Evaluation of satisfaction with dental care from the standpoint of adult Brazilian users: a multilevel analysis/Avaliacao da satisfacao com a assistencia odontologica na perspectiva de usuarios brasileiros adultos: analise multinivel

• Published in: Ciência & saude coletiva Vol. 23; no. 12; p. 4339
• Main Authors: Carreiro, Danilo Lima, Oliveira, Renata Francine Rodrigues, Coutinho, Wagner Luiz Mineiro, Ma, Haikal, Desiree Sant'Ana
• Format: Journal Article
• Language: Spanish
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01-12-2018
• Subjects: Brasil
• ISSN: 1413-8123
• DOI: 10.1590/1413-812320182312.32792016

The scope of this paper was to evaluate the satisfaction regarding dental care services and to identify the association between dissatisfaction and contextual/individual variables. It involved a cross-sectional study of a representative sample of 8,943 adults from 177 municipalities, in which 14.9% of adults were dissatisfied. In the multiple analysis there was a greater chance of dissatisfaction with dental services among adults residing in cities with greater social inequality (OR: 1.53, 95% CI: 1.31-1.81) and with a lower proportion of dentists per inhabitant (OR: 1.17; 95% CI: 1.00-1.37); yellow/black/brown/indigenous (OR: 1.12; 95% CI: 0.99-1.27); lower schooling (OR: 1.14; 95% CI: 0.98-1.33); consultation due to oral problems (OR: 1.23; 95% CI: 1.04-1.44); (OR: 2.60; 95% CI: 2.53-3.02) and impact of oral disorders on daily performance (OR: 1.48; 95% CI: 1.30-1.69). The implementation or adequacy of public policies with the aim of improving satisfaction with dental services should prioritize those municipalities with greater social inequality and with fewer dentists and socially disadvantaged users, who self-perceive oral problems, are dissatisfied with their oral health and suffer impacts resulting from oral problems. Key words Patient satisfaction, Health services, Quality of health care, Public health dentistry, Epidemiology Objetivou-se avaliar a satisfacao quanto aos servicos de assistencia odontologica e identificar associacao entre a insatisfacao e as variaveis contextuais/individuais. Estudo transversal multinivel de dados secundarios de uma amostra representativa de 8.943 adultos de 177 municipios. Encontravam-se insatisfeitos 14,9% dos adultos. Registrou-se maior chance de insatisfacao com os servicos odontologicos entre adultos que residiam em municipios com maior desigualdade social (OR: 1,53; [IC.sub.95%]: 1,31-1,81) e com menor proporcao de dentistas por habitante (OR: 1,17; [IC.sub.95%]: 1,00-1,37); amarelos/negros/pardos/indigenas (OR:1,12; [IC.sub.95%]: 0,99-1,27); menor escolaridade (OR:1,14; [IC.sub.95%]: 0,98-1,33); consulta por motivo de problemas bucais (OR:1,23; [IC.sub.95%]: 1,04-1,44); insatisfeitos com os dentes e boca (OR:2,60; [IC.sub.95%]: 2,53-3,02) e com impacto das desordens bucais no desempenho diario (OR:1,48; [IC.sub.95%]: 1,30-1,69). A implementacao ou adequacao de politicas publicas com o intuito de melhorar a satisfacao com os servicos odontologicos deve priorizar os municipios com maior desigualdade social e com menos dentistas e usuarios socialmente desfavorecidos, que autopercebem problemas bucais, insatisfeitos com sua saude bucal e com impactos decorrentes dos problemas bucais. Palavras-chave Satisfacao do paciente, Servicos de saude, Qualidade da assistencia a saude, Odontologia em saude publica, Epidemiologia