Baldani Márcia Helena, Almeida Eurivaldo Sampaio de, Antunes José Leopoldo Ferreira
Departamento de Odontologia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil.
Rev Saude Publica. 2009 Jun;43(3):446-54. doi: 10.1590/s0034-89102009000300008.
To assess the association between socioeconomic indicators of provision of public dental services and allocation of financial resources in health and to identify whether this association reinforced the promotion of vertical equity.
A cross-sectional ecological study was conducted based on data obtained from the Brazilian Ministry of Health data system for 399 cities in the State of Paraná (Southern Brazil) between 1998 and 2005. Socioeconomic condition was measured by the Human Development Index in the cities studied, as well as by some indicators of income, education and sanitation, which were obtained from the Brazilian Institute of Geography and Statistics database. Data were analyzed using nonparametric statistical tests: Spearman's rank correlation coefficient, Friedman and Mann-Whitney tests.
A redistribution trend of federal resources for primary health care in municipalities was seen. The provision of dental health services increased after the government launched the Family Health Strategy. An expanded provision of dental procedures was reported during the study period with a pro-equity trend of the utilization of dental services in primary health care.
There was seen a redistribution or pro-equity trend in the provision of dental services in the state of Paraná with higher per capita provision of resources or services in cities with the lowest socioeconomic indicators. This trend is consistent with the recent programmatic guidelines of the Brazilian Ministry of Health.
评估公共牙科服务提供的社会经济指标与卫生领域财政资源分配之间的关联，并确定这种关联是否加强了对垂直公平的促进。
基于1998年至2005年间从巴西卫生部数据系统获取的巴西南部巴拉那州399个城市的数据，开展了一项横断面生态研究。研究城市的社会经济状况通过人类发展指数衡量，以及从巴西地理与统计研究所数据库获取的一些收入、教育和卫生指标。使用非参数统计检验分析数据：斯皮尔曼等级相关系数、弗里德曼检验和曼-惠特尼检验。
观察到各市初级卫生保健联邦资源的再分配趋势。政府推出家庭健康战略后，牙科保健服务的提供有所增加。研究期间报告了牙科诊疗项目的扩大提供，初级卫生保健中牙科服务的利用呈现有利于公平的趋势。
巴拉那州在牙科服务提供方面出现了再分配或有利于公平的趋势，社会经济指标最低的城市人均资源或服务提供量更高。这一趋势与巴西卫生部最近的规划指南一致。
