Abstract
BackgroundPlanning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. This research aims to identify the factors associated with planning Specialized Dental Clinics (SDCs).MethodsSecondary data were used from the external evaluation of the database of the first National Program for Access and Quality Improvement of SDCs (NPAQI–SDCs) and the informed Outpatient Information System of the Unified Health System (OIS/UHS), which contains data on the specialized dental procedures performed at SDCs. It consisted of a quantitative study in which Pearson chi-square statistical tests (p < 0.05) and a multivariate logistic regression were applied with odds ratio (OR) estimate.ResultsThe results indicated that the realization of planning in SDCs was associated with lower coverage of the Oral Health Team of the Familiy Health Strategy in a municipality (OR = 1.4; 95% CI: 1.0–1.9, p = 0.049), additional training for managers (p = 0.038), the practice of self-assessment (OR = 8.2; 95% CI: 5.8–11.6; p = 0.000) and meeting service production targets (OR = 1.9; 95% CI: 1.2–3.2; p = 0.011).ConclusionThe results indicate that the work processes of the SDCs, especially with regard to service management, are essential to the proper functioning of the service and the practice of planning is linked to the technical capacity and commitment of service managers.
Highlights
Planning in health services aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community
It was observed that 59.2% (551) of the Specialized Dental Centers (SDCs) are located in municipalities with oral health team coverage according the Family Health Strategy (OHT/FHS), which cover less than 63% of the population
For municipalities with Oral Health Team (OHT)/FHS coverage lower than 63%, services that have managers with complementary training in public management and who carried out self-assessment activities tend to plan actions
Summary
Planning in health services aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. Among the structure of the axes of the National Oral Health Policy, there is the Expansion and Qualification of Specialized Care through the creation and implementation of medium complexity services in oral health, the Specialized Dental Centers (SDCs) and the Regional Dental Prosthesis Laboratories (RDPLs) [2]. The offer and availability of dental services does not necessarily mean the reduction of oral health needs and inequalities among the population. This understanding is necessary for the more equitable planning of health service management [3]
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