Evaluation of managers’ perspectives on secondary dental care in Endodontic in Minas Gerais, Brazil
DOI:
https://doi.org/10.33448/rsd-v12i3.39687Keywords:
Health Services Research; Dental Health Services; Secondary Care; Endodontics; Institutional management teams.Abstract
The aim of this study was to evaluate the perceptions of Municipal Oral Health Coordinators (MOHCs) of endodontic services in Dental Specialty Centers (DSCs) of Minas Gerais, Brazil. A questionnaire was sent to the MOHCs of municipalities that had DSCs. Endodontic productivity data were collected from the Health System database. Descriptive analysis and Spearman’s correlation were performed (p≤0.05). Most cities had one DSC operating (92.4%) with two endodontists (30.3%). Endodontic treatments (ETs) were performed exclusively in a DSC (87.9%). There were referral protocols for primary to secondary care in endodontics in 87.9%. Most of the DSCs had a target (84.8%); 60.6% followed the targets recommended by the Brazilian Ministry of Health (MofH), but 53.0% complied with the goal in less than 25% of the months. Technological auxiliary resources for endodontics were not present in 42.0% of the DSCs. Positive correlation was found between the number of dentists who performed ETs in DSCs with fulfillment of monthly targets (p=0.029), and a negative correlation between the availability of technological resources for the fulfillment of monthly targets (p=0.012). Some MOHCs were unaware of the principles of the MofH, suggesting that management measures and targets should be reevaluated.
References
Aquilante, A. G. & Aciole, G. G. (2015a). Building a “Smiling Brazil”? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo. Cad Saúde Pública, 31(1):82-96. 10.1590/0102-311x00193313.
Aquilante, A. G. & Aciole, G. G. (2015b). Oral health care after the National Policy on Oral Health - "Smiling Brazil": a case study. Cien Saúde Colet, 20(1):239-248. 10.1590/1413-81232014201.21192013.
Beazoglou, T., Heffley, D., Brown, L. J., Bailit, H. (2002). The importance of productivity in estimating need for dentists. J Am Dent Assoc, 133(10):1399-1404. 10.14219/jada.archive.2002.0056.
Bosi, M. L. M., Pontes, R .J. S., & Vasconcelos, S. M. (2010). Quality dimensions in health evaluation: manager’s conceptions. Rev Saúde Pública, 44(2):318-324. 10.1590/s0034-89102010000200012.
Brazil. Ministry of Health. Department of Health Care. Department of Primary Care. Oral Health, Brasília, 2008. Technical Standards and Manuals - Basic Care Notebooks number 17. 92 p.
Brazil. Ministry of Health. Ordinance No. 600/GM of March 23, 2006. It establishes the funding of Dental Specialized Centers (DSC). Official Diary of the Union, 23Mar, 2006.
Celeste, R. K., de Moura, F. R. R., Santos, C. P., & Tovo, M. F. (2014). Analysis of outpatient care in brazilian municipalities with and without specialized dental clinics, 2010. Cad Saude Publica, 30(3):511-21. 10.1590/0102-311x00011913.
Chaves, S. C .L., Soares, F. F., Rossi, T. R. A., Cangussu, M. C. T., Figueiredo, A .C .L., Cruz, D. N. et al. (2012). Characteristics of the access and utilization of public dental services in medium-sized cities. Cien Saude Colet, 17(11):3115-3124. 10.1590/s1413-81232012001100027.
Cortellazzi, K. L., Balbino, E. C., Guerra, L. M., Vazquez, F. L., Bulgareli, J. V., Ambrosano, G. M.B . et al. (2014). Variables associated with the performance of Centers for Dental Specialties in Brazil. Rev Bras Epidemiol, 17(4):978-988. 10.1590/1809-4503201400040015.
Donabedian, A. (1997). The quality of care. How can it be assessed? Arch Pathol Lab Med, 121(11):1145-1150. 10.1001/jama.260.12.1743.
Figueiredo, N. & Goes, P. S. A. (2009). Development of secondary dental care: a study on specialized dental clinics in Pernambuco State, Brazil. Cad Saude Publica, 25(2):259-67. Text in Portuguese.
Gonçalves, C .R., Cruz, M. T., Oliveira, M. P., Morais, A. J. D., Moreira, K. S., Rodrigues, C. A .Q. et al. (2014). Human resources: critical factor for primary health networks. Saúde Debate, 38(100):26-34. Portuguese. doi.org/10.5935/0103-104.20140012
Guay, A .H. (2004). Access to dental care: the triad of essential factors in access-to-care programs. J Am Dent Assoc, 135(6):779-785. 10.14219/jada.archive.2004.0307.
Junqueira, S. R., Pannuti, C. M., & Rode, S. M. (2008). Oral health in Brazil – Part I: public oral health policies. Braz Oral Res, 22(Suppl 1),8-17. 10.1590/s1806-83242008000500003.
Leal, L .L., Martins, R. C., Carneiro, N. C. R., Abreu, M. H. N. G., Werneck, M. A. F.,& Borges-Oliveira, A. C. (2019). Analysis of the oral health care network development in Minas Gerais state, Brazil. J Public Health Dent, 79(2):154-159. 10.1111/jphd.12308.
Lino, P. A., Werneck, M. A., Lucas, S. D., & Abreu, M. H. (2014). Analysis of secondary care in oral health in the state of Minas Gerais, Brazil. Cien Saude Colet, 19(9):3879-3888. Portuguese. 10.1590/1413-81232014199.12192013.
Machado, F.C., Silva, J. V., Ferreira, M. A. (2015). Factors related to the performance of Specialized Dental Care Centers. Cien Saude Colet, 20(4):1149-1163. 10.1590/1413-81232015204.00532014.
Magalhães, M. B. P., Oliveira, D. V., Lima, R. F., Ferreira, E. F., & Martins, R. C. (2019). Evaluation of secondary care in endodontics at Dental Specialties Centers (DSC). Cien Saude Colet, 24(12):4643-4653. 10.1590/1413-812320182412.04112018.
Martins, R. C., Reis, C. M. R., Matta Machado, A.T .G ., Amaral, J. H. L., Werneck, M. A. F., & Abreu, M. H. N .G. (2016). Relationship between primary and secondary dental care in public health services in Brazil. PLoS ONE, 11(10):e0164986. 10.1371/journal.pone.0164986.
Melgaço-Costa, J. L. B., Martins, R. C., Ferreira, E. F., & Ribeiro-Sobrinho, A.P . (2022). Evaluation of endodontic productivity in oral public healthcare services in Minas Gerais, Brazil. Research, Society and Development, 11(2), e57411225484, 2022. http://dx.doi.org/10.33448/rsd-v11i2.25484.
Melo, C. F., Alchieri, J. C., & Araújo Neto, J. L. (2013). Evaluation of the technical and professional profile of managers of the Brazilian Unified Health System (SUS). Rev Enferm UFPE on line, 7(7):4670-80. doi.org/10.5205/1981-8963-v7i7a11717p4670-4680-2013
Minas Gerais. State Health Department (SES/MG). Consolidated/2014 worksheet of the Dental Specialized Centers (DSC) of Minas Gerais. State Archive of Minas Gerais, 2014.
Morris, A. J. & Burke, F. J. T. (2001). Primary and secondary dental care: the nature of the interface. Brit Dent J, 191(12):660-664. 10.1038/sj.bdj.4801262.
Pedrazzi, V., Dias, K. R. H. C., & Rode, S. M. (2008). Oral health in Brazil – part II: dental specialty centers (CEOs). Braz Oral Res, 22(Suppl 1):18-23. 10.1590/s1806-83242008000500004.
Sanchez, R. M. & Ciconelli, R. M. (2012). The concepts of health access. Rev Panam Salud Publica, 31(3):260-268. 10.1590/s1020-49892012000300012.
Volpato, L. E. R. & Scatena, J. H. (2006). Analysis of the oral health policy of Cuiabá Municipality, Mato Grosso State, Brazil, using the outpatient Information System database of the national Public Health System (SIA-SUS). Epidemiol Serv Saude, 15(2):47-55. doi.org/10.5123/S1679-49742006000200006.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 José Leonardo Barbosa Melgaço-Costa; Renata Castro Martins; Efigenia Ferreira Ferreira; Antonio Paulino Ribeiro-Sobrinho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
