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[巴西塞阿拉州索布拉尔大区范围内专业牙科护理中心可及性评估]

[Evaluation of the accessibility to the Specialized Dental Care Center within the scope of the macro region of Sobral, in the state of Ceará, Brazil].

作者信息

Pinto Vicente de Paulo Teixeira, Teixeira Alrieta Henrique, Santos Paulo Roberto, de Araújo Maria Walderez Andrade, Moreira Mário Áureo Gomes, Saraiva Sérgio Ricardo Moura

机构信息

Faculdade de Medicina de Sobral, Universidade Federal do Ceará, Sobral, CE, Brasil,

出版信息

Cien Saude Colet. 2014 Jul;19(7):2235-44. doi: 10.1590/1413-81232014197.09862013.

DOI:10.1590/1413-81232014197.09862013
PMID:25014302
Abstract

The Specialized Dental Care Center for the region of Sobral in the state of Ceará (CEO-R) has characteristics that render it unique, as it has regional coverage and is managed by a Local Health Consortium (which comprises 24 cities). It also works in conjunction with the School of Dentistry of the Federal University of Ceará - Sobral Campus, combining care and academic study in the same location. The scope of this article was to evaluate the accessibility to specialized care in this region with the implementation of this CEO-R. A descriptive-exploratory study with a quantitative approach was conducted by means of the collection and analysis of secondary data regarding the availability and usage of this service in addition to the application of semi-structured interviews with Oral Health Coordinators of the 24 municipalities in the consortium. The results showed that the CEO-R is equipped to meet the demand. However, geographic, financial and organizational barriers were detected, which explains the low rates of appointments scheduled and use of the services and the high rate of missed appointments, causing a significant financial impact on the cities included in the consortium.

摘要

塞阿拉州索布拉尔地区的专业牙科护理中心(CEO-R)具有使其独一无二的特点,因为它覆盖整个地区,且由一个地方卫生联盟(由24个城市组成)管理。它还与塞阿拉联邦大学索布拉尔校区牙科学院合作,在同一地点将护理与学术研究相结合。本文的范围是评估随着该CEO-R的实施,该地区获得专科护理的可及性。通过收集和分析关于该服务的可用性和使用情况的二手数据,并对联盟中24个市的口腔健康协调员进行半结构化访谈,开展了一项采用定量方法的描述性探索性研究。结果表明,CEO-R有能力满足需求。然而,发现了地理、财务和组织方面的障碍,这解释了预约安排率和服务使用率较低以及失约率较高的情况,对联盟中的城市造成了重大财务影响。

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