Planejamento em saúde nas equipes de saúde bucal: análise do processo de trabalho e fatores associados
The dental surgeon has a broad field of action in the Family Health Strategy, but one must maintain the practices guided by the principles of basic care and SUS. In this context, among the attributions of the oral health team, health planning and the organization of the work process are mandatory...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/27023 |
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| Resumo: | The dental surgeon has a broad field of action in the Family Health Strategy, but one must
maintain the practices guided by the principles of basic care and SUS. In this context, among
the attributions of the oral health team, health planning and the organization of the work process
are mandatory and elementary management technologies to achieve a higher quality of actions
and oral health services. This study had the general objective of analyzing the practices and
factors associated with planning the actions of the oral health teams contracted by PMAQ-AB.
In this way, it is an exploratory study developed in two phases: 1st) quantitative analysis of
secondary data from the external evaluation of the 2nd cycle of the National Program for
Improving Access and Quality of Basic Care (PMAQ-AB) with the oral health teams of Brazil;
2nd) qualitative research with dental surgeons of the Family Health Strategy and health
supervisors from Rio Grande do Norte, Brazil. The first phase consisted of a multivariate
quantitative analysis with data from the Health Information Systems aggregated with
socioeconomic variables of the Atlas of Human Development in Brazil. In the second phase, an
exploratory and qualitative case study was carried out, with four municipalities in Rio Grande
do Norte, using triangulation techniques for data collection, followed by content analysis by the
Bardin method. As a result, in the factorial analysis of the first stage three components were
generated: Poverty and edentulism; Oral health care; Oral Health Team Coverage. There was a
significant difference (p<0,001) in the distribution of these components among the Brazilian
regions, this being associated (p<0,001), in the majority, to questions related to the practice of
oral health planning evaluated by PMAQ-AB, which also presented locoregional differences
(p<0,001). Regarding the case study in Rio Grande do Norte, it was verified that oral health
planning was valued in the speeches, but in practice it is still incipient and little systematized,
as well as the epidemiological surveys and the reorientation of the model of oral health care.
Despite the commitments made with PMAQ-AB, the improvements were punctual and
positively influenced by the moment of the external evaluation of the Program. In addition,
little institutional support was identified for the management, little mobilization and leadership
of professionals for the qualification of care, as well as for the strengthening of the SUS and
the reduction of health and access inequities. |
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