Impacto da estratégia saúde da família com equipe de saúde bucal sobre indicadores de saúde bucal: análise em municípios do nordeste com mais de 100 mil habitantes
This study examined in municipalities of Northeast of Brazil with more than one hundred thousand people who incorporation of Oral Health Teams (OHT) into the Family Health Strategy (FHE) the possible impact on oral health indicators. Sought to answer whether implementation OHT brought the best in...
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| Formato: | doctoralThesis |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/13212 |
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| Resumo: | This study examined in municipalities of Northeast of Brazil with more than one
hundred thousand people who incorporation of Oral Health Teams (OHT) into the
Family Health Strategy (FHE) the possible impact on oral health indicators. Sought to
answer whether implementation OHT brought the best indicators of health problems
and coverage, compared to areas without coverage by the FHE through a community
trial in parallel, quasi-randomized. In each of the municipalities surveyed were 20
census tracts, 10 were located in areas covered by oral health teams in the ESF and
10 industries in areas not covered. The final sample consisted of 59.221 individuals.
We compared oral health indicators related to health problems, access to services
and coverage of oral health actions. The analysis strategy was based on the
calculation of prevalence ratios and confidence intervals, adjusted for confounding
factors through Poisson regression with robust variance. It also has measured the
association between an indicator of social inequality for comparison between areas.
The best results are associated with indicators of access and coverage of oral health
actions at the expense of the indicators of health problems, suggesting a possible
maintenance of a traditional model of practice yet. The results also suggest a
possible effect of a specific policy in the area of primary care on inequality in access.
From the discussions presented throughout this work, we can see that the impact
analysis of public policy, obtained by comparing areas with and without the
intervention, not only captures the effect on the target population, but other
dimensions of organization service and therefore should be understood as one of the
analytical possibilities related to the management |
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