Oral health in the family health strategy: a change of practices or semantics diversionism

Abstract

Oral health in the family health strategy: a change of practices or semantics diversionism Saúde bucal na estratégia de saúde da família: mudança de práticas ou diversionismo semântico ABSTRACT OBJECTIVE: To evaluate public health dentistry practices of two different family health models. METHODS:Qualitative study conducted with data obtained from focus groups consisting of 58 dentists working in the Family Health Strategy for at least three years between August-October, 2006. The Paideia Family Health Approach was used in the city of Campinas and the Oral Health Initiative as part of the Family Health Strategy was implemented in the city of Curitiba, Southeastern and Southern Brazil, respectively. Data was analyzed using the hermeneutic-dialectic method. Analysis indicators were employed to indicate backwardness, stagnation or progress in oral health practices effective from the implementation of the strategies referred. The indicators used were: work process; interdisciplinary approach; territorialization; capacity building of human resources; health promotion practices; and responsiveness to users' demands. RESULTS:There was progress in user access to services, humanization of health care, patient welcoming and patient-provider relationship. The results related to health promotion practices, territorialization, interdisciplinary approach and resource capacity building indicated a need for technical and operational enhancements in both cities. CONCLUSIONS:Both models have brought about important advances in terms of increased access to services and humanization of health care. Universal access to oral health at all levels of complexity was not achieved in both cities studied. Local health managers and oral health program coordinators must bring more weight to bear in the arena that defi nes public policy priorities. The main thematic issue of the present study is to assess changes in oral health practices following the implementation of the FHS in two Brazilian cities. It could be that political and administrative forces have contributed to the expansion of the changes desired, or either that the original essential proposal may have been disfi gured.The fi rst Brazilian programmatic dental policy was developed in the 1950s 7 and targeted exclusively at schoolchildren, and has become enrooted nationwide. RESUMOOBJETIVO: Avaliar práticas de saúde bucal coletiva de dois modelos de atenção à saúde familiar. MÉTODOS:Estudo qualitativo realizado por meio de grupos focais constituídos por 58 cirurgiões-dentistas atuantes em programa de saúde da família há pelo menos três anos. Foram adotados os modelos de atenção Método Paidéia em Saúde da Família (Campinas, SP, 34 profi ssionais) e Estratégia de Saúde da Família (Curitiba, PR, 24 profi ssionais). O estudo foi realizado entre os meses de agosto e outubro de 2006. O referencial teórico utilizado para análise dos dados foi a hermenêutica-dialética. Foram empregados indicadores analíticos visando a indicar retrocesso, estagnação ou progresso nas práticas de saúde bucal ...

Oral Health in the Family Health Strategy: analysis of articles published in the period 2004-2014

“…From this perspective, we point out that only one of the selected studies addressed this issue on a national level, in the so-called Family Health Program 29 . Regarding access to dental care, it is observed that study results conflict, revealing that, while the current model of dental care has improved the access 30,36,51,52 , this is still considered an obstacle to overcome 51,53 . Some weaknesses of the care model were listed such as the limited universal access 50 , integrity of actions 54 , lack of epidemiological basis of the OHT work and of monitoring/actions evaluation 24,55 , and limitations in the reference and counter-reference process 24,36,38,55 .…”

Reflexões sobre avaliação de políticas de saúde no Brasil

“…Os 23 artigos incluídos na categoria de "Investigação Avaliatória" 4, 11,35,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71 têm como característica comum predominante a busca pela produção de conhecimento vinculado à comunidade científi-ca e reconhecido por ela.…”

Alteridade e empatia: virtudes essenciais para a formação do cirurgião-dentista

“…Trazer a debate o conceito de humanização no atendimento odontológico evoca percepções importantes quanto à evolução técnica e científica em Odontologia, uma vez que tal área da saúde foi marcada pela desarmonia entre o tecnicismo e a qualidade de contato humano 14,15 . Evidencia-se a importância do acolhimento do paciente que sofre, e assim é requerida a transcendência dos conhecimentos relacionados à saúde bucal, de modo a entender que o processo de cura ultrapassa a área do saber científico 14 .…”