Eqüidade e provisão de serviços públicos odontológicos no estado do Paraná

Baldani, Márcia Helena; Almeida, Eurivaldo Sampaio de; Antunes, José Leopoldo Ferreira

doi:10.1590/s0034-89102009000300008

Cited by 28 publications

(34 citation statements)

References 18 publications

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“…É necessário que a dimensão política tenha governabilidade, ou seja, capacidade de condução e controle do processo de governo diante de situações favoráveis ou não ao projeto 2,4,14,21 .…”

Section: Aspectos Da Política De Saúde Bucalunclassified

“…A macropolítica de saúde bucal, denominada PNSB -Brasil Sorridente, potencializou, para todos os níveis de atenção, o suporte nacional para o desenvolvimento de micropolíticas de saúde bucal 2,4,14,21 . A implementação da PNSB é expressa quando seu conteúdo propositivo ou diretriz é transformado em ação 4 .…”

Section: Aspectos Da Política De Saúde Bucalunclassified

“…A implementação da PNSB é expressa quando seu conteúdo propositivo ou diretriz é transformado em ação 4 . Essa transposição da macropolítica para a micropolítica não é harmônica e está sujeita a forças que agem no sentido de favorecer ou não a execução de ações no sentido de organizar os Sistemas Locais de Saúde Bucal (SLSB) 2,4,21 . Como exemplo, a fluoretação da água de abastecimento público, como estratégia macropolítica de saúde pública que, mesmo regulamentada pelo Decreto nº.…”

Section: Aspectos Da Política De Saúde Bucalunclassified

“…Portanto, um dos pilares do acesso universal à saúde bucal é a integração da política de saúde bucal na agenda prioritária da política de saúde 2,4,21 . A literatura evidenciou a necessidade de articulação da política de saúde bucal com outras políticas e outros programas de saúde para a inclusão de grupos mais vulneráveis no acesso à saúde bucal 4,5 .…”

Section: Aspectos Da Política De Saúde Bucalunclassified

“…Portanto, a universalização do acesso à saúde bucal depende de um cenário local ou locus ideal abrangente de componentes polí-ticos, econômicos, sociais, de gestão da assistência, da corresponsabilização e das articulações entre os componentes e dos componentes com o meio exterior ao da saúde bucal 4,5,14,21 . A saúde é um valor e um estado relacionados com o desenvolvimento humano e social, que transcende a visão de oposto da doença 4 ; o que implica na contribuição de diferentes setores, atuando sinergicamente de forma a promover impacto no cotidiano dos sujeitos 4,5,25 .…”

Section: Aspectos Econômicos E Sociaisunclassified

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Análise do acesso aos serviços odontológicos públicos no Brasil

Fonseca¹,

Fonseca²,

Meneghim³

2017

ABCS Health Sci.

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O acesso à saúde bucal tem sido analisado como parte do processo de integralidade do cuidado. Este trabalho teve como objetivo revisar a literatura científica brasileira sobre acesso à saúde bucal entre 2007 e 2014. A partir da pergunta formulada, foram revisadas as bases de dados PubMed/MEDLINE, LILACS, SciELO, Scopus e BIREME/BVS. Além de aspas para palavras compostas, para serem recuperadas juntas, foram utilizados operadores booleanos para ampliar ou especificar a pesquisa em busca da melhor informação. Foram selecionados descritores válidos e aplicados os filtros: texto completo, idiomas (inglês e português), ano, assunto e tipo de documento (artigo completo). Fizeram parte da análise 35 artigos. Houve uma grande diversidade no percurso metodológico (desenho) dos estudos, sendo 24 (68,57%) do tipo epidemiológico transversal e 5 (14,28%) do tipo epidemiológico ecológico. O maior nível de evidência científica encontrado foi do tipo ensaio comunitário, utilizado em apenas 1 (2,85%) artigo. Não foi encontrado nenhum artigo do tipo epidemiológico longitudinal. No presente estudo, identificou-se o acesso à saúde bucal como um dispositivo transformador da realidade, modulado por aspectos contextuais, de serviço e individuais.Palavras-chave: saúde bucal; acesso aos serviços de saúde; Sistema Único de Saúde. ABSTRACTAccess to oral health has been examined as part of the process of integrality in health care. This paper aimed to review the Brazilian scientific literature on access to oral health between 2007 and 2014. From the elaborated question, these databases were reviewed: PubMed/MEDLINE, LILACS, SciELO, Scopus and Bireme/BVS. In addition to the use of quotation marks for compound words to be retrieved together,boolean operators were applied to expand or specify the search for the best information. Valid descriptors were selected and, then, filters applied: full text, languages (English and Portuguese), year, subject and type of document (full article). A total of 35 articles were selected. There was a great diversity in methodology of the studies, as 24 (68.57%) were cross section and 5 (14.28%) were articles with an ecological approach. The highest level of scientific evidence found was the community trial and was used in only one article (2.85%). It was not found any longitudinal article. It was possible to identify the access to oral health as a device transformer of reality, modulated by contextual, services and individuals factors.

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Section: Aspectos Da Política De Saúde Bucalunclassified

Section: Aspectos Econômicos E Sociaisunclassified

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Análise do acesso aos serviços odontológicos públicos no Brasil

Fonseca¹,

Fonseca²,

Meneghim³

2017

ABCS Health Sci.

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Area‐level social development and indicators of public dental services in Southern Brazil

Godoi

Singh

Mello

et al. 2019

Comm Dent Oral Epid

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Objectives This study aimed to test associations between a municipal social development indicator and indicators of public dental services; examine differences in the achievement of public dental services goals between fluoridated and nonfluoridated municipalities; and, quantify contribution of a municipal social development indicator in estimated mean differences in the public dental services indicators between fluoridated and nonfluoridated municipalities. Methods A secondary analysis of data from 293 municipal dental health services records from Southern Brazil between 2010 and 2015 was conducted. Multivariable log‐binomial regression models were fitted to test the associations between municipal Human Development Index (HDI) and multiple public dental services indicators (proportion of public dental health service coverage, the proportion of tooth extraction among all clinical procedures, and monthly participation in supervised tooth brushing). Cut‐off points for outcomes were based on state goals for public dental services. Blinder‐Oaxaca decomposition analyses were performed to quantify the relative contribution of HDI in the differences in outcomes according to the municipal water fluoridation status. Results Municipalities within the lowest tertile of HDI had 66% lower prevalence of having insufficient public dental health service coverage (less than state goals)than those in the highest tertile of HDI (PR: 0.44; 95% CI: 0.24, 0.50). Municipalities with lowest HDI had nearly 30% higher prevalence of failing the state goals regarding the proportion of extraction and supervised tooth brushing (PR: 1.30; 95% CI: 1.20, 1.40 and PR: 1.34; 95% CI: 1.23, 1.45, respectively). Mean public dental health service coverage was higher in nonfluoridated municipalities than fluoridated municipalities, and municipal HDI explained 36% of the total estimated mean difference. Conclusions This study found associations between municipal social development and public dental services indicators in Southern Brazil. However, higher HDI was associated with lower public dental health service coverage, lower proportion of extraction and higher coverage of supervised tooth brushing [Correction added on 2 April 2019, after first online publication: In the preceding sentence, the text “but with a higher proportion of extraction and supervised tooth brushing” was changed to “lower proportion of extraction and higher coverage of supervised tooth brushing”]. Municipal HDI contributed significantly towards the gap in public dental coverage between fluoridated and nonfluoridated municipalities, favoring nonfluoridated municipalities. These findings have important policy implications for reducing oral health inequalities as it highlights the interplay between key oral health policies and their distribution according to municipal social development.

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Performance of Primary Dental Care Services: An Ecological Study in a Large Brazilian City

Esteves

Mambrini

Oliveira

et al. 2013

The Scientific World Journal

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This study explored the association between area-level primary dental care performance and area-level demographics, dental treatment need, and health care service indicators. An ecological cross-sectional study was performed in Belo Horizonte, Brazil, in 2010. The 142 primary health care (PHC) units were grouped based on the following variables: access to individual dental treatment, frequency of dental emergencies, and frequency of individual preventive procedures. The independent variables analyzed were demographic variables, dental treatment need, and health care service indicators. The data were obtained from the information systems of the Brazilian Ministry of Health and the city of Belo Horizonte. We explored the associations between membership in a specific PHC cluster type and the independent variables using multinomial logistic regression with a significance level of 5%. Variables such as the high/very high vulnerability of population, rate of completed treatment, and rate of referrals of users to secondary care were independently associated with the clusters (P < 0.05). The performance of primary dental care services was associated with patient demographics, dental treatment need, and referrals. The results of this study have implications for the planning of public policies.

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Eqüidade e provisão de serviços públicos odontológicos no estado do Paraná

Cited by 28 publications

References 18 publications

Análise do acesso aos serviços odontológicos públicos no Brasil

Análise do acesso aos serviços odontológicos públicos no Brasil

Area‐level social development and indicators of public dental services in Southern Brazil

Performance of Primary Dental Care Services: An Ecological Study in a Large Brazilian City

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