Evolution of post-deployment indicators of oral health on the Family Health Strategy

Abstract

Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy.Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011.Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance.Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals.

Dental emergency: Scoping review

“…When analyzing the expansion of the oral health team (OHT) in the PHC network over a three-year period, one study noticed that, in relation to the total number of appointments, there was a statistically significant reduction during the studied period that was justified by the year of greatest expansion. Nevertheless, the monthly variation was high and, although there was a reduction in the total number of emergency visits, in the vast majority of the months studied, the target of less than 20% of the total number of appointments was not reached [29]. In the ecological study, the differences between the group of services with the highest ratio of emergency and preventive procedures could not be explained by the population coverage provided by the family health team and the ESB [28].…”

Dental emergency: scoping review

“…When analyzing the expansion of the oral health team (OHT) in the PHC network over a three-year period, one study noticed that, in relation to the total number of appointments, there was a statistically significant reduction during the studied period that was justified by the year of greatest expansion. Nevertheless, the monthly variation was high and, although there was a reduction in the total number of emergency visits, in the vast majority of the months studied, the target of less than 20% of the total number of appointments was not reached[27]. In the ecological study, the differences between the group of services with the highest ratio of emergency and preventive procedures could not be explained by the population coverage provided by the family health team and the ESB[26].…”

The Oral Health Team in the Family Health Strategy: Trajectories and Challenges

“…Studies performed in some Brazilian municipalities to analyze the evolution of the indicators after the insertion of the OHT into the FHS showed that, with the increase in the average number of OHT over the years, the indicators of access [62 -64], income, and the percentage of urgencies also increased, and the number of supervised brushings increased considerably [62]. The increase in population coverage by OHT was also related to the reduction of periodontal problems in the elderly [63].…”