Avaliação da infraestrutura dos serviços de saúde bucal na atenção primária por meio da avaliação externa do PMAQ-AB, no Brasil

• Ano de defesa: 2017
• Autor(a) principal: Joyce Lopes
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Proposta de Concorrência; Saúde Bucal; Infraestrutura Sanitária; Atenção Primária em Saúde; Instrumentos Odontológicos; Estratégia Saúde da Família; Saúde bucal; Atenção primária à saúde; Infraestrutura sanitária; Instrumentos odontológicos; Serviços de saúde bucal; Proposta de concorrência
• Link de acesso: http://hdl.handle.net/1843/ODON-B3GJWJ

The Family Health Strategy (FHS) aims to reorient the work process of the teams in the Unified Health System (UHS). The inclusion of oral health in FHS can be considered a step towards the integrality of the actions and represented the initial step for the expansion of the provision of public services in the area. With the adoption of FHS as a model of assistance chosen to reorganize the actions in primary health care, it is necessary to evaluate and monitor the results achieved in relation to the organization and possible impacts produced in the health of the populations. Faced with this context, the Ministry of Health (MS) launched in 2011, the National Program for improvement of access and quality of basic attention (PMAQ-AB). The program seeks to induce the institution of evaluation processes in the routine of employees and managers of the UHS, as well as broaden access to primary attention with quality assurances. The objective of this study was to characterize the structure of oral health services in Brazil's primary attention relative to the available dental instruments, based on the data of the PMAQ-AB, and to compare the quantity of instruments with some characteristics of organization of oral health services and the Brazilian macroregions. For this, trained researchers observed the structure of health services, identifying the presence and sufficient quantity of 36 dental instruments. The score of each oral health service was the sum of the number of dental instruments present in sufficient quantity (from zero to 36). Central tendency measures were compared along with the variability in these scores according to the organizational characteristics of the services and according to the Brazilian macroregion. No instrument was found to be present in all evaluated services. Basic, surgical and restorative instruments were the most frequently found. Periodontal, endodontic and prosthetic instruments exhibited the lowest percentages.The mean and media numbers of the dental instruments were higher for teams that operated over more shifts, those with an oral health technician and those in the South and Southeast regions.The oral health services were equipped with basic, surgical and restorative dental instruments. Periodontal diagnostic instruments, emergency care and denture rehabilitation were less frequently found in these establishments. The worst infrastructure conditions have existed in the OHTs with the worst forms of care organization and in regions with greater social challenges. Technical product of this dissertation, an integral part of a book produced in e-book format by the Professional Masters class. The evolution of oral health financing and the bidding process for the purchase of materials for the dental service, highlighting the stages of the procedure and its peculiarities, aiming to provide the administrators with the acquisition of goods with better conditions of quality and price.