0321/2017 - Atenção primária à saúde bucal no Brasil: Processo de trabalho das equipes de saúde bucal. Primary dental care in Brazil: Work process of oral health teams.
A garantia de atenção odontológica passa pelo desenvolvimento de práticas pautadas na vigilância em saúde, a fim de concretizar a integralidade. Objetivou-se avaliar a associação entre aspectos contextuais dos municípios brasileiros, características do processo de trabalho e a realização de um rol de procedimentos odontológicos curativos pelas equipes de saúde bucal (ESB). Trata-se de estudo exploratório transversal cuja coleta multicêntrica de dados se deu em 11.374 ESB avaliadas pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Foi empregada regressão de Poisson multinível para obtenção da prevalência de realização de procedimentos odontológicos curativos, que foi 69,51% (7.906/11.374; IC95% 68,66-70,35). As variáveis contextuais e da equipe de saúde que se mantiveram associadas ao desfecho incluíram municípios cuja proporção de internações sensíveis à atenção básica foi menor que 28% e cuja proporção de exodontias foi menor que 8%; bem como ESB de modalidade II que tinham à disposição materiais, insumos e melhores processos de trabalho. Esta análise multinível, que considera o desempenho da atenção odontológica curativa no Brasil, aponta para um cenário de atenção odontológica preocupante.
Palavras-chave:
Avaliação de Serviços de Saúde; Serviços de Saúde Bucal; Odontologia em Saúde Pública; Qualidade, Acesso e Avaliação da Assistência à Saúde
Abstract:
Ensuring access to dental care services requires the development of health surveillance practices, so as to achieve comprehensive health care. The objective of this study was to investigate the association between social and economic indicators of Brazilian municipalities, work process characteristics, and performance of a list of curative dental procedures by oral health teams. This was an exploratory, cross-sectional study with multicenter data collection at 11,374 oral health teams assessed by the National Program for Improvement of Access and Quality of Primary Health Care. Multilevel Poisson regression was used to obtain the prevalence of curative dental procedures, which was 69.51% (7,906/11,374; 95%CI 68.66-70.35). The social/economic and work variables that remained associated with the outcome included municipalities in which the proportion of primary care-sensitive admissions was below 28% and that of tooth extractions, below 8%; and oral health teams classified as type II (including oral health assistant and technician), those that had different materials available, and had better work processes. This multilevel analysis, which took into consideration the performance of curative dental care in Brazil, reveals a serious, worrying scenario.
Keywords:
Health Services Evaluation; Dental Health Services; Public Health Dentistry; Health Care Quality, Access, and Evaluation.
Primary dental care in Brazil: Work process of oral health teams.
Resumo (abstract):
Ensuring access to dental care services requires the development of health surveillance practices, so as to achieve comprehensive health care. The objective of this study was to investigate the association between social and economic indicators of Brazilian municipalities, work process characteristics, and performance of a list of curative dental procedures by oral health teams. This was an exploratory, cross-sectional study with multicenter data collection at 11,374 oral health teams assessed by the National Program for Improvement of Access and Quality of Primary Health Care. Multilevel Poisson regression was used to obtain the prevalence of curative dental procedures, which was 69.51% (7,906/11,374; 95%CI 68.66-70.35). The social/economic and work variables that remained associated with the outcome included municipalities in which the proportion of primary care-sensitive admissions was below 28% and that of tooth extractions, below 8%; and oral health teams classified as type II (including oral health assistant and technician), those that had different materials available, and had better work processes. This multilevel analysis, which took into consideration the performance of curative dental care in Brazil, reveals a serious, worrying scenario.
Palavras-chave (keywords):
Health Services Evaluation; Dental Health Services; Public Health Dentistry; Health Care Quality, Access, and Evaluation.
Neves, M., Giordani, JMA, Hugo, Fernando Neves. Atenção primária à saúde bucal no Brasil: Processo de trabalho das equipes de saúde bucal.. Cien Saude Colet [periódico na internet] (2017/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atencao-primaria-a-saude-bucal-no-brasil-processo-de-trabalho-das-equipes-de-saude-bucal/16373?id=16373
