Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study
Objective: To investigate macro-regional disparities in specialized outpatient dental care for children in the Brazilian Unified Health System (SUS). Material and Methods: An ecological study was conducted using a longitudinal, retrospective, and quantitative approach. The number of outpatient denta...
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| Format: | Article |
| Language: | English |
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Association of Support to Oral Health Research (APESB)
2025-01-01
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| Series: | Pesquisa Brasileira em Odontopediatria e Clínica Integrada |
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| Online Access: | https://revista.uepb.edu.br/PBOCI/article/view/4215 |
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| author | Ricardo Barbosa Lima Ana Paula Gomes e Moura Débora Amorim Alves de Aguiar Paulo Nelson-Filho Léa Assed Bezerra da Silva Raquel Assed Bezerra da Silva |
| author_facet | Ricardo Barbosa Lima Ana Paula Gomes e Moura Débora Amorim Alves de Aguiar Paulo Nelson-Filho Léa Assed Bezerra da Silva Raquel Assed Bezerra da Silva |
| author_sort | Ricardo Barbosa Lima |
| collection | DOAJ |
| description | Objective: To investigate macro-regional disparities in specialized outpatient dental care for children in the Brazilian Unified Health System (SUS). Material and Methods: An ecological study was conducted using a longitudinal, retrospective, and quantitative approach. The number of outpatient dental procedures (ODPs) performed by Pediatric Dentists in the SUS was retrieved by the Outpatient Information System (SIA/SUS), considering the period between 2008 and 2022, as well as the five macro-regions of Brazil. Statistical analysis was based on descriptive and analytical approaches. The significance level was adjusted to 5%. Results: More than 29 million outpatient dental procedures were performed in the last 15 years by Pediatric Dentists in the SUS. The incidence rate of ODPs was significantly lower in the Northeast macro-region compared to the other macro-regions and the national estimate (p<0.05). The north was the only macro-region that showed a decreasing temporal trend over the last 15 years (p=0.026), while the others were stationary (p>0.05). However, when the COVID-19 pandemic years were removed, testing from 2008 to 2019, the trend was also stationary (p=0.351). In addition, the North macro-region was the only one not correlated with the national estimate (p=0.478), showing a distinct pattern in the incidence rate of ODPs over the last 15 years. Nonetheless, The variability of this particular variable was striking across all macro-regions, but it was especially pronounced in the north. Conclusion: There are macro-regional disparities in specialized dental care for children in the Brazilian Unified Health System. |
| format | Article |
| id | doaj-art-51b6f3bf67d44b72a79b3058afe94ec8 |
| institution | Kabale University |
| issn | 1519-0501 1983-4632 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Association of Support to Oral Health Research (APESB) |
| record_format | Article |
| series | Pesquisa Brasileira em Odontopediatria e Clínica Integrada |
| spelling | doaj-art-51b6f3bf67d44b72a79b3058afe94ec82025-01-15T12:33:23ZengAssociation of Support to Oral Health Research (APESB)Pesquisa Brasileira em Odontopediatria e Clínica Integrada1519-05011983-46322025-01-0125Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological StudyRicardo Barbosa LimaAna Paula Gomes e MouraDébora Amorim Alves de AguiarPaulo Nelson-FilhoLéa Assed Bezerra da SilvaRaquel Assed Bezerra da SilvaObjective: To investigate macro-regional disparities in specialized outpatient dental care for children in the Brazilian Unified Health System (SUS). Material and Methods: An ecological study was conducted using a longitudinal, retrospective, and quantitative approach. The number of outpatient dental procedures (ODPs) performed by Pediatric Dentists in the SUS was retrieved by the Outpatient Information System (SIA/SUS), considering the period between 2008 and 2022, as well as the five macro-regions of Brazil. Statistical analysis was based on descriptive and analytical approaches. The significance level was adjusted to 5%. Results: More than 29 million outpatient dental procedures were performed in the last 15 years by Pediatric Dentists in the SUS. The incidence rate of ODPs was significantly lower in the Northeast macro-region compared to the other macro-regions and the national estimate (p<0.05). The north was the only macro-region that showed a decreasing temporal trend over the last 15 years (p=0.026), while the others were stationary (p>0.05). However, when the COVID-19 pandemic years were removed, testing from 2008 to 2019, the trend was also stationary (p=0.351). In addition, the North macro-region was the only one not correlated with the national estimate (p=0.478), showing a distinct pattern in the incidence rate of ODPs over the last 15 years. Nonetheless, The variability of this particular variable was striking across all macro-regions, but it was especially pronounced in the north. Conclusion: There are macro-regional disparities in specialized dental care for children in the Brazilian Unified Health System.https://revista.uepb.edu.br/PBOCI/article/view/4215Dental Care for ChildrenPublic Health Systems ResearchHealthcare Disparities |
| spellingShingle | Ricardo Barbosa Lima Ana Paula Gomes e Moura Débora Amorim Alves de Aguiar Paulo Nelson-Filho Léa Assed Bezerra da Silva Raquel Assed Bezerra da Silva Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study Pesquisa Brasileira em Odontopediatria e Clínica Integrada Dental Care for Children Public Health Systems Research Healthcare Disparities |
| title | Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study |
| title_full | Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study |
| title_fullStr | Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study |
| title_full_unstemmed | Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study |
| title_short | Macro-Regional Disparities in Specialized Dental Care for Children in the Brazilian Unified Health System: An Ecological Study |
| title_sort | macro regional disparities in specialized dental care for children in the brazilian unified health system an ecological study |
| topic | Dental Care for Children Public Health Systems Research Healthcare Disparities |
| url | https://revista.uepb.edu.br/PBOCI/article/view/4215 |
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