Thomaz Erika Bárbara Abreu Fonseca, Sousa Grazianne Medeiros Carvalho de, Queiroz Rejane Christine de Sousa, Coimbra Liberata Campos
Universidade Federal do Maranhão, Programa de Pós-Graduação em Saúde Coletiva, São Luís-MA, Brasil.
Epidemiol Serv Saude. 2016 Oct-Dec;25(4):807-818. doi: 10.5123/S1679-49742016000400014.
to evaluate productivity targets achievement (PTA) in Dental Specialty Centers (DSCs) from Maranhão State, Brazil.
this was an ecologic study using secondary data; an indicator for PTA was created for each subgroup of procedures.
25 DSCs were evaluated; the PTA was higher for basic procedures (n=19), followed by endodontics (n=11), oral surgery (n=9) and periodontics (n=8); the best results were obtained at DSCs type II; higher PTA was associated with financial anticipation (basic procedures) and higher Human Development Index, life expectancy and social exclusion rate (endodontics); lower PTA was associated with larger population (endodontics/oral surgery), adherence to the Pact for Health (periodontics/endodontics), larger number of specialties (periodontics) and bigger DSC (oral surgery).
most DSCs did not achieve productivity targets, except for basic procedures; socioeconomic and health management characteristics of the municipalities were associated with the PTA; the DSCs characteristics explained little about the PTA.
评估巴西马拉尼昂州牙科专科中心（DSCs）的生产率目标达成情况（PTA）。
这是一项使用二手数据的生态学研究；为每个程序亚组创建了一个PTA指标。
评估了25个DSCs；基础程序（n = 19）的PTA更高，其次是牙髓病学（n = 11）、口腔外科（n = 9）和牙周病学（n = 8）；在II型DSCs中获得了最佳结果；较高的PTA与财务预期（基础程序）以及较高的人类发展指数、预期寿命和社会排斥率（牙髓病学）相关；较低的PTA与较大的人口规模（牙髓病学/口腔外科）、对健康契约的遵守情况（牙周病学/牙髓病学）、较多的专科数量（牙周病学）和较大的DSC（口腔外科）相关。
除基础程序外，大多数DSCs未达到生产率目标；各市的社会经济和健康管理特征与PTA相关；DSCs的特征对PTA的解释作用不大。
