Factors associated with conducting planning for secondary oral health care services in Brazil
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(2020) 20:853
RESEARCH ARTICLE
Open Access
Factors associated with conducting planning for secondary oral health care services in Brazil Edson Hilan Gomes de Lucena1* , Rênnis Oliveira da Silva1, Carolina Dantas Rocha Xavier de Lucena2, Amalia Issufo Mepatia3, Yuri Wanderley Cavalcanti1, Paulo Savio Angeiras de Goes4 and Maria Fátima de Sousa5
Abstract Background: Planning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. This research aims to identify the factors associated with planning Specialized Dental Clinics (SDCs). Methods: Secondary data were used from the external evaluation of the database of the first National Program for Access and Quality Improvement of SDCs (NPAQI–SDCs) and the informed Outpatient Information System of the Unified Health System (OIS/UHS), which contains data on the specialized dental procedures performed at SDCs. It consisted of a quantitative study in which Pearson chi-square statistical tests (p < 0.05) and a multivariate logistic regression were applied with odds ratio (OR) estimate. Results: The results indicated that the realization of planning in SDCs was associated with lower coverage of the Oral Health Team of the Familiy Health Strategy in a municipality (OR = 1.4; 95% CI: 1.0–1.9, p = 0.049), additional training for managers (p = 0.038), the practice of self-assessment (OR = 8.2; 95% CI: 5.8–11.6; p = 0.000) and meeting service production targets (OR = 1.9; 95% CI: 1.2–3.2; p = 0.011). Conclusion: The results indicate that the work processes of the SDCs, especially with regard to service management, are essential to the proper functioning of the service and the practice of planning is linked to the technical capacity and commitment of service managers. Keywords: Oral Health, Secondary care, Health planning
Background The Smiling Brazil, launched in 2004, is a National Oral Health Policy (NOHP) that proposed to reorganize the oral health care model and expand access to oral health services and actions through different levels of care, resulting in new expectations for oral health care in Brazil [1].
* Correspondence: [email protected] 1 Federal University of Paraiba, João Pessoa, Brazil Full list of author information is available at the end of the article
Among the structure of the axes of the National Oral Health Policy, there is the Expansion and Qualification of Specialized Care through the creation and implementation of medium complexity services in oral health, the Specialized Dental Centers (SDCs) and the Regional Dental Prosthesis Laboratories (RDPLs) [2]. Starting in 2004, the public services that have received specialized attention are the SDCs. They constitute the main specialized dental care strategy in the Brazilian public system, and through them the number of
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 Internatio
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