Acesso à saúde bucal na atenção primária no estado de Goiás

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Universidade Federal de Goiás


Introduction: Access to dental services offered to the population, as well as their quality, is a major challenge for the Public Oral Health in Brazil . The primary care plays a key role in trying to universal access with equity within a comprehensive perspective of health, because it acts in various sizes, from actions of promotion and prevention following the treatment of the main oral diseases. Objective: Analyze the access to oral health services in primary health care in Goiás from the external evaluation of the program Improving Access and Quality. Methodology: Descriptive cross-sectional, which selected information were generated from the national basis of the database of the external evaluation of the program Improving Access and Quality of Primary Care (PMAQ-AB). The study sample consisted of the 712 Basic Health Units (UBS) of the 246 municipalities in the state of Goiás who joined the PMAQ-AB (a 1216 UBS universe) and the 677 professionals who answered the interviews of the module II. Data collection occurred between July and September 2012 through a structured instrument, standardized, previously validated. For analysis, the data was sent to a bank of the Ministry of Health, through the use tablets and via an internet network. After sending these data were stored and grouped into modules I, II and III. Statistical analysis was performed using the software Statistical Package of Social Sciences - SPSS version 19.0. The study met the ethical and legal aspects recommended by Resolution 466/2012.Results: It was found that most teams- schedule consultations in oral health any day and any time of the week, and in the cities of smaller population size this characteristic is more present. Welcoming the specific spontaneous demand for oral health is performed by 63% of pesquisa¬das teams, but almost half of them do not use any protocol. The security agenda for Oral Health Team for continuing user trata¬mento who started their treatment is reported by 72.3% of respondentspro¬fissionais. The assessment of risk and vulnerability in the first service is held by 70.6% of respondents, while 67.3% report that the supply of vacancies is defined according to the identified risk and 40.9% of the teams have protocol that defines flow to care for people with special needs. Carrying out surveillance activities in oral health related to campaigns for detection of oral lesions and referral of cancer suspected cases is done by 56.1% of respondents teams while 44.2% carry out the registration and monitoring of suspected / confirmed of oral cancer. Conclusions: This study showed that better planning should be done in primary care the state of Goiás , to ensure access to oral health care as an effective gateway to the SUS. It was also possible to see that there is an association between population size and access to oral health services , and in smaller municipalities there is less difficulty the population to enter the network care.



VIDIGAL, Frederico França. Acesso à saúde bucal na atenção primária no estado de Goiás. 2015. 64 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.