Theoretical and Methodological Aspects of the External Evaluation of the Improvement, Access and Quality of Centers for Dental Specialties Program

Figueiredo, Nilcema; Góes, Paulo Sávio Angeiras de; Martelli, Petrônio José de Lima; Luvison, Idiana Rita; Werneck, Marcos Azeredo Furquim; Ribeiro, Maria Augusta Bessa; Araújo, Maria Ercília de; Padilha, Wílton Wilney Nascimento; Lucena, Edson Hilan Gomes de

doi:10.4034/pboci.2018.181.60

Cited by 23 publications

(51 citation statements)

References 20 publications

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“…The process denotes how the user searches for health care and how this process takes place. The result represents the effects of care on one's state of health, including the level of knowledge, behaviour and user satisfaction 14,15 . Although many studies that evaluate oral healthcare services refer to the Donabedian conceptual model, 2,17,18 few evaluate the three dimensions of quality and their relationships with user satisfaction 19‐21 …”

Section: Methodsmentioning

confidence: 99%

User satisfaction with the secondary dental care services: Is there an association between structure and work process?

Amaral

Vasconcelos

Gomes

et al. 2021

Comm Dent Oral Epid

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Objective To assess the association between user satisfaction in relation to secondary dental care services and the structure and process of Brazilian Dental Specialty Centers (CEO, in Portuguese). Methods This study used nationwide secondary data from two CEO evaluation cycles. Ten users from each CEO answered questions on the self‐perception of healthcare quality and satisfaction with health services. Latent class analysis (LCA) was performed to identify subgroups of satisfied and dissatisfied users (outcome). The CEO structure included equipment, supplies, instruments, ambience and type of CEO (type I, II or III, according to the number of dental chairs and dental professionals). The work process referred to the planning/monitoring of actions, collaborative care, characteristics of the demand for medical care /the organization of scheduling, and continuing education for employees. Covariables concerned user profiles. A multilevel logistic regression model was used (p‐value <.05). Results Seven thousand nine hundred and ninety‐seven users in 794 CEOs, together with 10056 users in 911 CEOs, participated in the 1st and 2nd evaluation cycles, and satisfied users corresponded to 85.3% and 87.1%, respectively. In both cycles, the CEO’s structural characteristics explained most of the variance in satisfaction. CEOs with more favourable structural characteristics showed higher satisfaction. Users from CEOs, type II and III, and those who received dental care where there was an interruption of services due to a lack of equipment or instruments reported a lower level of satisfaction. CEOs that organize their demand through referrals received from primary care dentists who have participated in continuing education actions for dental professionals presented a higher frequency of satisfied users. Conclusions Characteristics of the process and structure were associated with user satisfaction, but a quality of care was perceived by users, mainly due to structural characteristics.

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Section: Methodsmentioning

confidence: 99%

User satisfaction with the secondary dental care services: Is there an association between structure and work process?

Amaral

Vasconcelos

Gomes

et al. 2021

Comm Dent Oral Epid

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“…The Permanent Education; Institutional Support; and Cooperation. 18 The adherence and contractualization phase called phase I, consisted of the indication by the municipal CEOs and state managers through the PMAQ-CEO system with Federal District responsible for confirming the adhesion and contracting. 18 The External Evaluation of the 2nd cycle of the PMAQ-CEO, which makes up the second phase of the Program cycle, aimed to gather information through questionnaires prepared by the Ministry of Health-Oral Health Coordination.…”

Section: Me Thodsmentioning

confidence: 99%

“…18 The adherence and contractualization phase called phase I, consisted of the indication by the municipal CEOs and state managers through the PMAQ-CEO system with Federal District responsible for confirming the adhesion and contracting. 18 The External Evaluation of the 2nd cycle of the PMAQ-CEO, which makes up the second phase of the Program cycle, aimed to gather information through questionnaires prepared by the Ministry of Health-Oral Health Coordination. The questionnaires were applied by external state evaluators previously selected and trained by universities, who used a Tablet with the instrument's application for data collection.…”

Section: Me Thodsmentioning

confidence: 99%

Health ombudsman and racial inequities in Dental Specialities Centers performance in Brazil: A multilevel analysis

Bomfim

Cunha²,

Lacerda

2021

Comm Dent Oral Epid

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Brazil has the world's largest population of African descent outside of the African continent and high levels of racial miscegenation (ethnicity mixing process). 1 According to the Brazilian census bureau, the population's racial composition in 2015 was 45.2% Whites, 45.1% Brown, 8.9% Black, 0.5% Asian and 0.4% Indigenous. Experiences of discrimination reported by adults are adversely related to mental health and physical health indicators, including preclinical indicators of disease, health behaviours, utilization of care and adherence to

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“…All interviewers underwent a two-day training (16 hours), organized and conducted by the steering group responsible for coordinating the external evaluation, so that they could become familiar with all the questions on the instrument, as well as the itinerary to be followed by the interviewers. 15 The electronic questionnaire was also programmed to critically monitor answers so as to avoid typing errors.…”

Section: A Person With a Disability Is Someone Who Has A Long-term Phmentioning

confidence: 99%

Atenção odontológica especializada para pessoas com deficiência no Brasil: perfil dos centros de especialidades odontológicas, 2014

Condessa

Lucena

Figueiredo

et al. 2020

Epidemiol. Serv. Saúde

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Resumo Objetivo: Descrever os serviços de atenção à saúde bucal para pessoas com deficiência, atendidas pela especialidade Odontologia para Pacientes com Necessidades Especiais (PNE). Métodos: Estudo transversal, com dados do Programa de Melhoria do Acesso e Qualidade dos Centros de Especialidades Odontológicas (PMAQ-CEO), 2014. Resultados: Dos 932 serviços avaliados, 89,8% contavam com atendimento a PNEs, 30,4% apresentavam acessibilidade física e 59,7% contavam com referência para atendimento hospitalar. A maioria garantia tratamento completo. São disponibilizadas 40h semanais de atendimento clínico a PNEs em 1/3 dos CEOs. Conclusão: A rede de cuidado para pessoas com deficiência encontra-se em formação e, apesar dos incentivos financeiros específicos, apresenta limitações. Os serviços precisam eliminar barreiras físicas e atitudinais para garantir acessibilidade universal. Protocolos baseados em classificação de risco são necessários, priorizando atendimento no CEO dos casos complexos, não atendidos na Atenção Básica e organizando a rede de cuidados em saúde bucal da pessoa com deficiência.

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Theoretical and Methodological Aspects of the External Evaluation of the Improvement, Access and Quality of Centers for Dental Specialties Program

Cited by 23 publications

References 20 publications

User satisfaction with the secondary dental care services: Is there an association between structure and work process?

User satisfaction with the secondary dental care services: Is there an association between structure and work process?

Health ombudsman and racial inequities in Dental Specialities Centers performance in Brazil: A multilevel analysis

Atenção odontológica especializada para pessoas com deficiência no Brasil: perfil dos centros de especialidades odontológicas, 2014

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