Avaliação da qualidade da assistência em saúde bucal na Atenção Primária à Saúde em Pernambuco, 2014*

Abstract

Objective: to evaluate the quality of oral health care in Primary Health Care services in Pernambuco state, Brazil, 2014. Methods: this was an ecological health evaluation study based on the Donabedian model, involving secondary data from the 2 nd cycle of the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB); comparison between the structure, process and outcome variables was done using the Kruskal-Wallis test (p<0.050); variables showing statistical significance (p<0.05) were portrayed through thematic and spatial dependence maps. Results: the standard of quality in the municipalities for the 'Structure' dimension gained better scores than the 'Work process' dimension; correlations were identified between the indicators for dental urgency, supervised tooth brushing coverage and treatments completed, in quality strata related to the work process of the Oral Health teams. Conclusion: organization of the work process was seen to be a determining factor in the impact on some indicators of service use.

Oral health indicators and sociodemographic factors in Brazil from 2008 to 2015

“…The lowest annual percent variation in primary care and oral health coverage among municipalities with high HDMI can result from fewer individuals who depend on the public health system, with a consequent slow expansion. These results reaffirm the previous findings of inequalities in access to oral health services 18 . The annual percent variation of primary health care and oral health coverage was constant for municipalities with different population sizes.…”

“…Similar to previous studies, larger cities had lower primary care and oral health care coverage 3,18,19 . This finding can be explained by the slower expansion of the Family Health Strategy in large urban centers 21 .…”

“…The primary health care coverage was around 10% higher than oral health coverage in The highest annual percent variation in primary care and oral health care coverage in municipalities with medium and low MHDI suggests a "pro-equity" mechanism or even an "equity trend," as there was a more significant expansion of services in the most vulnerable regions, which was also found in another study 18 . Since the Basic Operating Standard of SUS in 1996, there was a tendency to allocate the primary care budget according to the municipal MHDI to reduce social inequalities that impact health 19 .…”

“…This result may be associated with lower availability of supplies for Oral Health Teams in more socially disadvantaged municipalities. Additionally, in general, municipalities with better socioeconomic conditions have better services and human resources and tend to offer more education, prevention, and health promotion actions 18 . The removal of the average of supervised toothbrushing from the Organizational Contract of Public Healthcare Action (COAP) from the year 2013 22 explains the annual decrease in more developed municipalities.…”

Produtividade dos laboratórios de prótese dentária do SUS no estado da Bahia

“…Destaca-se que a produtividade dos serviços de saúde é influenciada não apenas pela quantidade dos serviços ofertados ou pela cobertura populacional, outros fatores como o planejamento e gestão do serviço, organização do processo de trabalho, referência e contrarreferência, acolhimento, vínculo e satisfação do usuário atuam como influentes no resultado da produtividade dos serviços e no cumprimento das metas pactuadas 16,17 .…”