Presence and extension of the attributes of primary health care in public dental services in Porto Alegre, Rio Grande do Sul State, Brazil

Abstract

The objective was to compare the presence and extension of primary health care (PHC) in oral health services using the PHC attributes according to three different types of PHC organizational arrangements: Family Health Strategy (FHS), Community Health Service (CHS) and Traditional Primary Care (TPC). This is a cross-sectional study carried out between 2011-2013, following a cluster random sampling strategy. Adult users were interviewed from 15 health services of that 6 were managed by the CHS, 4 by the FHS and 5 by the TPC and which had the same oral health team for at least two years. The final sample was 407 users interviewed using the Primary Care Assessment Tool - Oral Health of Adults evaluation instrument and a sociodemographic questionnaire. PHC scores were calculated and transformed on a scale ranging from 0 to 10. For high scores, the cut-off point > 5.5 was used. Most of the interviewees were females, for the three types of services. The performance of CHS and FHS was higher than those of TPC in almost all attributes (p < 0.05). The extent of PHC attributes in services was poor (overall highest score was 5.75 in CHS). The CHS was the only service witch half of the users (83; 49.1%) rated oral health services as having a high overall score for PHC. It is concluded that there were differences among the organizational arrangements of PHC oral health services, however, there is much to be improved in the orientation of dental care services for PHC. More studies are necessary to evaluate the differences in PHC services considering oral health.

Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis

“…However, in 31.2% of CEO, the lack of this clinical protocol persists, signaling a relevant limitation that can impair the coordination of care. These results reveal the importance, at the level of the work process, of promoting the dialogue between the PHC and the ASSB, considering that both characteristics, when absent or present to a low extent, imply a barrier to access oral health services, resulting in a significant repressed demand and long waiting periods for appointments and exams, distancing oral health care from the assumptions of health care networks [ 27 ].…”

“…In the specific case of scheduling a biopsy, the reference time interval for the ASSB [ 12 ] may represent a strategic target for intervention, and its optimization could contribute to the meeting of time limits established by the Brazilian legislation for both the diagnosis and start of the cancer treatment. Therefore, protocols are required to ensure epidemiological surveillance and immediate referral of patients with lesions suspected of oral cancer, considering the occurrence of potentially severe sequelae in relation to prognosis, in the presence of delays between the identification of the lesion and the specialists’ opinion [ 27 ].…”

Análise do cuidado em saúde no sistema prisional do Pará, Brasil

“…Não há publicações que cruzem informações sobre o acesso ao cuidado e as equipes de saúde prisional. Contudo, a partir de experiências da Estratégia Saúde da Família, entre outras, pode-se afirmar que há diferenças de desempenho frente à heterogeneidade na organização da atenção no âmbito do SUS 33,34 . Dessa forma, é provável que haja diferenças marcantes entre as UPs atendidas por equipes de saúde vinculadas ao PNAISP e aquelas com assistência tradicional prestada por profissionais de saúde vinculados somente ao sistema penitenciário.…”

Analysis of health care in prisons of Pará state, Brazil

“…We have not found publications that cross-reference information about access to care and prison health teams. However, based on the experiences of the Family Health Strategy, among others, we identified some performance gaps before the heterogeneous care organization within the SUS 33,34 . Thus, it is likely that there are marked differences between the PUs served by health teams linked to the PNAISP and those with traditional care provided by health professionals linked only to the penitentiary system.…”