Research Article
Relationship between Professional Training of Dentists and
Outpatient Clinical Production
André Scolare Bueno and Roger Keller Celeste
Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
Correspondence should be addressed to Roger Keller Celeste; roger.keller@ufrgs.br
Received 21 December 2021; Accepted 2 March 2022; Published 20 March 2022
Academic Editor: Paulo Henrique Braz-Silva
Copyright © 2022 André Scolare Bueno and Roger Keller Celeste. This is an open access article distributed under the Creative
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
Background. The aim was to evaluate the association between the professional training of dentists and their outpatient production
(OP) of clinical and collective/preventive procedures and the total number of procedures registered in a health information
system. Methods. It included all 19,947 primary dental care units participating in the Program for Improvement of Access and
Quality of Primary Care (PMAQ-AB 2nd cycle) and the number of clinical procedures (CP), collective/preventive procedures
(PP), and total procedures (TP) registered in the ambulatory information system between November 2013 and July 2014 for
each participant oral health team. The outcome was being above the national median of procedures. The main variables related
to training were the dentists specialising in family health, the level of training, and participation in permanent education. Effect
estimates were calculated by multiple logistic regression. Results. In the final model, controlled by contextual factor work
process, family health specialists had higher chances (odds ratio ðORÞ =1:13, 95% CI: 1.00; 1.27) of producing above the
national median of CP than nonspecialists, OR = 1:06 (0.96; 1.18) for PP and OR = 1:17 (1.08; 1.27) for TP. Dentists taking
permanent education had higher chances than those not taking it of producing above the national median for CP, PP, and TT,
respectively, with OR = 1:40 (1.20; 1.62), OR = 1:24 (1.09; 1.40), and OR = 1:28 (1.18; 1.39). Conclusion. Training in family
health performs more procedures in primary care settings than those without training. However, this OP is influenced by
variables related to the municipality and the work process, especially for PP. If the highest production observed is a
consequence of training, then public health managers can not only encourage training policies such as permanent education
policies to expand the use of services.
1. Introduction
Healthcare assessment is needed to evaluate if health policy
has achieved its goals of transforming a situation towards a
more desirable one [1]. The outpatient production of health
teams, classified as process evaluation, is directly related to
the healthcare system performance and represents the use
of services (realised access) [2, 3]. Outpatient production of
clinical procedures constitutes an essential way of evaluating
healthcare services, representing its interaction with the user
[4]. The determinants of use health services and production
of clinical procedures have been named as follows: (a) the
health needs of users and their characteristics, (b) form of
organisation of services, (c) health system policy, and (d)
characteristics of health service providers. Health profes-
sionals define the type and demand of resources consumed
to solve the health problems of patients [5].
In Brazil, the outpatient production of oral health teams
(OHT) is processed by municipal and state managers
through the Outpatient Information System of the Unified
Health System (in Portuguese, Sistema de Informação
Ambulatorial do Sistema Único de Saúde, acronym SIA/
SUS) [6]. That production can be influenced by the infra-
structure of healthcare facilities [7], by its oral healthcare
network and care model [8–10], by the working process of
the teams [11], through self-assessment [12], or by the train-
ing of dentists [13]. Araújo et al. highlight that professionals
trained in the Brazilian Unified Health System (SUS) tend to
know it better. Investments in training are of paramount
importance for changes in the healthcare model, specifically
Hindawi
BioMed Research International
Volume 2022, Article ID 5365363, 7 pages
https://doi.org/10.1155/2022/5365363