Title: 0782 - Evaluability Assessment of Secondary Dental Care in Brazilian Health System


Livia Zina (Presenter)
Universidade Federal de Minas Gerais

Érika Portugal, Universidade Federal de Minas Gerais
Marcos Werneck, Universidade Federal de Minas Gerais
Mauro Henrique de Abreu, Universidade Federal de Minas Gerais
João Henrique Amaral, Universidade Federal de Minas Gerais
Eliete Guimarães, Universidade Federal de São João del Rei


Objectives: Evaluability Assessment (EA) is defined as a set of procedures for planning evaluations so that stakeholders’ interests are taken into account to maximize the utility of the evaluation. The aim of this study was to conduct an evaluability assessment of secondary dental care, offered by the Brazilian National Health System through the Dental Specialized Center (DSC).

Methods: It is a national quanti-qualitative EA conducted in the years 2017-2018, based on a seven elements system, which involves identification and description of DSC; interview with stakeholders; review of documents; modeling of resource inputs, intended service activities, intended impacts and assumption of causal links; development of service logic model; identification and validation of evaluative questions. DSC was defined as case and context of analysis. Participants in the study were 12 key-informants and stakeholders directly involved in DSC implementation and operation. Data were analyzed according to Content Analysis method. Delphi technique was used for validation of evaluative matrix, and selected data were analyzed through standard deviation calculation, using SPSS software.

Results: DSC description, based on documents and scientific evidence, allowed to understand its legal framework, operationalization, and main events that characterize it. The logic model defined three components to be evaluated: comprehensiveness of care, access to secondary dental care and DSC management, and visually and systematically configured DSC organization with details of expected activities, products and effects. The evaluative questions to assess DSC were established and validated, reaching adequate agreement (>70%). The classified questions were arranged in a questionnaire, grouped according to the components of DSC and dimensions of structure, process and results.

Conclusions: The study demonstrated that secondary dental care is evaluable and presented a favorable scenario for its development. The evaluative matrix was designed and can be applied in any DSC in operation in the country.

This abstract is based on research that was funded entirely or partially by an outside source:
National Council for Scientific and Technological Development (CNPq) - Brazil

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE