Performance evaluation of oral health teams in brazil: an item response theory approach

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dc.creatorMaria Tereza de Abreu Scalzo
dc.creatorMauro Henrique Nogueira Guimarães de Abreu
dc.creatorJuliana Mambrini
dc.creatorLetícia Cavalari Pinheiro
dc.creatorAntonio Thomaz Gonzaga da Matta Machado
dc.creatorRenata de Castro Martins
dc.date.accessioned2025-02-20T21:20:30Z
dc.date.accessioned2025-09-09T00:45:03Z
dc.date.available2025-02-20T21:20:30Z
dc.date.issued2023-11-02
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.3390/surgeries4040055
dc.identifier.issn2673-4095
dc.identifier.urihttps://hdl.handle.net/1843/80285
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relationPrograma Institucional de Internacionalização – CAPES - PrInt
dc.relation.ispartofSurgeries
dc.rightsAcesso Aberto
dc.subjectCuidados primários de saúde
dc.subjectSaúde bucal
dc.subjectOdontologia
dc.subjectServiços de odontologia comunitária
dc.subject.otherPrimary health care
dc.subject.otherOral health
dc.subject.otherDental health services
dc.subject.otherHealthcare quality
dc.titlePerformance evaluation of oral health teams in brazil: an item response theory approach
dc.typeArtigo de periódico
local.citation.epage578
local.citation.spage568
local.citation.volume4
local.description.resumoAccess to quality healthcare is an essential component of health policy. This cross-sectional study describes the actions performed by Brazilian Oral Health Teams (OHTs) analyzed in the National Program for Improving Access and Quality of Primary Care and the relationship of contextual aspects. A total of 22,993 OHTs that participated in the third cycle of the referred program were evaluated using a structured questionnaire. Thirteen procedures (items) related to spontaneous dental care and preventive, surgical, restorative, prosthetic, and oral cancer prevention or diagnosis were assessed. Item response theory was used to estimate the performance scores of OHTs, based on 13 items. The relationship between performance scores and contextual variables in Brazilian regions was analyzed by thematic maps and Spearman correlation (p < 0.05). The highest difficulty parameters were for questions related to prosthetics (b = 0.879) and actions for oral cancer (b = 2.922). The 13 items were more appropriate to discriminate the teams with lower performance and relatively ineffective in differentiating those with better performance. A direct relationship with the Human Development Index (rs = 0.249; p = 0.004) and an indirect relationship with the Gini Index (rs = −0.482; p < 0.001) were found. Contextual aspects presented a relationship with the performance of the Brazilian OHTs. The evaluated items showed some potential to discriminate the performance of OHTs since many of the evaluated dental procedures are performed by most of the teams.
local.identifier.orcidhttps://orcid.org/0000-0001-9081-6297
local.identifier.orcidhttps://orcid.org/0000-0001-8794-5725
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://www.mdpi.com/2673-4095/4/4/55

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