Contextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres: A multilevel analysis

Abstract

Objectives To assess which factors were associated with the achievement of endodontic goals. Methods Cross‐sectional study using secondary data from the second cycle of the Program for the Improvement of Access and Quality in the dental speciality centres—in Portuguese PMAQ‐CEO. The independent variables extracted from this database were related to dental speciality centres (CEO in Portuguese). In addition, variables referring to the CEO host city were incorporated into the model. The outcome variable was the number of endodontic goals achieved calculated from the production of the CEO available in the Ambulatory Health Information System in 2018. Descriptive analyses and multilevel Poisson regression were performed with the software SPSS 23.0 and STATA 14.0. Results CEOs with more than 20% of patients' absenteeism were 26% less likely to reach the goals of the endodontics specialty; CEOs with availability of endodontists for more than 40 hours a week were two times more likely to reach the goals than those with less than 40 hours in endodontics specialty. CEOs with a waiting time for endodontic procedures greater than 45 days achieved a number of goals 31% lower than those with a waiting time up to 45 days. CEO type I and CEO type II showed 2.10 and 1.20 higher likelihood to reach the number of goals of the endodontics specialty than CEO type III. The number of endodontic instruments in sufficient number was positively associated with the achievement of goals. CEOs located in municipalities that reached more than 5% in the supervised brushing indicator had 2.26 greater likelihood to achieve the goals than those that did not reach this percentage. Conclusion Contextual and local determinants are associated with the achievement of goals in the endodontic specialty in the dental speciality centres in Brazil.

Estudo de avaliabilidade da atenção especializada em saúde bucal no sistema público de saúde brasileiro

“…Os CEO estão em funcionamento há 18 anos e já passaram por algumas avaliações, em âmbito governamental e educacional (Abreu et al, 2022;Brasil, 2020;Goes et al, 2022;Pinto et al, 2022). Contudo, nenhuma dessas avaliações foram estudos de avaliabilidade, os quais em sua essência contariam com a participação dos envolvidos e permitiriam mudanças no foco do gerenciamento, assim como no desenvolvimento e aprimoramento dos futuros processos avaliativos.…”