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Equity in the Accessibility to Specialized Care in Oral Health in Brazil: Analysis of PMAQ-CEO External Evaluation Data According to the User's Perspective
Herkrath, Fernando José; de Castro, Pedro Henrique Duarte França; Figueiredo, Nilcema; Vieira, Janete Maria Rebelo; Rebelo, Maria Augusta Bessa.
  • Herkrath, Fernando José; s.af
  • de Castro, Pedro Henrique Duarte França; s.af
  • Figueiredo, Nilcema; Federal University of Pernambuco. Recife. BR
  • Vieira, Janete Maria Rebelo; Federal University of Amazonas. Manaus. BR
  • Rebelo, Maria Augusta Bessa; Federal University of Amazonas. Manaus. BR
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3175, 15/01/2018. tab, graf
Artículo en Inglés | LILACS, BBO | ID: biblio-966760
ABSTRACT

Objective:

To analyze the distribution of Centers of Dental Specialties (CEO) implemented in Brazil until 2014 and identify the contextual and individual variables associated with the geographical accessibility, considering the user's perspective. Material and

Methods:

The study was conducted with data from the Improving Access and Quality of CEOs (AVE/PMAQ CEO) External Evaluation and contextual characteristics of states and municipalities. The AVE/PMAQ CEO was an evaluative research with cross-sectional observational character, performed in all CEOs in Brazil, with 932 services evaluated and 8,897 users interviewed. Data analysis was conducted in two stages, considering the study dimensions. Analyses were conducted on the availability of units by region, state, population size of the municipality and contextual variables. Then, the relationship between explanatory variables and the user's displacement time and with the intention to change the service location was evaluated using generalized linear regression analysis.

Results:

The 932 CEOs evaluated were located in 780 of the 5,570 municipalities of the country and the majority was located in the northeastern (38.3%) and southeastern regions (36.2%), with the northern and midwestern regions presenting the lowest absolute number of units. The average displacement time to the CEO was 28.4 minutes, while the intention to change CEO location due to the distance from home was reported by 7.8% of users. Lower geographical accessibility was reported in the northern region and for individuals who reported living in the rural area and in cities with larger populations.

Conclusion:

The availability of CEOs in the country is still low and not equitably distributed among states and regions.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Calidad de la Atención de Salud / Brasil / Equidad en Salud / Servicios de Salud Dental / Accesibilidad a los Servicios de Salud Tipo de estudio: Estudio diagnóstico / Estudios de evaluación / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Pesqui. bras. odontopediatria clín. integr Asunto de la revista: Odontología Año: 2018 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Federal University of Amazonas/BR / Federal University of Pernambuco/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Calidad de la Atención de Salud / Brasil / Equidad en Salud / Servicios de Salud Dental / Accesibilidad a los Servicios de Salud Tipo de estudio: Estudio diagnóstico / Estudios de evaluación / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Pesqui. bras. odontopediatria clín. integr Asunto de la revista: Odontología Año: 2018 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Federal University of Amazonas/BR / Federal University of Pernambuco/BR