title: [Characteristics of the access and utilization of public dental services in medium-sized cities].
abstract: This cross-sectional study sought to describe the main characteristics of access and utilization of primary and specialized public dental services in two medium-sized cities in Bahia with 100% coverage of the Family Health Program. A survey of 952 households and 2.539 individuals aged over 15 years was conducted. The main variables analyzed were: perceived oral health needs, demand for the service, barriers of organizational access and the type of service and procedure utilized. The use of specialized public dental services was of 11.7% and primary care was 26%. In the city where there was greater use of public dental services, there was less use of private services. The main barrier to access remained in primary care (from 5.0% to 15.2%). There was little interface between secondary care a primary care, as only 16.6% of users returned to this level of care. In conclusion, the main barrier to access in cities with specific organizational and geographic realities appears to be in primary dental care. Individual preventive actions were little reported. It is recommended that barriers to access in primary care be eliminated, and also that a protocol (clinical guides) be established to foster the continuity and longitudinality of primary dental care.
authors.affiliation: Universidade Federal da Bahia, Departamento de Odontologia Social, Faculdade de Odontologia, R. Araújo Pinho 62, Canela, 40110-912 Salvador BA, Brazil. schaves@ufba.br
authors.forename: Sônia Cristina Lima
authors.initials: SC
authors.lastname: Chaves
authors.forename: Felipe Fagundes
authors.initials: FF
authors.lastname: Soares
authors.forename: Thais Regis Aranha
authors.initials: TR
authors.lastname: Rossi
authors.forename: Maria Cristina Teixeira
authors.initials: MC
authors.lastname: Cangussu
authors.forename: Andreia Cristina Leal
authors.initials: AC
authors.lastname: Figueiredo
authors.forename: Denise Nogueira
authors.initials: DN
authors.lastname: Cruz
authors.forename: Patrícia Ramos
authors.initials: PR
authors.lastname: Cury
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil; D002947:Cities; D003430:Cross-Sectional Studies; D003729:Dental Care / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017150:Public Sector; D011795:Surveys and Questionnaires; D055815:Young Adult