Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

Ricardo Dias De Castro, Marianne De Lucena Rangel, Marcos André Azevedo Da Silva, Brunna Thaís Lucwu De Lucena, Alessandro Leite Cavalcanti, Paulo Rogério Ferreti Bonan and Julyana De Araújo Oliveira
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Ricardo Dias De Castro: Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil
Marianne De Lucena Rangel: Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil
Marcos André Azevedo Da Silva: Centro de Ciências da Saúde, Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil
Brunna Thaís Lucwu De Lucena: Centro de Ciências da Saúde, Departamento de Fonoaudiologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil
Alessandro Leite Cavalcanti: Programa de Pós-Graduação em Odontologia, Universidade Estadual da Paraíba, Campina Grande 58429-500, PB, Brazil
Paulo Rogério Ferreti Bonan: Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil
Julyana De Araújo Oliveira: Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil

IJERPH, 2016, vol. 13, issue 10, 1-10

Abstract: The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws.

Keywords: health services evaluation; health policy; dental health services (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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