Cavalcanti Ronald Pereira, da Silva Rênnis Oliveira, Martelli Petrônio José de Lima, Sobrinho José Eudes de Lorena, Pucca Júnior Gilberto Alfredo, da Silveira Gaspar Gabriela, de Lucena Edson Hilan Gomes
Department of Collective Health, Federal University of Pernambuco, Recife, Brazil.
Graduate Program in Dentistry, Federal University of Paraiba, Joao Pessoa, Brazil.
Community Dent Oral Epidemiol. 2022 Feb;50(1):58-66. doi: 10.1111/cdoe.12720.
To explore the factors associated with the waiting time for access to specialized care at Dental Specialties Centers (CEO, in Portuguese), by specialty (Stomatology, Surgery, Endodontics, Patients with Special Needs and Periodontology).
The study was a descriptive and analytic exploratory secondary analysis of data from the 2nd phase of the National Program for Improving the Access to and Quality of CEO (PMAQ-CEO, in Portuguese). All 1097 CEO in Brazil were evaluated in loco in 2018. Binary logistic regression was used to analyse the likelihood of users having a shorter time for assistance at CEO, by specialty.
The highest and lowest median waiting times were found for endodontics (30 days) and stomatology (5 days), respectively. Smaller centres (type I CEO) had a shorter waiting list for patients with special needs (95%CI: 1.20-3.37), Endodontics (95%CI: 1.03-3.02) and Surgery (95%CI: 1.04-3.05). As for the specialties with the longest waiting list (Endodontics and Surgery), the direct route of user access to CEO was more effective than that regulated by the Healthcare System.
Factors related to the service, management, and to the form of relationship with primary health care influenced the waiting time for specialized care in CEO. The contact between professionals in the oral health network (primary care and secondary) was associated with a shorter waiting time, regardless of the specialty.
探讨与在牙科专科中心（葡萄牙语为CEO）获得专科护理等待时间相关的因素，按专科（口腔医学、外科、牙髓病学、特殊需求患者和牙周病学）分类。
本研究是对国家改善CEO服务可及性和质量计划（葡萄牙语为PMAQ-CEO）第二阶段数据的描述性和分析性探索性二次分析。2018年对巴西所有1097家CEO进行了实地评估。采用二元逻辑回归分析按专科分类的用户在CEO获得较短援助时间的可能性。
牙髓病学（30天）和口腔医学（5天）的中位等待时间分别为最高和最低。较小的中心（I型CEO）在特殊需求患者（95%CI：1.20 - 3.37）、牙髓病学（95%CI：1.03 - 3.02）和外科（95%CI：1.04 - 3.05）方面的等待名单较短。至于等待名单最长的专科（牙髓病学和外科），用户直接进入CEO的途径比通过医疗保健系统规定的途径更有效。
与服务、管理以及与初级卫生保健的关系形式相关的因素影响了在CEO获得专科护理的等待时间。口腔健康网络（初级保健和二级保健）中的专业人员之间的联系与较短的等待时间相关，无论专科如何。
