Regulation of dental consultations in primary health care and performance of services in dental speciality centers

BMC Health Services Research

Research

Bárbara Campos da Silva¹  Giovana Soares Buzinaro¹  Jhenyffer Andrade Viana Cabral¹  Rafael Aiello Bomfim¹  Valéria Rodrigues de Lacerda¹  Inara Pereira da Cunha² 

[1] School of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;School of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;Escola de Saúde Pública, Escola de Saúde Pública de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil;

关键词: Referral and consultation;    Dental Specialties;    Social participation;   

DOI  :  10.1186/s12913-023-09597-z

 received in 2022-10-21, accepted in 2023-05-24,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveThis 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.MethodsA 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.ResultsThe 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.ConclusionThe 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.

【 授权许可】

CC BY   
© The Author(s) 2023