Variables associated with the performance of Centers for Dental Specialties in Brazil.
The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004-2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Karine Laura
KL
Cortellazzi
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Edna Cesar
EC
Balbino
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Luciane Miranda
LM
Guerra
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Fabiana de Lima
Fde L
Vazquez
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Jaqueline Vilela
JV
Bulgareli
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Glaucia Maria Bovi
GM
Ambrosano
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Antonio Carlos
AC
Pereira
School of Dentistry at Piracicaba, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Fábio Luiz
FL
Mialhe
D001938:Brazil; D003729:Dental Care / Q000706:statistics & numerical data*; D013039:Specialties, Dental