Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Abstract

Resumo O objetivo desse estudo foi analisar, por meio de uma revisão integrativa da literatura, os possíveis impactos das crises financeiras sobre os indicadores de saúde bucal em diferentes países, bem como verificar as medidas adotadas de forma a traçar um paralelo com a realidade brasileira. Uma busca de artigos que atendessem a estes critérios foi realizada nas bases PUBMED, EMBASE, Lilacs, SCOPUS e também na literatura cinzenta. Ao final, nove estudos foram incluídos. Os resultados indicam que a população em maior vulnerabilidade, menor renda e menor escolaridade são as mais afetadas, independentemente do indicador avaliado (cárie dentária não tratada, acesso aos serviços de Atenção Odontológica e hábitos de higiene). Quando medidas protetivas com alocação de recursos financeiras foram tomadas, as disparidades diminuíram. Concluiu-se que, frente às crises econômicas, a saúde bucal passa a não ser prioridade enquanto centro nucleador de políticas, o que impacta o acesso ao cuidado dos estratos sociais menos favorecidos.

The concept of dental vulnerability in Brazil

“…The items income and access to information on oral health are in line with the literature, where economic crises reduce social protection and resources, changing social determinants and population health conditions (Probst et al, 2019). The low socioeconomic conditions are related to higher risks of oral health morbidities, justifying being considered in dental vulnerability (Verlinden, Reijneveld, Lanting, Van Wouwe, & Schuller, 2019).…”

Processo de trabalho em saúde bucal: disparidade entre as equipes no Brasil, 2014

“…Brazil has experienced restrictions in resources intended for Oral Health, in addition to the discontinuity of evaluation processes and changes in health service funding model, with negative impacts on the access and quality indicators of these services. 30 The current context and its effects need to be revealed by permanent monitoring and evaluation of service quality.…”

Inter-examiner agreement in the application of an oral health assessment instrument in hospitalized elderly

“…Moreover, we notice the presence of edentulism, the meaning of which is the partial or total loss of permanent teeth due to mutilating practices that occur subsequently to periodontal problems. We consider it as one of the main injuries in oral health and an important public health concern, given its high prevalence in the elderly, since approximately half of this population is edentulous, which constitutes a limitation in the masticatory function and in losses of aesthetic order (8)(9)(11)(12)(13)(14)(15)(16)(17) .…”

“…For the maintenance of oral health in elderly individuals, there are three guiding factors: oral assessment, regular oral hygiene and dental treatment. However, when they are hospitalized, these patients represent a risk group, with respect to highly complex oral changes, resulting from inadequate care, which may occur due to lack of self-perception of oral health; limitations in maintaining adequate oral hygiene; the nonexistence of a daily care routine spent by the nursing professional; the absence of a dental surgeon (DS) expert in hospital units; due to lack of resources for care provided; and the absence of trained and qualified personnel to assess oral health, since nursing professionals, in addition to not having complete training to substantiate the care practices with the oral hygiene of the elderly in a scientifically technical way, , there is lack of protocols for assessments that could be used by the nursing team (13,(18)(19)(20)(21) .…”