Specialized Dental Care in the Brazilian Unified National Health System (SUS)

Brazilian Research in Pediatric Dentistry and Integrated Clinic Pub Date : 2023-01-01 DOI:10.1590/pboci.2023.051

Samuel Trezena, Fabrício Emanuel Soares de Oliveira, Verônica Oliveira Dias, Petrônio José de Lima Martelli, Daniella Reis Barbosa Martelli, Hercílio Martelli Júnior

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Abstract

Objective: To analyze specialized dental care through access, demand and the work processes provided by the CEO's, using secondary data from the cycles of the PMAQ-CEO. Material and Methods: Cross-sectional study using public domain data. Variables of interest were selected from the external evaluation instrument data matrices and were grouped in categories. The categories were geographic distribution, structural, human resources, work processes and access and coordination. Results: The total of 932 CEO’s were evaluated in 2014 and 1,042 in 2016, most of them type II, present in the Northeast region. In both cycles, the highest average of dentists worked in the endodontic specialty (2.4 professionals per CEO) and the lowest in oral medicine (0.8 professionals per CEO). Of the two cycles, 91.5% of the CEO’s had a manager, 79.5% performed action planning activities and 74.5% realized internal self-assessment processes. There was an increase in the mean number of days to be seen at the CEO in all analyzed specialties (p<0.001) and 85.2% of the CEO's managers reported that there is a reference for oral cancer confirmed cases. Conclusion: Between the PMAQCEO cycles the number of CEO has increased, but there are still a big pent-up demand and the presence of care gaps. However, an expansion and improvement of the CEO’s actions was evidenced, mainly related to the work processes.

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巴西统一国家卫生系统(SUS)中的专业牙科护理

目的:利用PMAQ-CEO周期的二次数据，分析CEO提供专业牙科护理的可及性、需求和工作流程。材料和方法:使用公共领域数据进行横断面研究。从外部评价工具数据矩阵中选择感兴趣的变量，并按类别分组。这些类别是地理分布、结构、人力资源、工作程序、获取和协调。结果:2014年共对932名CEO进行了评估，2016年共对1042名CEO进行了评估，其中大部分为II型CEO，分布在东北地区。在这两个周期内，牙髓专科牙医的平均人数最高(每名行政总裁2.4名专业牙医)，而口腔医学牙医的平均人数最低(每名行政总裁0.8名专业牙医)。在这两个周期中，91.5%的CEO有管理者，79.5%的CEO进行了行动计划活动，74.5%的CEO实现了内部自我评估流程。在所有分析的专业中，CEO的平均就诊天数都有所增加(p<0.001)， 85.2%的CEO的经理报告说，有口腔癌确诊病例的参考。结论:在PMAQCEO周期之间，CEO人数有所增加，但仍存在较大的被压抑需求和护理缺口。然而，首席执行官的行动得到了扩展和改进，主要与工作流程有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Brazilian Research in Pediatric Dentistry and Integrated Clinic

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