Desenvolvimento de indicadores para avaliação de serviço público de odontologia

Abstract

The objective of this article is to describe and analyze the development of indicators used to identify strengths and deficiencies in public dental healthcare services in the municipality of Cambé, Paraná. The methodology employed was a historical-organizational case study. A theoretical model of the service was developed for evaluation planning. To achieve this, information was collected from triangulation of methods (interviews, document analysis and observation). A matrix was then developed which presents analysis dimensions, criteria, indicators, punctuation, parameters and sources of information. Three workshops were staged during the process with local service professionals in order to verify whether both the logical model and the matrix represented the service adequately. The period for collecting data was from November 2006 through July, 2007. As a result, a flowchart of the organization of the public dental health service and a matrix with two-dimensional analysis, twelve criteria and twenty-four indicators, was developed. The development of indicators favoring the participation of people involved with the practice has enabled more comprehensive and realistic evaluation planning.

Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

“…Bueno et al 15 point to serious problems in recording information and add that it is necessary to work with the use of indicators developed with the participation of workers from the dental service to be evaluated, in addition to the indicators proposed, by the Ministry of Health and other that traditionally found in the literature.…”

Proposição de indicadores para vigilância da saúde bucal de adolescentes

“…These issues are widely cited in the literature as relevant to an assessment of services in support of quality, but are not encompassed by national SIS used to assess oral health services 32,33 . Nevertheless, 26 indicators selected to compose the SISBA, 11 have your construction based on primary data need to be collected by the service.…”

“…However, these data are not used as a subsidy to build guiding work process indicators and, consequently, as management tools and management. In this sense, Bueno et al 32 to propose indicators to support an assessment of oral health services of Cambé (Paraná), of 13 indicators validated, eight had as information sources national SIS. It should stressed that this study aimed to develop and validate indicators for evaluating oral health service specific municipal and not compose indicators for basic care in a generic way.…”

“…Already Bueno et al 32 included in workshops for logical model validation and array of indicators, professionals in the city of Salvador in performance in assistance and coordination. In the same sense, Colussi and Calvo 30 to develop a model to assess the quality of the basic buccal health attention and test your applicability in Santa Catarina municipalities of different sizes, also involved insertion service professionals (08 dentists with expertise in State management, in teaching or in research in Santa Catarina for over four years, with experience in health assessment).…”

“…Therefore, depending on the reality of the territory that will applied, you can add or reduce indicators. The criteria for this should be the agreement of these indicators with the actors involved in the process of work considering, among other factors, your validity and feasibility 32 . Even the argument above relates to a limitation of the study is the non-application of the array of SISBA to verify your applicability on the spot.…”