Goes Paulo Sávio Angeiras de, Figueiredo Nilcema, Neves Jerlucia Cavalcanti das, Silveira Fabiana Moura da Motta, Costa José Felipe Riani, Pucca Júnior Gilberto Alfredo, Rosales Maritza Sosa
Departamento de Odontologia Clínica e Preventiva, Universidade Federal de Pernambuco, Recife, Brazil.
Cad Saude Publica. 2012;28 Suppl:s81-9. doi: 10.1590/s0102-311x2012001300009.
This article discusses the evaluation of secondary care in the area of health surveillance. This was a descriptive and normative/evaluative study. Performance analysis drew on secondary data, based on a historical series of dental procedures conducted at the specialized dental clinics implemented in Brazil and recorded by the Outpatient Information System of the Unified National Health System (SIA/SUS) in 2007, as well as primary data from site visits to the clinics, based on questionnaires completed by clinic staff. Performance of the clinics was poor in most regions of the country, and the North of Brazil had the lowest percentage of specialty services implemented. The indicator "Performance of Secondary Care in Oral Health" was 64.4%. The type 3 specialty clinics showed better results in terms of performance and achievement of targets. The study showed the need to review the legal framework for implementing specialized dental clinics by adjusting the criteria and norms, as well as definition of new standards for achievement of goals in the evaluation and monitoring of these services.
本文讨论了健康监测领域二级医疗服务的评估。这是一项描述性和规范性/评估性研究。绩效分析利用了二手数据，这些数据基于2007年在巴西实施的专门牙科诊所进行的一系列牙科手术的历史记录，并由统一国家卫生系统（SIA/SUS）的门诊信息系统记录，同时还利用了通过诊所工作人员填写的问卷对诊所进行实地考察获得的一手数据。该国大多数地区的诊所绩效较差，巴西北部实施的专科服务比例最低。“口腔健康二级医疗服务绩效”指标为64.4%。3类专科诊所在绩效和目标达成方面表现更好。该研究表明，有必要通过调整标准和规范以及定义这些服务评估和监测中目标达成的新标准，来审查实施专门牙科诊所的法律框架。
