INIQUIDADES NA ATENÇÃO SECUNDÁRIA EM SAÚDE BUCAL PARA PACIENTES COM NECESSIDADES ESPECIAIS NO BRASIL

Estéfany Figueiredo Gonzalez; Livia Fernandes Probst; Vinicius de Moraes Simião; Alessandro Diogo De-Carli; Rafaela da Silveira Pinto

doi:10.1590/SciELOPreprints.6241

##article.authors##

Estéfany Figueiredo Gonzalez Oswaldo Cruz Foundation https://orcid.org/0009-0001-8216-9701
Livia Fernandes Probst Cirurgiã-Dentista. Unidade de Avaliação de Tecnologias em Saúde, Hospital Alemão Oswaldo Cruz (HAOC), São Paulo, Brasil https://orcid.org/0000-0002-4696-0862
Vinicius de Moraes Simião Federal University of Mato Grosso do Sul
Alessandro Diogo De-Carli Federal University of Mato Grosso do Sul
Rafaela da Silveira Pinto Universidade Federal de Minas Gerais https://orcid.org/0000-0002-6169-7708

DOI:

https://doi.org/10.1590/SciELOPreprints.6241

Keywords:

People with Disabilities, Secondary Care, Dental Specialties, Dental Health Services, Health Services Evaluation, Health Care Quality, Access, and Evaluation

Abstract

This study examined individual and contextual factors that impact the attainment of objectives set by the Ministry of Health for Special Needs Patients Dentistry (OPNE) in Brazilian Centers for Dental Specialties (CEO). Secondary data from DATASUS and the CEO Access and Quality Improvement Program (PMAQ-CEO) were utilized, encompassing 1013 facilities. Statistical analysis employed Poisson regression and multilevel analysis, with a 95% confidence interval (CI). The findings revealed that CEOs, on average, achieved goals for basic OPNE procedures for six months each year. The Municipal Human Development Index (IDHM) and CEO type exerted an influence on goal attainment, with CEO types II and III displaying a greater likelihood of achieving the goals. The Southeast and South regions exhibited lower chances of achieving the objectives. The scarcity of specialized professionals remains a challenge in the treatment of patients with special needs. In conclusion, in Brazil, CEO type and IDHM are associated with improved CEO performance in attaining goals for the OPNE specialty.