Avaliação de desempenho da política pública dos centros de especialidades odontolígicas da Região do Cariri-CE

Abstract

The aim of this study aimed to evaluate the performance of specialized dental clinics that have Ordinance Qualification Program Smiling Brazil located in the Region Cariri (Ceará, Brazil) in 2010. We used the data recorded in the database of the Department of the SUS (DATASUS), information from SIA / SUS. After collection, the information was imported into the program TAB for Windows - TabWin - developed by DATASUS in order to allow for rapid tabs on DBF files that constitute the basic components of information systems of the SUS. An indicator called Global Compliance Goals (CGM) developed by E FIGUEREDO GÓES, 2009, was used to evaluate the performance of the services performed by CEOs. Data analysis was built a table with the number of procedures by specialty (subgroup) for each Specialty Dental Center (EOC). We calculated the average monthly procedures performed by CEO and the ratio of the average number of procedures performed monthly and the target unit of each evaluated according to the type of procedure. The efficacy of the CEO was obtained by the average of this ratio. Still, graphs were made of the number of procedures performed and advocated for the Centers. Of the seven CEOs studied, measurement of the CGM, it was found that 42.85% of the specialized obtained, poor performance, fulfilling only one of the four goals set by Ordinance 600/2006 of the Ministry of Health The only CEO who has fulfilled all goals, achieving optimal performance was the municipality of Farias Brito. In contrast, the center located in the city of Crato failed to execute the goals of the procedures in any branch of dentistry, not reaching a score (poor performance). It was found that the AB Specialty (Primary) all centers achieved the targets except the CEO Barbalha and Crato where 9% and 11%, respectively, certain procedures have not occurred. In the surgery procedure, it is emphasized that only the CEO of Farias Brito has achieved the number of attendances defined for it (1.36 times the expected number). Of those who did not reach the target the most critical situation was the CEO who left Old Mission to achieve 89% (71 cases) of the surgeries. It was concluded that the performance of specialized dental clinics of Cariri in 2010 is unsatisfactory as production proposed by the Ministry of Health.