Chaves Sônia Cristina Lima, Cruz Denise Nogueira, Barros Sandra Garrido de, Figueiredo Andreia Leal
Faculdade de Odontologia, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2011 Jan;27(1):143-54. doi: 10.1590/s0102-311x2011000100015.
This study aimed to evaluate the utilization of dental services in four specialized dental clinics in Bahia State, Brazil, and to identify associated factors. This was an evaluative study in which the quantitative stage focused on a cross-sectional analysis of secondary data from the Outpatient Information System of the Unified National Health System and the qualitative component was based on 20 semi-structured interviews with coordinators and managers, in addition to on-site observation of health services. The study showed good results in the supply of these services from the health professionals' perspective, but with a low utilization rate. The low utilization rate reveals access barriers in the health services themselves, like the lack of performance standards and goals by specialty, lack of patients (who are not replaced), and different technologies used by each specialist. The results suggest the need for studies that analyze different forms of services organization that would have allowed greater utilization of the available supply, with pay differentials, linkage to primary care, and adjustment of the supply to the population's health needs.
本研究旨在评估巴西巴伊亚州四家专业牙科诊所的牙科服务利用情况，并确定相关因素。这是一项评估性研究，其中定量阶段侧重于对来自统一国家卫生系统门诊信息系统的二手数据进行横断面分析，定性部分基于对协调员和管理人员进行的20次半结构化访谈，此外还包括对卫生服务的现场观察。从卫生专业人员的角度来看，该研究显示这些服务的供应情况良好，但利用率较低。低利用率揭示了卫生服务本身存在的获取障碍，比如缺乏各专科的绩效标准和目标、患者不足（且无人替代）以及每位专科医生使用的技术不同。研究结果表明，有必要开展研究，分析不同形式的服务组织方式，这些方式应能提高现有服务供应的利用率，包括薪酬差异、与初级保健的联系以及根据人群健康需求调整服务供应。
