A Interface entre a Atenção Primária e os Serviços Odontológicos de Urgência (SOU) no SUS: a interface entre níveis de atenção em saúde bucal

Austregésilo, Sílvia Carréra; Leal, Márcia Carréra Campos; Figueiredo, Nilcema; Góes, Paulo Sávio Angeiras de

doi:10.1590/1413-812320152010.12712014

Cited by 11 publications

(17 citation statements)

References 12 publications

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“…Law 8.080 / 1990 -one of the main laws governing public health in Brazil -assigns to managers of the Unified Health System (SUS) the role of formulating and implementing a developmental policy of human resources in the form of a permanent personnel development program [20]. There must be a link between management and the needs of services and professionals to achieve a better quality and resolution in health care.…”

Section: Discussionmentioning

confidence: 99%

Perception of Dentists about the Functioning of Emergency Public Dental Services

Rios

Queiroz

2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To know the perception of dentists about the functioning of emergency public dental services (PEDS). Material and Methods: Cross-sectional exploratory study performed in Goiania, a large municipality in the mid-west of Brazil. Participated as subjects the dentists of all ten municipal PEDS. The perception was measured by Likert scale ranging from 1 to 5, where value 5 represented maximum agreement with assertions contained in a questionnaire about the functioning of the services. Results: The final sample consisted of 44 dentists (Response rate=70%.) The perception of the professionals, measured by average agreement with the assertions, ranged from 3.54 and 4.68 in a maximum score of 5.00. Conclusion: For all items discussed there was a favorable perception of the participants. In the perception of the professionals, emergency public dental services meet a spontaneous demand, commonly of endodontic emergencies, with performance of non-conclusive procedures and dental extraction. The professionals recognize that there is a need to improve the embracement of patients, as well as to adopt clinical protocols for the treatment, yet there are flaws in the system of reference of patients, in continuing education of professionals and in the conditions of provision of the services to the population.

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Section: Discussionmentioning

confidence: 99%

Perception of Dentists about the Functioning of Emergency Public Dental Services

Rios

Queiroz

2017

Pesqui. bras. odontopediatria clín. integr.

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“…Emergency care of adolescents at UPAs can be considered a unique opportunity for their connection with the health system as there is a decrease in the search for health services during adolescence [16] and as the presence of toothache is associated with a higher demand for dental care [17]. However, the poor integration between UPAs and UBSs [18] could be a major barrier to the referral of adolescents to oral healthcare teams in the primary health system.…”

Section: Discussionmentioning

confidence: 99%

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Pereira

Assunção

Ferreira

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the factors related to the dental emergency care of children and adolescents in Basic Health Units (UBS) and Emergency Care Units (UPA) affiliated with the public dental network of Curitiba, Brazil. Material and Methods: Crosssectional study that evaluated 1,012 emergency cases in individuals aged up to 17 years old and with a permanent record in the Unified Health System of Curitiba. Demographic data of individuals and of services were taken from electronic medical records. Statistical analysis was performed using the chi-square test and chi-square test for linear trend (α = 0.05), estimating the prevalence ratio (PR) (95%CI). Results: Of the total of emergency cases, 68.2% and 31.8% were of children and adolescents, respectively. UBS accounted for 89.7% of the cases while UPA represented 10.3%, and 12.2% of the treatments were characterized as first access to the system. Adolescents used UPAs for emergency care more often than children (PR = 1.84; 95%CI: 1.28-2.64). Among children, those with more than 1 year since the last appointment used UPAs for emergency care more often (PR = 1.86; 95%CI: 1.09-3.17). Adolescents for whom emergency care was characterized as first access to the system used UPAs more often (PR = 2.16; 95%CI: 1.04-4.46). The proximity between the UBS of origin and the UPA was associated with greater UPA utilization by both groups. Conclusion: UBSs accounted for most of the dental emergency treatments. Children and adolescents with a poorer connection with UBSs and those who lived near an UPA had a higher prevalence of UPA utilization for emergency care.

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“…Thus, exodontias are very common in this type of service [9,10] and despite of the importance of conservative treatment prioritizing the maintenance of the dental element [24], the procedure can be adequately and resolutely performed in PEDS, e.g. in situations such as vertical fractures of the root.…”

Section: Discussionmentioning

confidence: 99%

“…Strategies for coping with conditions that require immediate attention in the Unified Health System (SUS) include the Emergency Public Dental Services (PEDS) [5][6][7][8][9][10]. These types of services provide prompt care to dental emergencies, representing an important part of the oral health services system, which is especially reachable to low level social vulnerable people who can't access regular dental treatment [5,6,11,12].…”

Section: Introductionmentioning

confidence: 99%

“…A survey conducted in Brazil addressed the perception of managers and DS about the PEDS, identifying prominent issues such as the profile of care, structural and organizational aspects [5]. The same authors explored the perception of PEDS' DS regarding the interface between these services and others in primary health care [9]. However, the vision of PEDS' professionals about what they understand as being their roles in these services has not yet been explored.…”

Section: Introductionmentioning

confidence: 99%

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Dental emergencies in public health services: what is the role of the Dental Surgeon?

Rios

Queiroz

2017

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: To assess the opinions of Brazilian dental surgeons (DS) about their roles in Public Emergency Dental Services (PEDS). METHODS: A cross-sectional study was conducted with an intentional sample of 44 DS who worked at the PEDS in a large municipality in the central-western region of Brazil, in 2013. To collect data we designed, pretested and applied a self-administered questionnaire with Likert scale assertions about the DS duties, referral of patients and execution of dental procedures in PEDS. Post-hoc tests revealed an instrument's reliability of 91%. RESULTS: As their main duty, DS pointed out providing relief to patients' complaints in cases of dental pain and trauma. Regarding referral of patients, they considered typically that they should refer to services at a higher complexity level those patients exhibiting infections in advanced stages under risk of disseminations. Most of them disagreed with performing dental restorations in emergency consultations, while the majority stated that they should mainly perform intraoral abscesses drainage, alveolitis and haemorrhage treatment. CONCLUSION: To provide pain and trauma relief to patients was pointed out by DS as their key role in PEDS, as well as to refer at-risk patients to high-level complexity services and to perform procedures aimed at solving emergency situations, instead of providing restorative treatment to patients.Key words: Public Health Dentistry; Dental Health Services; Emergencies; Public Health Policy; Dental CareUrgências odontológicas em serviços públicos de saúde: qual o papel do Cirurgião-Dentista? RESUMO OBJETIVO: Avaliar a opinião de cirurgiões-dentistas (CD) brasileiros sobre o papel deles em Serviços Odontológicos Públicos de Urgência (SOU). METODOLOGIA: Um estudo transversal foi realizado com uma amostra intencional de 44 CD que trabalhavam em SOU em um município de grande porte na região centro-oeste do Brasil, em 2013. Para coletar os dados foi elaborado, pré-testado e aplicado um questionário autoexplicativo com escala Likert e asserções sobre as atribuições dos CD, encaminhamento de pacientes e execução de procedimentos odontológicos nos SOU. Testes posteriores revelaram uma confiabilidade deste instrumento de 91%. RESULTADOS: Como sua principal atribuição, os CD apontaram que devem buscar aliviar as queixas dos pacientes em casos de dor e trauma dental. Com relação ao encaminhamento de pacientes, eles consideraram tipicamente que deveriam referenciar para serviços de maior complexidade aqueles pacientes com infecções em estágios avançados com risco de disseminação. Muitos deles discordavam com a realização de restauração dental nas consultas de urgência, enquanto que a maioria considerou que deveria executar drenagem intraoral de abscessos, tratamento de alveolite e hemorragia. CONCLUSÃO: Os CD reconheceram que prover alívio aos pacientes com dor e trauma é o seu principal papel nos SOU, além de referenciar pacientes de risco para unidades de maior complexidade e realizar procedimentos clínicos voltados à resolu...

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A Interface entre a Atenção Primária e os Serviços Odontológicos de Urgência (SOU) no SUS: a interface entre níveis de atenção em saúde bucal

Cited by 11 publications

References 12 publications

Perception of Dentists about the Functioning of Emergency Public Dental Services

Perception of Dentists about the Functioning of Emergency Public Dental Services

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Dental emergencies in public health services: what is the role of the Dental Surgeon?

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