Análise longitudinal da abrangência da primeira consulta odontológica programática em função da cobertura de equipes de saúde bucal

Abstract

Oral Health seeks to consolidate itself within Primary Health Care with the Oral Health Teams seeking to expand access. The present study investigates the relationship of service coverage, represented by the coverage indicators of the Oral Health, Equivalent and Oral Health Teams, with the effective access, represented by the coverage of the first programmatic dental consultation, for the age groups from 5 to 19 and 20 to 64 years, in the municipalities of Minas Gerais. This is an observational, ecological, longitudinal and analytical study, supported by secondary data available in the databases of official information systems. The period covered is from 2008 to 2018.The independent variables are the coverage of dental services and the dependent variable is the indicator of access to coverage for the first programmatic dental consultation. As adjustment variables, the socioeconomic indicators HDI, GDP per capita and, also, the strata of the Program for Improvement of Access and Quality of Primary Care (PMAQ-AB) were used. Generalized Estimating Equation (GHG) models of gross and adjusted relationships between independent variables and the coverage of the first consultation over time were estimated. The fit of the models was assessed by the Quasi-Likelihood Under the Independence Model Criterion (QIC). In all analyzes, the significance level of 5% was considered. As a result, the positive association between access coverage and service coverage was obtained, with the prevalence ratios: for 5-19, PR = 1.

Analysis of the access of pregnant women to the first programmatic dental appointment: an ecological study

“…9 Corroborating this rationale, the results of the present study indicated a consistent association between access to oral health care in primary health care and their first programmatic dental appointment. A positive association between the two indicators was observed by Raimundo et al 31 It is worth noting that because of the current political and economic scenario in Brazil, there has been a decrease in oral health coverage, which may be due to the low investments in the field. 32 The results of this study are not free of limitations.…”