Política de Saúde Bucal no Brasil 2003-2014: cenário, propostas, ações e resultados

Chaves, Sônia Cristina Lima; Almeida, Aglaya Oliveira Lima Cordeiro de; Rossi, Thaís Régis Aranha; Santana, Sisse Figueredo de; Barros, Sandra Garrido de; Santos, Carla Maria Lima

doi:10.1590/1413-81232017226.18782015

Cited by 60 publications

(66 citation statements)

References 21 publications

(28 reference statements)

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“…The National Oral Health Policy, which is called "Smiling Brazil", was issued in 2004 and is still in force; has become one of the main vectors for the public employability of dentists. It is estimated that a proportion of dentists in the National Health Service (the Sistema Único de Saúde -SUS) progresses from 27-30% during the period 2003-2014, of the total number of registered professionals 11 . Women are the bulk with regard to Brazilian dental surgeons working in public services, particularly in the Primary Health Care (PHC); they are also the majority in the Family Health Strategy (FHS), with a percentage of 58% while men are 42%.…”

Section: Introductionmentioning

confidence: 99%

The feminization of dentistry and the perceptions of public service users about gender issues in oral health

Kfouri

Moysés

Gabardo

et al. 2019

Ciênc. saúde coletiva

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It was investigated the perception of service users in relation to the professional practice of dentists, based on gender differences. The Primary Care Assessment Tool (PCATool) was applied to 900 users of the Public Service in Curitiba, PR, Brazil. Sixty clinics were selected using random sampling, divided between conventional Primary Health Care (PHC) Units and PHC with Family Health System Units. The attributes of PHC that compound the PCATool were analyzed. A question was added about user preference regarding the gender of the dental professional, thus generating four dyads derived from user gender/dentist gender (FF, FM, MM, MF). The attributes were linked to the dyads by applying the independent sample t test. Using logistic regression, the dyads were linked to 23 factors relating to scaled-up care in PHC. Many users showed a clear preference for being attended by female dentists. Users who prefer to be cared for by women tend to better evaluate PHC on issues related to “active listening”, while those who prefer to be cared for by male dentists highlight the attributes of “care integration” and “community guidance”. In other factors and attributes studied, there is no difference between the care given by men or women, regardless the unit.

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Section: Introductionmentioning

confidence: 99%

The feminization of dentistry and the perceptions of public service users about gender issues in oral health

Kfouri

Moysés

Gabardo

et al. 2019

Ciênc. saúde coletiva

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“…Ressalta-se o descumprimento da legislação e a falta de universalidade no acesso à água fluoretada que mantém extenso contingente populacional à margem de benefício reconhecidamente eficaz, além de apresentar significativa relação de custo-efetividade (ANTUNES: NARVAI, 2010) Apesar dos recursos financeiros, a continuidade e manutenção da política dependem também da coordenação política e gerencial, tanto a nível federal, quanto estadual e municipal (CHAVES et al, 2017). As sucessivas trocas de ministros da saúde e presidentes causaram uma redução de investimentos por causa das reformas, ajuste fiscal e cortes progressivos da saúde e educação, revelando assim, a instabilidade vivida no Brasil (SCHERER;SCHERER, 2015;CHAVES et al, 2018).…”

Section: Discussionunclassified

Políticas de Saúde Bucal no Brasil: Mudanças a Partir de 1988 / National Health Policies in Brazil: Changes from 1988

Aguiar

Rocha

2019

IDonline

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Durante anos a saúde bucal esteve à margem das políticas públicas. Com o advento do SUS a saúde passou a ser direito de todos os brasileiros. Objetivo: Discutir as mudanças ocorridas na saúde bucal após a implantação do Sistema Único de Saúde. Materiais e Métodos: Revisão da Literatura com acesso a bases de dados, como LILACS, Scielo e publicações do Ministério da Saúde, do período 1988 a 2019. Resultados: Foram encontrados diversas publicações que embasaram este estudo. Destacam-se a inclusão das equipes de saúde bucal na Estratégia de Saúde da Família e a Política Nacional de Saúde Bucal para a reorganização das ações e serviços de saúde bucal no País. Conclusão: Evidenciaram-se melhorias na atenção em saúde bucal. O programa Brasil Sorridente ampliou o acesso saúde aos serviços da atenção básica, bem como na média e alta complexidade. Destacam-se dificuldades, como a superação do modelo biomédico e desigualdades na oferta de água fluoretada, bem como no acesso a serviços odontológicos. Além disso, deve-se melhorar a formação dos profissionais e ampliar o financiamento, com o intuito de facilitar o acesso e garantir a integralidade da atenção em saúde.

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“…Despite the advances achieved with the inclusion of children under five years of age in the recent oral health policies [5,6], deficiencies in planning and fragility in the implementation of effective oral health care actions are identified, as well as difficulties of access to dental treatment [7]. These issues have historical roots that are related to the exclusionary way in which the oral health care was conceived in the country, with prioritization of the offer of dental care to schoolchildren aged 6-12 years and to permanent dentition [5]. In addition, professional resistances to the new organizational logic required by APS for integral care in oral health are discussed [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Factors for the Use of Dental Services Associated with Untreated Caries in Children of a Cohort and the Care Offered in the Primary Health Care of Recife, Brazil

Macedo

Melo

2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To analyze factors of use of dental services associated with untreated caries in children from a cohort in the Primary Health Care of Recife and the integral care offered to oral health of children in the areas studied. Material and Methods: 1 st step: Analytic study with secondary data from the dental caries inquiry conducted with the cohort in Health District II and IV in 2010. 425 records of children aged 5-7 year were included. The Dependent variable was carious component of the dmft (d≥1) index and independent variables were sociodemographic and use of dental services. Data were analyzed using descriptive and inferential statistics. Variables associated with p≤0.20 outcomes were included in the logistic regression multivariate model with permanency criteria of p≤0.05. 2 nd step: Descriptive study with 15 key individuals: (03) managers, (01) central level, (02) district level, (12) members of 2 health family teams from the selected districts. The validation of the data collection instrument was performed (semi structured questionnaire). Data were processed by a descriptive analysis in Excel spreadsheet. Results: The prevalence of untreated caries was high (58.1%). The factors associated with use of dental service was: age: 7 years old (OR: 1.62; p<0.001), toothache in the last 6 months (OR: 9.63; p<0.001), unsatisfactory care (OR: 3.57; p<0.014). There was valuation of epidemiological knowledge to plan integral and integrated oral health actions for children, but deficiencies in inter-professional actions were identified to perform these actions, which are recommended by family health teams. Conclusion: The factors associated with the outcome evidenced fragilities in the dental care directed to children and the structuring of the integral care to the oral health offered, although it indicates inter-professional action, it has not been effective to positively impact the d≥1 levels observed.

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Política de Saúde Bucal no Brasil 2003-2014: cenário, propostas, ações e resultados

Abstract: This study examined the implementation of Brazil's National Oral Health

Cited by 60 publications

References 21 publications

The feminization of dentistry and the perceptions of public service users about gender issues in oral health

The feminization of dentistry and the perceptions of public service users about gender issues in oral health

Políticas de Saúde Bucal no Brasil: Mudanças a Partir de 1988 / National Health Policies in Brazil: Changes from 1988

Factors for the Use of Dental Services Associated with Untreated Caries in Children of a Cohort and the Care Offered in the Primary Health Care of Recife, Brazil

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