Implementation of dental specialty centers: a descriptive analysis of the current status in the Brazilian territory

Estery, Laura; Cericato, Graziela Oro; Rigo, Lilian; Rode, Sigmar de Mello; Lima, Igor Felipe Pereira; Paranhos, Luiz Renato

doi:10.1590/0001-3765201720160834

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…It is therefore necessary to reevaluate the indicators for the implantation of new CEOS in the municipalities, to reduce these differences. 34 Although the diagnosis does not appear to be delayed, information about the patient's treatment time at the tertiary level is not known, Galante et al 35 identified that dentists have a clear understanding of their role in the healthcare network; however, with efficient communication between primary and secondary care, when the patient is referred for treatment, continuity of care is lost because of fragmentation in the care network.…”

Section: Discussionmentioning

confidence: 99%

Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

et al. 2021

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“…National study pointed lower proportions of tooth extractions in municipalities with at least one CEO and with a coverage of greater than 80% by the oral health teams, highlighting that municipalities with a consolidated oral health care network present better performance in the supply of dental care [29]. Although these positive results, there is disparity among states and macro-regions of Brazil in implementation of CEOs [30] and some primary OHTs are located in areas without a Dental Specialty Center, decreasing its problem-solving capacity.…”

Section: Plos Onementioning

confidence: 98%

Public oral health services performance in Brazil: Influence of the work process and service structure

et al. 2020

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The quality of oral health care might be evaluated based on Donabedian's structure-process-outcome model. This study assessed the association between the oral health public services structure and work process of oral health teams (OHT) and performance indicators (access and problem-solving capacity) in Brazil. Secondary data from a national program obtained through interviews and by observation in 2013/2014 were analyzed. The performance indicators were Coverage of First Scheduled Dental Appointment (FDA) (< or � the mean) and Ratio between Completed Treatments and First Scheduled Dental Appointments (CT/FDA) (< 1 or � 1). The structure was assessed by the sum of available instruments, equipment, and supplies. Latent class analyses were used to identify similar groups (consolidated, developing, and incipient) of OHT according to the work process (planning of actions, health promotion and intersectoral actions, and integral health care). Each OHT was also described regarding the number of the health team in which the OHT operates, whether the primary care unit receives students/teaches, frequency of care provided outside of OHT coverage, and participation in telehealth. Multiple logistic regression models were adjusted for each performance indicator. A total of 16189 (99,8%) and 16192 (99,9%) OHTs located in 4344 (78,0%) municipalities had complete data on the work process and structure. 91.92% of OHTs presenting CT/FDA � 1 and 37.05% presenting FDA � the mean. Consolidated planning of actions and better structural conditions were associated with better performance. A higher frequency of CT/FDA � 1 was observed among OHTs with consolidated integral health care and those that performed telehealth. OHTs that served individuals outside of OHT coverage daily and that worked with two to nine Health Teams presented a higher frequency of FDA � the mean. OHTs with better structural and work process conditions had better performance.

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“…In Brazilian Primary Care not all OHTs have a DSC for patient referral, and not all DSCs present all of the types of these specialties (ESTERY et al, 2017). The Brazilian Health System provides other specialized oral care centers, such as emergency dental services (EDS) and diagnosis and therapy support services (DTSS); however, the DSC is the main entity (Machado, Silva & Ferreira, 2015).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the availability of secondary dental care within the Brazilian public health system: a cross-sectional study

Cipriano,

Machado,

Abreu

et al. 2023

CLCS

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To achieve the goal of comprehensive care provided between primary and secondary care, the interface must be without barriers. This cross-sectional study evaluated the availability of secondary dental care services in public health services in Brazil. This study focused on reference Dental Specialty Centers (DSCs) with 18,114 Oral Health Teams (OHTs) that adhered to the second cycle of the “National Program for Improving Access and Quality of Primary Care” (PMAQ-AB). Questions about the availability of DSCs for patient referrals by OHTs and the type of dental specialties provided by municipalities in DSCs were analyzed descriptively and compared per Brazilian macro-region. Seventy-five percent of OHTs reported the existence of DSCs for patient referral. The most available specialties at DSCs included minor oral surgery (90.1%), endodontics (82.0%), patients with special needs (81.5%), and periodontics (80.5%). The OHTs presented a mean of 5.77 (±2.08) referable specialties. OHTs from the South and Southeast regions reported the availability of more specialized consultations. The most available specialties in all regions included minor oral surgery, endodontics, patients with special needs, and periodontics. The best results were found in the Southeast, followed by the Northeast and South regions. Brazilian public oral health shows a structure of secondary oral health care, however, a difference was observed among the OHTs, especially as regards the frequency and availability of specialties. More investments in public oral health care in Brazil are required to improve the availability of secondary dental care in regions with lower economic development.

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Implementation of dental specialty centers: a descriptive analysis of the current status in the Brazilian territory

Cited by 4 publications

References 13 publications

Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

Public oral health services performance in Brazil: Influence of the work process and service structure

Evaluation of the availability of secondary dental care within the Brazilian public health system: a cross-sectional study

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