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
Pesqui. bras. odontopediatria clín. integr
; 18(1): 3175, 15/01/2018. tab, graf
Artigo
em Inglês
| LILACS, BBO - Odontologia
| ID: biblio-966760
Biblioteca responsável:
BR1264.1
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 andMethods:
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Arranjos de Entrega
/
Objetivo 11 Desigualdades e iniquidades na saúde
/
Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
BBO - Odontologia
/
LILACS
Assunto principal:
Qualidade da Assistência à Saúde
/
Brasil
/
Equidade em Saúde
/
Serviços de Saúde Bucal
/
Acesso aos Serviços de Saúde
Tipo de estudo:
Estudo diagnóstico
/
Estudo de avaliação
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
/
Equidade e iniquidade
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Pesqui. bras. odontopediatria clín. integr
Assunto da revista:
Odontologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Federal University of Amazonas/BR
/
Federal University of Pernambuco/BR