Advances and challenges in oral health after a decade of the “Smiling Brazil” Program

Scherer, Charleni Inês; Scherer, Magda Duarte dos Anjos

doi:10.1590/s0034-8910.2015049005961

Cited by 51 publications

(79 citation statements)

References 53 publications

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“…However, since 2008, according the Brazilian National Health Survey [30], the frame did not change: only 53.9% used dental services in the previous 12 months in São Paulo state in 2013 and was higher in higher education groups (73.4%) compared to lower education groups (46.3%). Also, Scherer and Scherer [31] analyzed oral health work changes in primary health care after a decade of the “Smiling Brazil” Program and found very few changes in oral health work. The population-based health survey ISA-Capital 20151 is almost completed and will provide monitoring on access and use of dental health services in São Paulo city.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Monteiro

Beenackers

Goldbaum

et al. 2016

BMC Health Serv Res

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BackgroundAccess to, and use of, dental health services in Brazil have improved since 2003. The increase of private health care plans and the implementation of the “Smiling Brazil” Program, the largest public oral health care program in the world, could have influenced this increase in access. However, we do not yet know if inequalities in the use of dental health services persist after the improvement in access. The aims of this study are to analyze socioeconomic differences for dental health service use between 2003 and 2008 in São Paulo and to examine changes in these associations since the implementation of the Smiling Brazil program in 2003.MethodData was obtained via two household health surveys (ISA-Capital 2003 and ISA-Capital 2008) which investigated living conditions, lifestyle, health status and use of health care services. Logistic regression was used to analyze associations between socioeconomic factors and dental services use. Additionally, trends from 2003 to 2008 regarding socioeconomic characteristics and dental health service use were explored.ResultsOverall, dental health service use increased between 2003 and 2008 and was at both time points more common among those who had higher income, better education, better housing conditions, private health care plans and were Caucasian. Inequalities in use of dental health care did not decrease over time. Among the reasons for not seeking dental care, not having teeth and financial difficulty were more common in lower socioeconomic groups, while thinking it was unnecessary was more common in higher socioeconomic groups.ConclusionsThe Brazilian oral health policy is still in a period of expansion and seems to have contributed slightly to increased dental health service use, but has not influenced socioeconomic inequalities in the use of these services. Acquiring deeper knowledge about inequalities in dental health service use will contribute to better understanding of potential barriers to reducing them.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1928-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Monteiro

Beenackers

Goldbaum

et al. 2016

BMC Health Serv Res

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“…On the occasion of the ten-year anniversary of the Programa Brasil Sorridente (Smiling Brazil Program), Scherer and Scherer 52 have focused the changes at work in oral health in primary health care, identifying progress achieved and challenges still persistent at work in oral health at this level of care. According to the authors, the public network professionals tend to reproduce the dominant biomedical model, requiring continued efforts of management, training, and permanent education for understanding the dynamics of the work in order to get significant changes to local realities.…”

Section: Introductionmentioning

confidence: 99%

Oral health in the agenda of priorities in public health

et al. 2016

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This study describes the scientific production on oral health diffused in Revista de Saúde Pública, in the 50 years of its publication. A narrative review study was carried out using PubMed, as it is the search database that indexes all issues of the journal. From 1967 to 2015, 162 manuscripts specifically focused on oral health themes were published. This theme was present in all volumes of the journal, with increasing participation over the years. Dental caries was the most studied theme, constantly present in the journal since its first issue. Periodontal disease, fluorosis, malocclusions, and other themes emerged even before the decline of dental caries indicators. Oral health policy is the most recurring theme in the last two decades. Revista de Saúde Pública has been an important vehicle for dissemination, communication, and reflection on oral health, contributing in a relevant way to the technical-scientific interaction between professionals in this field.

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“…The expansion and qualification of care, the comprehensiveness and the integrated work of the team still appear as challenges 19 .…”

Section: Acknowledgmentsmentioning

confidence: 99%

Influence of multiprofessional work on the production of care and access to primary health care

2018

Self Cite

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Objective: to analyze how the work of four family health teams, in Brazilian Midwest and South regions, influences the capacity of the services in guaranteeing access. Methods: this is a descriptive study with a qualitative approach. Results: the results were systematized in nine elements, namely: (I) formation/ Knowledge of standards; (II) experience; (III) affinity of professionals with a particular theme, grievance or group of people; (IV) professional satisfaction; (V) workload; (VI) management and organization of the work process (VII) teamwork; (VIII) actions carried out with the participation of the community and; (IX) respect for the autonomy of people and different knowledge and cultures. Conclusion: the identified elements related to the individual issues, the organization of the service and the relationship and participation of the community in the actions of the health unit should be considered both in the training of new health workers and in the formulation of public policies.

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Advances and challenges in oral health after a decade of the “Smiling Brazil” Program

Cited by 51 publications

References 53 publications

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Oral health in the agenda of priorities in public health

Influence of multiprofessional work on the production of care and access to primary health care

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