

Cited by 4 publications

References 9 publications

Regulation of dental consultations in primary health care and performance of services in Dental Speciality Centers

Regulation of dental consultations in primary health care and performance of services in Dental Speciality Centers

A prática do planejamento em saúde na atenção secundária: uma análise a partir do PMAQ-CEO - 1º Ciclo

Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis

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