Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.00424
Revista de Odontologia da UNESP
Artigo Original

Impact of COVID-19 on the production of Dental Specialty Centers in Brazil

Impacto da COVID-19 na produção dos Centros de Especialidades Odontológicas do Brasil

Júlia Serafim Nolasco de MORAES; Inara Pereira da CUNHA; Silvia Amélia Scudeler VEDOVELLO; Anne Caroline Alves RAMOS; Marcelo de Castro MENEGHIM

http://dx.doi.org/10.1590/1807-2577.00424 Rev. odontol. UNESP, vol.53, e20240004, 2024
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Abstract

Introduction: The COVID-19 pandemic has significantly impacted healthcare systems globally, emphasizing the importance of understanding its effects on the provision of dental care.

Objective: To assess the impact of the COVID-19 pandemic on the procedures conducted by the Specialized Dental Centers (CEOs) in Brazil from 2019 to 2022 and its relationship with Primary Health Care (PHC).

Material and method: An ecological study using secondary data from the Outpatient Production of the SUS (SIA/SUS). The variable of interest was the production of CEOs, including accredited CEOs in Brazil from January 2019 to December 2022, of types I, II, or III. The independent variables included: a) time period; b) region of Brazil; c) CEO type; and d) the percentage of coverage of primary care (PCP). Descriptive statistics, control charts, and negative binomial regression analysis were used. Spearman correlation analyses were applied between CEOs production and PCP.

Result: A decline in production was observed in April 2020 across all regions of the country. CEOs production decreased from 327,206 procedures in March 2020 to 37,742 in April of the same year. National CEOs production remained low until December 2020. The recovery of specialized dental procedure quantities above the average began in early 2022. In the years 2021 and 2022, there was a significant but very weak positive correlation between CEOs production and PCP (p<0.05).

Conclusion: The period of reduced CEOs production in 2020, followed by a gradual recovery, reflects the impact of the COVID-19 pandemic on specialized dental care production.

Keywords

Unified Health System, Brazil, COVID-19, secondary health care

Resumo

Introdução: A pandemia de COVID-19 impactou significativamente os sistemas de saúde globalmente, destacando-se assim a importância de compreender seus efeitos na oferta de cuidados odontológicos.

Objetivo: Avaliar o impacto da pandemia de COVID-19 nos procedimentos realizados pelos Centros de Especialidades Odontológicas (CEOs) no Brasil de 2019 a 2022 e sua relação com a Atenção Primária à Saúde (APS).

Material e método: Estudo ecológico utilizando dados secundários da Produção Ambulatorial do SUS (SIA/SUS). A variável de interesse foi a produção dos CEOs, incluindo CEOs habilitados no Brasil de janeiro de 2019 a dezembro de 2022, dos tipos I, II ou III. As variáveis independentes incluíram: a) período de tempo; b) região do Brasil; c) tipo de CEO; e d) porcentagem de cobertura da atenção primária (PCP). Foram utilizadas estatísticas descritivas, gráficos de controle e análise de regressão binomial negativa. Análises de correlação de Spearman foram aplicadas entre a produção dos CEOs e a PCP.

Resultado: Observou-se uma queda na produção em abril de 2020 em todas as regiões do país. A produção dos CEOs diminuiu de 327.206 procedimentos em março de 2020 para 37.742 em abril do mesmo ano. A produção nacional dos CEOs permaneceu baixa até dezembro de 2020. A recuperação das quantidades de procedimentos odontológicos especializados acima da média começou no início de 2022. Nos anos de 2021 e 2022, houve uma correlação positiva significativa, mas muito fraca, entre a produção dos CEOs e a PCP (p<0,05).

Conclusão: O período de redução na produção dos CEOs em 2020, seguido por uma recuperação gradual, reflete o impacto da pandemia de COVID-19 na produção de cuidados odontológicos especializados.

Palavras-chave

Sistema Único de Saúde, Brasil, COVID-19, atenção secundária à saúde

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Submetido em:
19/02/2024

Aceito em:
29/05/2024

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