Variables associated with the performance of Centers for Dental Specialties in Brazil

Revista Brasileira de Epidemiologia

Karine Laura Cortellazzi¹  Edna Cesar Balbino¹  Luciane Miranda Guerra¹  Fabiana De Lima Vazquez¹  Jaqueline Vilela Bulgareli¹  Glaucia Maria Bovi Ambrosano¹  Antonio Carlos Pereira¹  Fábio Luiz Mialhe¹ 

关键词: Secondary Care;    Oral Health;    Specialties;    Dental;    Unified Health System;    Employee Performance Appraisal;    Health Services;    Atenção Secundária;    Saúde Bucal;    Especialidades Odontológicas;    Sistema Único de Saúde;    Avaliação de Desempenho;    Serviços de Saúde;   

DOI  :  10.1590/1809-4503201400040015

来源: SciELO

【 摘 要 】

The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004-2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.

【 授权许可】

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