O processo ensino-aprendizagem para a formação de cirurgiões-dentistas fundamenta-se em diretrizes que corroboram a formação de profissionais reflexivos, humanísticos e críticos. Nessa perspectiva, objetiva-se, com a presente pesquisa, trabalhar as percepções de estudantes de uma faculdade de odontologia em relação à realização de estágios curriculares supervisionados no Sistema Único de Saúde (SUS). Esta é uma pesquisa descritiva, desenvolvida com dados qualitativos, coletados por meio de questionários autoaplicados em 65 estudantes, e trabalhados segundo Análise de Conteúdo. Chegou-se a três temas estruturados nas seguintes categorias: explorando o desconhecido; iniciando a caminhada profissional; vivenciando as realidades no SUS. Os estudantes percebem diferentes processos de trabalho em saúde, apontam a importância do engajamento dos professores na supervisão dos estágios e percebem o SUS como um rico espaço de aprendizagem significativa para a formação em saúde.

This study aimed to analyze user satisfaction with access and care in Primary Health Care (PHC) based on non-urgent demand for emergency services. 28 non-urgent users of emergency services were intentionally interviewed across five health districts in the city of Riberão Preto in São Paulo State. These users had been treated in PHC at least once in the previous six months prior to data collection aimed at evaluating the services. Content analysis was used to analyze the interviews. The results showed there to be satisfaction with care received from health professionals in PHC and dissatisfaction with delays in arranging an appointment and with difficulty to receive care based on spontaneous demand. There was found to be no difference in the levels of satisfaction between the users from different health districts. The article concludes that obstacles to access to PHC services represent a barrier for populations wishing to receive care, with repercussions in terms of user satisfaction and high demand for emergency care. To ensure universal, equal, and organized access to actions and services at different levels, healthcare networks were created that constitute organizational arrangements of sets of health services coordinated among themselves through common goals and cooperative and interdependent actions that enable the provision of continuous and comprehensive care to the population, coordinated by primary health care (PHC). 2 However, profound changes must be made in order for this form of care organization to overcome a fragmented healthcare system that does not ensure continuity and is centered on acute conditions, through emergency care units (ECUs). 2 Emergency care units are also defined as points of entry to initial health care by SUS users. 3 However, the guarantees set forth in Brazilian legislation represent one step among many required to construct the SUS. For the right to health to become a reality, changes must occur in the social model, because in practice, access is still selective, focalized, and excludisionary. 4 From this perspective, even though they are considered a point of entry to the system, ECUs treat only the main complaints that led users to the health service. 5 This frequent search for emergency care demonstrates that the health needs of users are not being met by PHC. When users resort to health services, they are looking for something or some action from health professionals that will resolve, or at least minimize, the problem that led them to seek out that service. Thus, it is understood that if a point of entry fails, necessary care is postponed. 6 Health needs are related to social production and reproduction, and accessibility to health actions. Additionally, health care must be planned, considering existing demand, COMUNICAÇÃO SAÚDE EDUCAÇÃO 2018; 22(65):387-98and that health services that must be willing to address these needs, understanding their meanings and the subjects involved in the production and consumption of health. 7 According to this logic, humanization means tak...

Access to dental services and oral health-related quality of life in the context of primary health care

Idosos vivendo na comunidade e a satisfação com a própria saúde bucal

We concluded that participation in an extramural project improves the students' understanding of primary health care in dentistry. Such experiences help students develop a sense of cultural respect, comprehensive care, and to understand patients in their totality as social beings with their own values, beliefs, and attitudes regarding oral health care.

Objective: to analyze the perception of caregivers of elderly persons regarding their own oral health care and that of the elderly individuals. Method: a descriptive-exploratory study with a qualitative approach was carried out. Semi-structured interviews with 13 caregivers were conducted, recorded and transcribed, and the Content Analysis technique was applied. Results: All respondents were informal caregivers, most of whom were female, aged over 50, married, had some degree of kinship with those receiving care, an incomplete elementary school education and no other occupation or job. After analyzing the interviews, the data were grouped into the following categories: a) home visits and health professionals; b) caregiver experience and care of the elderly; and c) the caregiver and their self-care. Conclusion: knowledge of caregivers' perception of their own oral health and that of dependent/semi-dependent elderly persons assists in planning, promotion, prevention and health recovery. The work of a multi-professional team is therefore essential in the seeking out and instruction of these individuals.

OBJECTIVE To evaluate if the provision of clinical dental care, by means of the main curative procedures recommended in Primary Health Care, is associated with team structural characteristics, considering the presence of a minimum set of equipment, instrument, and supplies in Brazil’s primary health care services.METHODS A cross-sectional exploratory study based on data collected from 18,114 primary healthcare services with dental health teams in Brazil, in 2014. The outcome was created from the confirmation of five clinical procedures performed by the dentist, accounting for the presence of minimum equipment, instrument, and supplies to carry them out. Covariables were related to structural characteristics. Poisson regression with robust variance was used to obtain crude and adjusted prevalence ratios, with 95% confidence intervals.RESULTS A total of 1,190 (6.5%) dental health teams did not present the minimum equipment to provide clinical dental care and only 2,498 (14.8%) had all the instrument and supplies needed and provided the five curative procedures assessed. There was a positive association between the outcome and the composition of dental health teams, higher workload, performing analysis of health condition, and monitoring of oral health indicators. Additionally, the dental health teams that planned and programmed oral health actions with the primary care team monthly provided the procedures more frequently. Dentists with better employment status, career plans, graduation in public health or those who underwent permanent education activities provided the procedures more frequently.CONCLUSIONS A relevant number of Primary Health Care services did not have the infrastructure to provide clinical dental care. However, better results were found in dental health teams with oral health technicians, with higher workload and that plan their activities, as well as in those that employed dentists with better working relationships, who had dentists with degrees in public health and who underwent permanent education activities.

RESUMOA equipe de saúde bucal na Estratégia de Saúde da Família propõe reorientação do modelo de atenção segundo princípios e diretrizes do SUS, ampliando o acesso da população às ações de saúde bucal. Nesse estudo objetivou-se contextualizar os avanços e desafios das equipes de saúde bucal na Estratégia de Saúde da Família no Brasil, por meio de uma revisão teórica e reflexiva da literatura utilizando as bases de dados Lilacs, BBO e Medline. Foram acessadas evidências aom as palavras-chave: família, saúde bucal, avanços, desafios, avaliação, equipe, dificuldades e contribuições. Os artigos encontrados foram categorizados de acordo com a Análise de Conteúdos categoria temática, destacando-se avanços e desafios da referida Estratégia. Os avanços apontam a inserção de equipes de saúde bucal na Saúde da Família como responsável pela ampliação do acesso, maior satisfação do usuário, maior abrangência das ações de promoção e prevenção em saúde bucal. As dificuldades refletem-se na cobertura da população adscrita, referência e contrarreferência e perfil do profissional. Concluiu-se que os principais desafios não são exclusivos da odontologia. Assim, é preciso entender a Estratégia de Saúde da Família como um processo em construção para consolidação do SUS que necessita ser visto em um contexto transdisciplinar.Palavras-chave: Programa Saúde da Família. Atenção Primária à Saúde. Políticas de Saúde. Trabalho em Equipe.