Tempos de espera baseados em evidências são cruciais para o acesso equitativo aos serviços de saúde. Matrizes desenhadas para orientar o fornecimento oportuno de cuidado odontológico podem guiar a alocação equitativa de recursos humanos na rede básica de saúde. No entanto, esse tipo de matriz não foi encontrado na literatura. O objetivo do estudo foi demonstrar validade de face com uma nova matriz destinada a maximizar a equidade nos sistemas de agendamento odontológico. O estudo foi realizado em 2014, no qual participaram 11 dentistas com experiência de trabalho na rede básica de saúde da região sul do Brasil, utilizando a técnica de grupo de consenso em três rodadas de discussão. Primeiro, os participantes chegaram ao consenso quanto aos itens que deveriam estar presentes em uma escala de classificação diagnóstica de 5 níveis. Identificaram 21 condições clínicas de saúde bucal e as categorizaram conforme a intervenção necessária. A seguir, os participantes descreveram as cargas de trabalho e os padrões de atividade recomendados para a equipe odontológica realizar promoção da saúde, prevenção de doenças bucais, tratamento odontológico, reabilitação dentária, e atendimento odontológico de urgência. Por último, os dentistas chegaram ao consenso sobre tempos máximos de espera para atendimento odontológico na rede básica, estabelecendo prazos de 2 até 365 dias conforme a classific
Palavras-chave:
Equidade em Saúde. Alocação de Recursos em Saúde. Saúde Bucal
Abstract:
Evidence-based waiting times are a crucial element to achieve equity of access to health services. Frameworks tailored for timely provision of primary dental care may support equitable allocation of dental staff. However, such frameworks were not found in the literature. The objective of this study was to demonstrate face validity with a novel resource allocation framework designed to maximize equity into dental booking systems. The study was carried out in 2014. Eleven experts in primary dental care practice in Southern Brazil participated, using a three-round consensus group technique. First, the experts reached consensus on the items to be included in a 5-level diagnostic scale. They identified 21 clinical conditions and categorized them according to the oral health intervention required. Then, they described workload and activity standards for dental staff to carry out health promotion, oral disease prevention, dental treatment, dental rehabilitation, and urgent dental care. Finally, they agreed upon a set of wait times for primary dental care, establishing maximum waits2 to 365 days, according to the diagnostic classification. Face validity was established for this resource allocation framework, on the basis of expert input. The framework demonstrated potential ability to promote more equitable access to primary dental services, since equal diagnostic classifications
Keywords:
Health Equity. Resource Allocation. Health Care Rationing. Oral health
Equidade de Acesso à Atenção Básica em Saúde Bucal.
Resumo (abstract):
Evidence-based waiting times are a crucial element to achieve equity of access to health services. Frameworks tailored for timely provision of primary dental care may support equitable allocation of dental staff. However, such frameworks were not found in the literature. The objective of this study was to demonstrate face validity with a novel resource allocation framework designed to maximize equity into dental booking systems. The study was carried out in 2014. Eleven experts in primary dental care practice in Southern Brazil participated, using a three-round consensus group technique. First, the experts reached consensus on the items to be included in a 5-level diagnostic scale. They identified 21 clinical conditions and categorized them according to the oral health intervention required. Then, they described workload and activity standards for dental staff to carry out health promotion, oral disease prevention, dental treatment, dental rehabilitation, and urgent dental care. Finally, they agreed upon a set of wait times for primary dental care, establishing maximum waits2 to 365 days, according to the diagnostic classification. Face validity was established for this resource allocation framework, on the basis of expert input. The framework demonstrated potential ability to promote more equitable access to primary dental services, since equal diagnostic classifications
Palavras-chave (keywords):
Health Equity. Resource Allocation. Health Care Rationing. Oral health
Antunes, DS, Naidoo, S, Myburgh, N, Hilgert, J.B., Fisher, PD, Hugo, F.N. A Framework for Equity Access to Primary Dental Care.. Cien Saude Colet [periódico na internet] (2019/fev). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-framework-for-equity-access-to-primary-dental-care/17092?id=17092&id=17092
