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Oral health work process: disparity between teams in Brazil, 2014* * Article derived from the Ph.D. thesis entitled ‘Evaluation of oral health care quality in Brazil: structure, process and result’, defended by Leonardo de Paula Amorim at the Postgraduate Program in Public Health Dentistry, Federal University of Minas Gerais, in 2019. The study received support from the following institutions: Minas Gerais State Research Support Foundation (FAPEMIG) – Minas Gerais Researchers Program, PPM-00603-18 –, SUS Research Program, APQ-04112-17 – and Coordination for the Improvement of Higher Education Personnel (CAPES)/Ministry of Education – financial code 001.

Abstract

Objective

To compare Modality I and Modality II Oral Health Teams (OHT) regarding work process performance and differences between Brazilian regions.

Methods

This was a cross-sectional study with OHTs that took part in the National Program for Primary Health Care Access and Quality Improvement (2013-2014). Latent Class Analysis identified OHT subgroups according to work process (action planning, health promotion actions and comprehensive health care) performance (consolidated, developing or incipient). OHT modalities were compared, resulting in an Index of Disparity.

Results

After evaluating 15,886 OHTs, Modality II OHTs were found to have a higher percentage of consolidated work processes in the Southeast (67.8%-94.6%) and Southern (54.8%-93.0%) regions. Disparity in the consolidated work process was greater among Modality II OHTs (6.3-26.5) compared to Modality I OHTs (3.9-18.4).

Conclusion

Modality II OHTs have the potential for better performance regarding the work process, but with regional disparities.

Oral Health; Public Health Dentistry; Primary Health Care; Health Evaluation; Cross-Sectional Studies

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