[Evaluation of secondary care in oral health: a study of specialty clinics in Brazil].
This article discusses the evaluation of secondary care in the area of health surveillance. This was a descriptive and normative/evaluative study. Performance analysis drew on secondary data, based on a historical series of dental procedures conducted at the specialized dental clinics implemented in Brazil and recorded by the Outpatient Information System of the Unified National Health System (SIA/SUS) in 2007, as well as primary data from site visits to the clinics, based on questionnaires completed by clinic staff. Performance of the clinics was poor in most regions of the country, and the North of Brazil had the lowest percentage of specialty services implemented. The indicator "Performance of Secondary Care in Oral Health" was 64.4%. The type 3 specialty clinics showed better results in terms of performance and achievement of targets. The study showed the need to review the legal framework for implementing specialized dental clinics by adjusting the criteria and norms, as well as definition of new standards for achievement of goals in the evaluation and monitoring of these services.
Departamento de Odontologia Clínica e Preventiva, Universidade Federal de Pernambuco, Recife, Brazil. psagoes@uol.com.br
Paulo Sávio Angeiras de
PS
Goes
Nilcema
N
Figueiredo
Jerlucia Cavalcanti das
JC
Neves
Fabiana Moura da Motta
FM
Silveira
José Felipe Riani
JF
Costa
Gilberto Alfredo
GA
Pucca Júnior
Maritza Sosa
MS
Rosales
D001938:Brazil; D003740:Dental Clinics / Q000592:standards / Q000706:statistics & numerical data; D003752:Dental Health Services / Q000592:standards; D006302:Health Services Research; D006801:Humans; D009909:Oral Health / Q000706:statistics & numerical data*; D063127:Secondary Health Care / Q000592:standards / Q000706:statistics & numerical data*