Theoretical and Methodological Aspects of the External Evaluation of the Improvement, Access and Quality of Centers for Dental Specialties Program

Nilcema Figueiredo, Paulo Savio Angeiras Goes, Petrônio José de Lima Martelli, Idiana Rita Luvison, Marcos Azeredo Furquim Werneck, Maria Augusta Bessa Ribeiro, Maria Ercilia Araujo, Wilton Wilney Nascimento Padilha, Edson Hilan Gomes de Lucena

Abstract


Objective: To introduce the main theoretical and methodological aspects of the external evaluation of the 1st cycle National Program for Quality Evaluation (AE-PMAQ/CEO). Material and Methods: This is an evaluative and quantitative research carried out in all Centers for Dental Specialties - CEO of Brazil, and macro-geographical regions were taken into account for analysis. The general AE-PMAQ/CEO coordination was from the Collaborative Centre for Oral Health Surveillance of the Ministry of Health - Federal University of Pernambuco and Department for Primary Health Care of the Ministry of Health. A collaborative network was established to offer a scientific and technical support for the Project among different higher education institutions around the country, state oral health coordination and quality researchers of AE-PMAQ/CEO.  Data collection was carried out through interviews with managers, dentists and users. In addition, researchers used an observation template to check for infrastructure and a questionnaire to register previously discussed quality standards. Conclusion: The external evaluation of the 1st cycle National Program for Quality Evaluation offered data to demonstrate and give recognition to CEO services and municipalities’ managers to assure quality for specialized dental care.


Keywords


Health Services Research; Dental Health Services; Secondary Care.

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References


Peres KG, Peres MA, Boing AF, Bertoldi AD, Bastos, JL Barros AJ. Reduction of social inequalities in utilization of dental care in Brazil from 1998 to 2008. Rev Saúde Pública 2012; 46(2):250-8. doi: 10.1590/S0034-89102012000200007.

Figueiredo N, Goes PSA. Development of secondary dental care: a study on specialized dental clinics in Pernambuco State, Brazil. Cad Saúde Pública 2009; 25(2):259-67. doi: 10.1590/S0102-311X2009000200004.

Chaves SCL, Cruz DN, Barros SG, Figueiredo AL. Assessing the supply and use of secondary care in specialized dental clinics in Bahia State, Brazil. Cad Saude Publica 2011; 27(1):143-54. doi: 10.1590/S0102-311X2011000100015.

Chaves SC, Soares FF, Rossi TRA, Cangussu MCT, Figueiredo ACL, Cruz DN et al. Characteristics of the access and utilization of public dental services in medium-sized cities. Ciênc Saúde Coletiva 2012; 17(11):3115-24. doi: 10.1590/S1413-81232012001100027.

Silva FR, Padilha EZ, Baldani MH. Specialized dental services in medium-sized non-metropolitan cities in Parana state between 2003 and 2010: An exploratory study. Epidemiol Serv Saúde 2013; 22(4):641-50. doi: 10.5123/S1679-49742013000400010.

Celeste RK, Moura FRR, Santos CP, Tovo MF. Analysis of outpatient care in Brazilian municipalities with and without specialized dental clinics, 2010. Cad Saúde Pública 2014; 30(3):511-21. doi: 10.1590/0102-311X00011913.

Soares FF, Chaves SCL, Cangussu MCT. Local government and public dental health services: an analysis of inequality in use. Cad Saúde Pública 2015; 31(3):586-96. doi: 10.1590/0102-311x00077214.

Figueiredo N, Motta F, Neves JC, Magalhães BG, Goes, PSA. Avaliação de ações da atenção secundária e terciária em saúde bucal. In: Moysés SM, Góes PSA (Org.). Planejamento, Gestão e Avaliação em Saúde Bucal. Porto Alegre: Artes Médicas, 2012. p. 195-209.

Lima ACS, Cabral ED, Vasconcelos MMVB. Patient satisfaction at Specialized Dental Clinics, in Recife, Pernambuco, State, Brazil. Cad Saúde Pública 2010; 26(5):991-1002. doi: 10.1590/S0102-311X2010000500021.

Magalhães BG, Oliveira RS, Goes PSA, Figueiredo N. Evaluation of quality of the services offered at the CEOs: users' side. Cad Saúde Coletiva 2015; 23(1):76-85. doi: 10.1590/1414-462X201500010013.

Goes PSA, Figueiredo N, Neves JC, Silveira FMM, Costa JFR, Pucca Júnior GA et al. Evaluation of secondary care in oral health: a study of specialty clinics in Brazil. Cad Saúde Pública 2012; 28 (Supl):s81-s89. doi: 10.1590/S0102-311X2012001300009.

Magalhães BG, Oliveira RS, Gaspar GS, Figueiredo N, Goes PSA. Evaluation of secondary care in oral health: a study of specialty clinics in Brazil. Pesq Bras Odontoped Clin Integr 2012; 12(1):107-12. doi: 10.1590/S0102-311X2012001300009.

Herkrath Herkrath FJ, Herkrath APCQ, Costa LNBS, Gonçalves MJF. Performance of Specialized Dental Care Centers considering the sociodemographic context of municipalities of the Amazonas State (Brazil, 2009). Saúde Debate 2013; 37(96):148-58. doi: 10.1590/S0103-11042013000100017.

Machado FCA, Silva JA, Ferreira MAF. Factors related to the performance of Specialized Dental Care Centers. Cienc Saude Coletiva 2015; 20(4):1149-65. doi: 10.1590/1413-81232015204.00532014.

Saliba NA, Nayme JGR, Moimaz SAS, Cecilio LPP, Garbin CAS. Organization of the demand for a Centre of Dental Specialties. Rev Odontol Unesp 2013; 42(5):317-23. doi: 10.1590/S1807-25772013000500001.

Lino AP, Werneck MAF, Lucas SD, Abreu MHNG. Analysis of secondary care in oral health in the State of Minas Gerais, Brazil. Cien Saude Coletiva 2013 19(9):3879-88. doi: 10.1590/1413-81232014199.12192013.

Oliveira RS, Morais HMM, Goes PSA, Botazzo C, Magalhães BG. Analysis of contractual relations and profile of dentists at dental specialty centers of low and high performance in Brazil. Saúde Soc 2015; 24(3):792-802. doi: 10.1590/S0104-12902015128285.

Chaves SCL, Barros SG, Cruz DN, Figueiredo ACL, Moura BLA, Cangussu MCT. Brazilian oral health policy: Factors associated with comprehensiveness in health care. Rev Saude Publica 2010; 44(6):1005-13. doi: 10.1590/S0034-89102010005000041.

Aguilera SLVU, França BHS, Moysés ST, Moysés SJ. Articulation between levels of healthcare services in the Curitiba Metropolitan Area: challenges for managers. Rev Adm Pública 2013; 47(4):1021-40. doi: 10.1590/S0034-76122013000400010.

Rodrigues LA, Vieira JDM, Leite ICG. Evaluation of the referece flow for a center for dental specialties deployed in a midsize city in Brazilian southeast. Cad Saúde Coletiva 2013; 21(1):40-5. doi: 10.1590/S1414-462X2013000100007.

Vazquez FL, Guerra LM, Vítor ESA, Ambrosano GMB, Mialhe FL, Meneghim MC, et al. Referencing and counter-referencing in specialized dental health procedures in Campinas in the state of São Paulo, Brazil. Cien Saude Coletiva 2014; 19(1):245-55. doi: 10.1590/1413-81232014191.1986.

Felisberto E, Bezerra LCA, Costa JMBS, Alves CKA. Institucionalização da avaliação em Saúde. In: Moysés SM, Góes PSA (Org.). Planejamento, Gestão e Avaliação em Saúde Bucal. Porto Alegre: Artes Médicas, 2012. p.149-156.

Goes PSA, Figueiredo N. Conceitos, teorias e métodos da avaliação em saúde. In: Moysés SM, Góes PSA (Org.). Planejamento, Gestão e Avaliação em Saúde Bucal. Porto Alegre: Artes Médicas, 2012. p. 157-166.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Programa nacional de melhoria do acesso e da qualidade da atenção básica (PMAQ): Manual instrutivo. Brasília, 2013.

Contandriopoulos AP, Champagne F, Denis JL, Pineault R. A avaliação na área de saúde: Conceitos e métodos. In: Hartz ZMA. Avaliação em Saúde: Dos modelos conceituais à prática na análise da implantação de programas. Rio de Janeiro: Fiocruz, 1997. p. 29-47.

Vieira-da-Silva LM. Conceitos, abordagens e estratégias para avaliação em saúde. In: Hartz ZMA, Silva LMV (Org.). Avaliação em saúde: Dos modelos teóricos à prática na avaliação de programas e sistemas de saúde. Rio de Janeiro: Fiocruz, 2005. p. 15-40.

Donabedian A. Criteria, norms and standards of quality: What do they mean? Am J Public Health 1981; 71(4):409-12.

Donabedian A. The quality care. How can it be asseded? JAMA, 1988; 260(12):1743-8. doi:10.1001/jama.1988.03410120089033.

Brasil. Ministério da Saúde. Programa Nacional de Melhoria do Acesso e da Qualidade dos Centros de Especialidades odontológicas (PMAQ/CEO) – Autoavaliação para a Melhoria do Acesso e da Qualidade da Atenção Básica (AMAQ). Brasília (DF): Ministério da Saúde, 2013.

Brasil. Ministério da Saúde. Programa Nacional de Melhoria do Acesso e da Qualidade dos Centros de Especialidades odontológicas (PMAQ/CEO) – Instrumento de Avaliação Externa para os Centros de Especialidades Odontológicas. Brasília (DF): Ministério da Saúde, 2013.




DOI: http://dx.doi.org/10.4034/PBOCI.2018.181.60

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