[Analysis of outpatient care in Brazilian municipalities with and without specialized dental clinics, 2010].
The aim of this study was to describe the production of specialized outpatient dental services and associated factors in Brazilian municipalities (counties) with and without Specialized Dental Clinics (SDC). Data were collected from the following sources: Information Technology Department of the Unified National Health System, Human Development Atlas for Brazil, and Brazilian Institute of Geography and Statistics. Zero-inflated negative binomial regression was used to fit rates of endodontic procedures, primary care, periodontics, and surgery. After controlling for socio-demographic factors, municipalities with SDC showed higher rates for the above-mentioned procedures than those without, except for primary care. In the final model, including service structure variables, municipalities with type III SDC showed a rate of endodontic procedures that was 2.08 times higher (95%CI: 1.26; 3.44) than those without. Among the structural variables, municipalities with higher health expenditures and more dentists in the Unified National Health System showed consistently higher rates for all types of procedures. The SDC appear to have a positive effect on the local production of specialized procedures (especially endodontic), an effect not explained by structural variables.
Roger Keller
RK
Celeste
Flávio Renato Reis de
FR
Moura
Carolina Paiva
CP
Santos
Maximiano Ferreira
MF
Tovo
D000553:Ambulatory Care / Q000191:economics / Q000706:statistics & numerical data*; D001938:Brazil; D003740:Dental Clinics / Q000191:economics / Q000706:statistics & numerical data*; D003752:Dental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D007256:Information Systems; D012959:Socioeconomic Factors