Structural characteristics of oral health services in Brazilian Primary Health Care

Abstract

This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the 'National Program for Improving Access and Quality of Primary Care' (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.

A Description of Infection Control Structure in Primary Dental Health Care, Brazil

“…Whenever possible, reprocessing should be performed in a specific environment that has the physical structure and qualified human resources to perform reprocessing [ 4 , 5 ]. Problems in infrastructure of oral health services at PHC have been already been identified in Brazil and could impact the effectiveness and safety of dental care [ 25 ]. As a decentralized system, Brazilian National Health System [ 2 ], each municipality could organize its biomedical section or department, including their services/clinical engineers/technicians/outsources, to organize infrastructure locally.…”

“…As a decentralized system, Brazilian National Health System [ 2 ], each municipality could organize its biomedical section or department, including their services/clinical engineers/technicians/outsources, to organize infrastructure locally. So, there is a variety of models of managing and organizing PHC structure in Brazil [ 25 ].…”

Práticas Colaborativas E Interprofissionais Dos Preceptores De Enfermagem, Odontologia E Medicina Em Um Município No Norte Do Brasil

“…Neste contexto, tornar-se necessário a criação de instrumentos para equalizar a APS e ao mesmo tempo, ao passo que aumentam os desafios de monitorar e avaliar seus resultados enquanto política pública de saúde (MOIMAZ et al, 2016;SELLERA et al, 2020). A PNSB tem como objetivos ampliar e garantir atenção odontológica, buscando práticas pautadas na vigilância em saúde por meio de ações de promoção, prevenção, tratamento e reabilitação, organizadas nos diversos níveis de atenção (SCALZO et al, 2021;GALVÃO, 2021). Desta forma, os serviços odontológicos curativos instituídos e prestados no âmbito da atenção primária à saúde devem se ocupar das patologias mais prevalentes nas comunidades.…”

“…Cabe salientar que a prestação desses serviços de saúde de forma eficaz é influenciada diretamente pelas condições de infraestrutura, disponibilidade e adequação de equipamentos, bem como de materiais e insumos que atendam às necessidades do serviço. Problemas nessa área comprometem o atendimento, a qualidade dos serviços prestados e o cumprimento de metas, impossibilitando a realização de procedimentos clínicos com eficácia (SCALZO et al, 2021). Além da infraestrutura física das Unidades Básicas de Saúde, deve haver condições de trabalho e divisão clara das atribuições de cada profissional a partir das ações e procedimentos ofertados à população (CUNHA et al, 2020).…”

National analysis of dental teleconsulting of the Brazilian Telehealth Program

“…8 In Brazil, a developing country with continental dimensions, there is heterogeneous distribution of healthcare infrastructure, varying professional training levels, and socioeconomic and cultural contrasts, leading to unequal access to healthcare across its five regions. 9,10 Public dental care services are also included in this scenario, with differences in its geographical distribution and in the availability of dental supplies and equipment, 11 and the epidemiological aspects of the Brazilian population reflect the country's contrasts. 12 The telehealth project was implemented in Brazil in 2006 3 by the Ministry of Health.…”