Mercantilização da Saúde e a expansão dos serviços privados odontológicos frente ao processo de universalização da saúde

• Autor(a) principal: Novaes, Izabel Maia
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/15926
• topic: Unified Health System; Public Health Policies; Acces to Health Care; Health Privatization; Alagoas; Sistema Único de Saúde; Políticas Públicas de Saúde; Acesso aos Serviços de Saúde; Privatização da Saúde; Alagoas; Saúde bucal Alagoas; Serviços de saúde bucal Alagoas; Programa Brasil Sorridente; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

This thesis intends to analyze the commercialisation of health care before the expansion of private dental care plans in Alagoas, taking as object of study the process of universalization of the access to oral health, considering the guidelines of the National Oral Health Policy. It is a documental, analytical, observational, exploratory research of literature review, with both qualitative and quantitative approach. Many aspects related to its implementation and development were analyzed and a succint approach of the geographical and historical situation of the estate of Alagoas was made, as well as of the situation of its social and economical development. In regard to the implementation of the Oral Health Policy in the estate, this thesis approached the factors related to Basic Health Care Attention and its repercussions in scope of Oral Health. When considering the condition of access to dental care services in Alagoas, the references were the results of the Epidemiological Rate present in the Final Reports of Epidemiological Survey in Oral Health SB BRASIL 2003 and 2010 and the data of the Brazilian National Household Sampling Survey (PNAD) 2008 and 2013, as well as the Populational Coverage by Oral Health teams indexes (ESB) from 2002 to 2016, related to two macroregions of health care, Maceió and Arapiraca. It was also made an analysis of the oral health indicators agreed between 2007 and 2016 e the financial allocations of the Health Ministry for Basic Health Care and Medium Complexity in Oral Care in Alagoas from 2002 to 2016. It was studied the matter of Supplementary Odontology in Alagoas considering the evolution in the number of beneficiaries in exclusively dental care plans from 2001 to 2017, its geographical distribution; the larger concentration of operators dedicated exclusively to dental care; most searched for dental specialties; means of payment, as well as the means of advertising and advertising artifacts (excessive and irregular advertising) used by the plans to attract customers. From the data raised, one could verify that through the implementation of the National Oral Health Policy, the inclusion of oral health teams in the Family Health Strategy was made viable, with a significant increase throughout the years, encouraged by the accession to the program Smiling Brazil, which allowed a larger covering of oral health attention, amplifying its operational area through the Centers of Dental Specialties and the Regionals Laboratories of Dental Prosthesis, with teams in every city of the estate of Alagoas. One can observe, however, that the Indicators of Oral Health coverage in Family Health Strategy are very low, not reaching all of the population, especially in Maceió, which demonstrates the fragility not only of Basic Health Care Attention but also Medium Complexity Attention. It was also found that in Alagoas there is a strong tendency towards the privatization of oral health, due to the expansion of exclusively dental care private plans which presents a challenge to organized society, in defense of the universal access to public oral health, free of charges and of quality. It is thus clear, the importance of the participation of the population of Alagoas in the social control of oral health.