Figueiredo Nilcema, Goes Paulo Sávio Angeiras de
Faculdade de Odontologia, Universidade de Pernambuco, Camaragibe, Brazil.
Cad Saude Publica. 2009 Feb;25(2):259-67. doi: 10.1590/s0102-311x2009000200004.
This exploratory study aimed to evaluate the Specialized Dental Care Centers in Pernambuco State, Brazil, based on secondary outpatient treatment data from 2006 and standards and criteria adopted to implement these services. The study describes the overall achievement of targets by these specialized dental clinics and variables for characterization of the dental services and municipalities (counties). The methodology included descriptive analysis and non-parametric correlation analysis (Spearman coefficient), with significance set at 5%. Of the 22 specialized dental clinics, 40.9% showed good performance, and 81.8% met the target for basic dental care, as compared to 13.6% that met the target for minor oral surgery. Among the independent variables, only population size and Municipal Human Development Index (MHDI) were correlated with the performance of the specialized dental clinics: the smaller the city (r = 0.678; p < 0.001) and the lower the MHDI (r = 0.599; p < 0.001), the worse the performance. The findings suggest that standardization of the implementation and functioning of specialized dental clinics should be monitored and evaluated in order to ensure better quality of services for the population.
本探索性研究旨在根据巴西伯南布哥州2006年的二级门诊治疗数据以及实施这些服务所采用的标准和准则，对该州的专业牙科护理中心进行评估。该研究描述了这些专业牙科诊所的总体目标达成情况以及牙科服务和各市（县）的特征变量。研究方法包括描述性分析和非参数相关性分析（斯皮尔曼系数），显著性水平设定为5%。在22家专业牙科诊所中，40.9%表现良好，81.8%达到了基本牙科护理目标，而达到小型口腔外科手术目标的仅为13.6%。在自变量中，只有人口规模和市人类发展指数（MHDI）与专业牙科诊所的表现相关：城市规模越小（r = 0.678；p < 0.001）且MHDI越低（r = 0.599；p < 0.001），表现越差。研究结果表明，应监测和评估专业牙科诊所实施和运作的标准化情况，以确保为民众提供更高质量的服务。
