Oral health actions in the primary health care network of northeastern brazil in relation to oral cancer

Abstract

Objective: To describe oral health actions against oral cancer promoted by Primary Health Care Teams in northeastern Brazil. Methods: This is a descriptive and inferential study based on data related to detection, referral, registration, follow-up and documents related to these actions in the External Evaluation of the 1st and 2nd Program for Improving Access and Quality of Primary Care Cycles. Results: Overall, 5,599 and 7,700 teams were evaluated, respectively, in the first and second cycles, with the highest and lowest concentrations in the states of Bahia / Maranhão and Bahia / Sergipe. In all, 58.9% / 79.7% Health Teams conducted campaigns to detect oral lesions and referred suspected cases of oral cancer, and 43.9% / 23% of them recorded and followed suspicious / confirmed cases and only 20.7% / 16.2% had documents proving these records in the respective cycles. There was statistical significance in the comparisons of actions and the evaluation cycles (p ? 0.01). Conclusion: Health teams in northeastern Brazil need to improve actions related to detection, referral, registration, follow-up and verification of oral health documents related to oral cancer.

Advances and weaknesses of the work process of the oral cancer care network in Brazil: A latent class transition analysis

“…Another study that analysed data from the I and II Cycles of the PMAQ‐AB (the equivalent of PMAQ‐CEO to primary care services), revealed that only 58.9% of the PHC teams in the Northeast region of Brazil carried out campaigns to detect oral lesions and refer suspected cases of OC. In addition, 43.9% of them register and follow up suspected/confirmed cases, but only 20.7% have documents that prove these records 22 11,39 …”

“…18 Another study that analysed data from the I and II Cycles of the PMAQ-AB (the equivalent of PMAQ-CEO to primary care services), revealed that only records. 22 The lack of a goal in OC care leads managers to direct services to other priorities. 11,39 Thus, although OC diagnosis represents a priority for CEO, a relevant proportion of primary dental care teams do not actively search and identify patients at risk for OC and potentially malignant oral mucosa lesions.…”

“…The evaluation of work processes comprise aspects that include governance, service organization, and planning 21 . Quality improvement programmes based on P4P are uncommon in Dentistry, but are somewhat popular in medicine, especially in PHC 19,22,23 …”

“…21 Quality improvement programmes based on P4P are uncommon in Dentistry, but are somewhat popular in medicine, especially in PHC. 19,22,23 They may contribute importantly to improve services and providers' performance in critical indicators related to OC diagnosis and management, and can potentially reduce disease burden. Notwithstanding, we have not found previous studies evaluating the findings of large-scale programmes based on P4P in OC care work processes.…”

Condição oral de dependentes químicos em um município do estado da Paraíba

“…O diagnóstico precoce de câncer na cavidade oral é um fator determinante para garantia de um prognóstico favorável, tendo em vista que quanto antes o tratamento for iniciado mais alto serão as chances de cura. Diante disso, é importante que os serviços de saúde da atenção básica estejam preparados e capacitados para conduzir o caso e oferecer atenção integral ao paciente suspeito e/ou diagnosticado, utilizando de estratégias e medidas de prevenção e promoção, a fim de reduzir a mortalidade e o número de novos casos (RAIMUNDO et al, 2019;RODRIGUES et al, 2019).…”