1986/2012 - Referência e Contra-Referência na Atenção Secundária em Odontologia em Campinas, SP, Brasil. Reference and counter-reference in Specialized Dental Health Procedures in Campinas, SP, Brazil.
• Eduardo de Sant´Anna Vítor - Vitor, E.S. - Faculdade de Odontologia de Piracicaba, Unicamp - <eduardo.vitor@ig.com.br>
• Luciane Miranda Guerra - Guerra,LM - Faculdade de Odontologia de Piracicaba, Unicamp - <aleoulu@terra.com.br>
• Fabiana de Lima Vazquez - Vazquez, F.L. - Faculdade de Odontologia de Piracicaba, Unicamp - <fabilivazquez@gmail.com>
Área Temática:
Saúde Bucal
Resumo:
Objetivo: Avaliar o referenciamento da demanda de atenção especializada em saúde bucal em Campinas em relação a distribuição da oferta e influência de variáveis socioeconômicas, além de percepção e informações dos usuários sobre à contra-referência. Métodos: Estudo observacional exploratório, selecionando duas Regiões Administrativas de Saúde (RAS): uma com Centro de Especialidades Odontológicas (CEO), e outra sem CEO, dividido em 2 fases: 1) todos os encaminhamentos para atenção secundária foram coletados de todas as equipes de Saúde Bucal, além de dados populacionais, sócio-econômicos e distribuição dos encaminhamentos; 2) entrevista com 331 usuários, verificando-se a contra-referência, qualidade de atendimento e razões para faltas ou desistências. Resultados: Houve discrepâncias na distribuição por especialidades e nos coeficientes de tratamentos especializados por população nas RAS. As variáveis % de responsáveis com renda até 2 salários mínimos e média de número de anos estudados foram estatisticamente correlacionadas (p<0,05) com os coeficientes de tratamentos totais e de endodontia por população em uma RAS. Em relação à contra referência, a maioria dos usuários realizou os tratamentos especializados, qualificaram o atendimento como bom e esperou menos de 1 mês para o agendamento. As principais justificativas para falta ou abandono foram: falta de tempo, problemas particu
Palavras-chave:
saúde bucal
acesso aos serviços de saúde
equidade
Abstract:
Objective: To evaluate the reference for secondary care in oral health, the distribution of treatment and socioeconomic and perception of users in relation to counter-reference in the city of Campinas. Methods: Observational study exploratory, selecting two Health Administrative Regions (SAR) with Southwest Center for Dental Specialties (CEO) and North (not CEO) and has two phases: P1 - all referrals to secondary care were collected from all Oral Health teams (23 health centers) as well as population data, socio-economic and distribution of referrals. In P2, 331 were randomly selected for interviews by phone users, where counter-reference, quality of service and reasons for absences or withdrawals were evaluated. Results: There were discrepancies in relation to distribution coefficients for specialized treatments per 100 inhabitants in the two RAS. Two socioeconomic variables:% responsible with incomes up to 2 minimum wages and average number of years studied, were statistically correlated (p <0.05) with the coefficients of specialized treatment and endodontics total per population in the North. Regarding the counter-reference, the majority of users performed the specialized treatments, were well attended, and waited less than one month to the schedule. Main reasons for absence or withdrawal were: lack of time, personal problems or are looking for private dentist. Conclusions:
Reference and counter-reference in Specialized Dental Health Procedures in Campinas, SP, Brazil.
Resumo (abstract):
Objective: To evaluate the reference for secondary care in oral health, the distribution of treatment and socioeconomic and perception of users in relation to counter-reference in the city of Campinas. Methods: Observational study exploratory, selecting two Health Administrative Regions (SAR) with Southwest Center for Dental Specialties (CEO) and North (not CEO) and has two phases: P1 - all referrals to secondary care were collected from all Oral Health teams (23 health centers) as well as population data, socio-economic and distribution of referrals. In P2, 331 were randomly selected for interviews by phone users, where counter-reference, quality of service and reasons for absences or withdrawals were evaluated. Results: There were discrepancies in relation to distribution coefficients for specialized treatments per 100 inhabitants in the two RAS. Two socioeconomic variables:% responsible with incomes up to 2 minimum wages and average number of years studied, were statistically correlated (p <0.05) with the coefficients of specialized treatment and endodontics total per population in the North. Regarding the counter-reference, the majority of users performed the specialized treatments, were well attended, and waited less than one month to the schedule. Main reasons for absence or withdrawal were: lack of time, personal problems or are looking for private dentist. Conclusions:
