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Assessing the quality of oral health care in the family health strategy in Recife, Pernambuco, 2014

Abstract

Background

Only a few studies have addressed the quality of oral health care.

Objective

To assess the association of the structure and process conditions with oral health performance indicators in the Family Health Strategy of Recife.

Method

A cross-sectional quantitative and evaluative study based on secondary data referring to 2014 from the Ministry of Health. The Chi-Square test and the Odds Ratio, with simple and multiple regression, were calculated considering a significance level of 5% and confidence interval of 95%.

Results

Among the 112 oral health teams (OHT) assessed, there was an association of the OHT parity with the minimum Family Health Strategy teams and the survey of schoolchildren with oral health needs with the highest coverage value of the first dental programmatic appointment (OR = 4.30 = CI = 1.33-13.93, OR = 27.47, IC = 2.24-336.34, respectively). In turn, the presence of parity, modality II OHT, and scheduled guarantee return for the treatment continuity were associated with the highest ratio between completed treatment and first dental appointment (OR = 5.35, CI = 2.01-14.20; OR = 3.70, CI = 1,33-10,27; OR = 5,03, CI = 1,42-17,78, respectively).

Conclusion

The results suggest the targeting of such quality standards to enhance both the access and resilience of the OHT.

Keywords:
health assessment; quality indicators, health care; dental health services; family health strategy; health services research

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