Freire Luciana Leônia Soares, Silva Rênnis Oliveira da, Feitosa Rilary Rodrigues, Menezes Lucas Xavier Bezerra de, Ishigame Renato Taqueo Placeres, Cavalcanti Yuri Wanderley, Lucena Edson Hilan Gomes de
Universidade Federal da Paraíba, Programa de Pós-Graduação em Odontologia, João Pessoa, PB, Brazil.
Universidade Federal da Paraíba, Curso de Odontologia, João Pessoa, PB, Brazil.
Epidemiol Serv Saude. 2025 Jul 11;34:e20240610. doi: 10.1590/S2237-96222025v34e20240610.en. eCollection 2025.
To evaluate the performance of Dental Specialty Centers in Brazil from 2019 to 2022 and analyze its association with contextual factors.
This is an observational, cross-sectional, descriptive, and analytical study. We used secondary data on Dental Specialty Center production collected from the Outpatient Information Systems. We used a robust Poisson multiple regression model to determine the target achievement prevalence ratio (PR). We calculated 95% confidence intervals (95%CI) for the variables under study.
Poor performance, with achievement of 0-3 targets, prevailed in the Dental Specialty Centers. Among the dental procedures, targets related to general basic procedures had the best result, with the highest achievement of targets. Dental Specialty Centers located in regions with more than 100,000 inhabitants had a higher frequency of target achievement (PR 1.68; 95%CI 1.26; 2.29). In 2020 (PR 0.10; 95%CI 0.07; 0.15), 2021 (PR 0.22; 95%CI 0.16; 0.28) and 2022 (PR 0.48; 95%CI 0.39; 0.59) target achievement prevalence was lower than in 2019.
Most Dental Specialty Centers performed poorly in achieving their targets. Municipalities with larger population sizes were more likely to achieve their targets. The COVID-19 pandemic negatively influenced their performance.
评估2019年至2022年巴西牙科专科中心的绩效，并分析其与背景因素的关联。
这是一项观察性、横断面、描述性和分析性研究。我们使用了从门诊信息系统收集的牙科专科中心生产的二手数据。我们使用稳健的泊松多元回归模型来确定目标达成患病率比（PR）。我们计算了所研究变量的95%置信区间（95%CI）。
牙科专科中心普遍表现不佳，目标达成率为0至3个。在牙科手术中，与一般基本手术相关的目标结果最佳，目标达成率最高。位于居民超过10万的地区的牙科专科中心目标达成频率更高（PR 1.68；95%CI 1.26；2.29）。2020年（PR 0.10；95%CI 0.07；0.15）、2021年（PR 0.22；95%CI 0.16；0.28）和2022年（PR 0.48；95%CI 0.39；0.59）的目标达成患病率低于2019年。
大多数牙科专科中心在实现目标方面表现不佳。人口规模较大的城市更有可能实现其目标。新冠疫情对其绩效产生了负面影响。
