Financing national policy on oral health in Brazil in the context of the Unified Health System

Pucca, Gilberto Alfredo; Lucena, Edson Hilan Gomes de; Cawahisa, Patricia Tiemi

doi:10.1590/s1806-83242010000500005

Cited by 42 publications

(20 citation statements)

References 11 publications

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“…Therefore, the centres for medium complexity, which were only created in 2004 in Brazil, should be prepared every year for a growing demand from this kind of patients referred. The literature clearly shows that fast-track referrals for those suspected with cancer may diminish greatly the length of the diagnostic delay8, and that the Brazilian health system may have reached an important quality leap in their oral health system when the structured CEOs were made viable and established [22,23].…”

Section: Resultsmentioning

confidence: 99%

Oral Cancer Screening in Elderly in Sao Paulo State, Brazil (2001 to 2009)

Almeida

Michel‐Crosato

Cazal

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To describe and explore analytically the trends of oral cancer positive cases incidence during nine-year screenings campaign of Sao Paulo´s State (Brazil) and to show other countries and health services an option for tracking at-risk population. Material and Methods: Secondary official data were tabulated and analysed using the Excel and STATA statistical 10.0 software packages. After descriptive statistics, the trend curves were calculated by moving average for each variable (type moving average of two samples centred) to attenuate the random variability of the series, and trends classified: stable, ascending and descending. Results: The trend of municipalities numbers remained stable; the number of examined people, the screening coverage and the absolute number of patients referred to secondary health care showed an increasing trend; and the percentage of suspected cases showed a decreasing trend during the nineyear period. A decrease in the number of suspicious lesions and confirmed cases of oral cancer among the volunteers was observed, and the reorganization of secondary and tertiary levels of oral care helped to modify these numbers. Conclusion: We believe this experience was more important to help health services organization than for the oral cancer diagnosis itself, and it might be used to inspire other countries and oral health services.

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Section: Resultsmentioning

confidence: 99%

Oral Cancer Screening in Elderly in Sao Paulo State, Brazil (2001 to 2009)

Almeida

Michel‐Crosato

Cazal

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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“…2,372, stipulated the provision of new dental equipment for OHTs, considering encouraging the reorganization of oral health care, expanding the population's access to OH promotion, prevention and recovery actions, and improving the epidemiological indices [32]. For Pucca-Junior et al [33], this determination also aimed at improving the working conditions of dentist and making oral health actions more efficient. Importantly, the federal financial incentive does not, and did not, intend to be sufficient to maintain the costs related to OH [31], with states and municipalities being responsible for the financial supplementation for the additional expenses related to the maintenance of equipment, the purchase of instruments, inputs and specific consumables [34,35], and the payment of professionals.…”

Section: Historical Development Of Brazilian Oral Health Policies Andmentioning

confidence: 99%

“…The inclusion of OHT in the FHS was an opportunity to replace the exclusive models of attention to OH [33] and improve the quality of life of the population [36]. It's actions aimed at the expansion and optimization of dental services, through the knowledge of the needs of the community where each OHT was inserted [37].…”

Section: Historical Development Of Brazilian Oral Health Policies Andmentioning

confidence: 99%

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

Colodette¹,

Moreira²,

Gomes³

et al. 2018

TOPHJ

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Objectives: The objective of this study was to review literature focused on the introduction of Brazilian oral healthcare service models, incorporation of Oral Health Teams (OHTs) within the Family Health Strategy (FHS), changes occurring in the work process of the professionals that make up OHTs, difficulties for successful implementation of this new healthcare model and impacts on indicators of oral health. Methods: A review of the literature was conducted through an electronic consultation of the Pubmed and Virtual Health Library (VHL) databases published between 2001 and 2016, using a combination of descriptors. We selected 44 studies for review. Results: Oral healthcare in Brazil evolved from exclusionary and curative models to those aimed at prevention and promotion of health. The increase in government resources dedicated to oral healthcare in Brazil represented an improvement in access to dental treatment, however, some studies demonstrated that OHTs within the FHS still operate by the traditional curative models. Conclusion: Lack of proper planning for hiring OHTs and precariousness of their work contracts were also reported. The need for better managerial planning for implementation of OHTs within the scope of the FHS was demonstrated.

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“…These studies have persistently shown regional inequalities 10 and a number of funding challenges 11,12 facing collective actions 13 . In addition, findings highlight the importance of local government in the implementation of oral health policy [14][15][16][17] .…”

Section: Introductionmentioning

confidence: 99%