Factors related to the performance of the periodontal specialty in secondary oral health in Brazil.

Objective The aim of this study was to investigate, at a national level, which individual factors of the work process/infrastructure are associated with the achievement of goals in the periodontics specialty in Brazilian Dental Specialty Centers (CEO). Methods This was a quantitative, analytical, cross-sectional study. Secondary data from DATASUS and the external evaluation of the second cycle of the CEO Access and Quality Improvement Program were used. Variable description was carried out in the first stage, and then the bivariate Poisson regression was performed to verify possible associations between the variables and the outcome (achievement of goals in Periodontics in the CEO). In this analysis, the covariates that were associated with the outcome at the p <0.20 significance level were included in the next step of the analysis. Multivariate Poisson regression with a robust estimator was then performed with those that met the above criterion. The variables that showed a p value < 0.05 were considered in the final model. Results The outcome was achieved in more than seven months of the year (mean 7.03 months, SD 4.20). Most CEO monitored the established goals (93.2%), had referral as the only way of access (61.7%), had only municipal coverage (68.4%), carried out planning and periodic evaluation of actions (89.2%). A minority has quotas of procedures by Oral Health teams (OHTs) in Primary Health Care (PHC) (18.8%). The presence of a specialist in periodontics was (on average) 1.16 per CEO and the sum of the workload of dentists working in this specialty was 31.1 hours (SD = 23.9). Conclusion It was concluded that the individual factors of the work process/infrastructure associated with the achievement of goals in periodontics in Brazilian CEO are: monitoring of established goals, CEO scope and number of professionals working in the specialty. ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement The author(s) received no specific funding for this work. ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: The microdata used in this study were obtained from National Information Systems with public and unrestricted access. The PMAQ-CEO was approved by the Research Ethics Committee (CEP) of the Federal University of Pernambuco (UFPE), under CAAE number: 23458213.0.0000.5208, complying with the requirements of Resolution n. 466/12 of the National Health Council. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes The study uses data from the external evaluation of the 2nd cycle of the National Program to Improve Access and Quality of Dental Specialty Centers (PMAQ-CEO), carried out in 2018, in Brazil. Available from: http://189.28.128.100/dab/docs/portaldab/documentos/microdados\_pmaq/documentos/Banco\_2CICLO_PMAQ-CEO.zip