O escopo da prática do cirurgião-dentista na atenção primária em saúde: estudo de caso na região metropolitana de Manaus - AM

• Autor(a) principal: Passos, Shirley Maria de Araújo
• Data de Publicação: 2019
• 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/1/4493
• topic: Oral health; Health manpower; Employment; Primary health care; Professional Practice; Saúde bucal; Recursos humanos em saúde; Força de trabalho; Atenção primária em saúde; Prática profissional; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The Ministry of Health established the financial incentive to include oral health teams in the Family Health Program, resulting in a major expansion of oral health teams in Brazil. With the implementation of the National Curricular Guidelines in Dentistry in 2002, several paradigm changes were proposed in the training of the professional dental surgeon. In this context, this thesis aimed to analyze the scope of the oral health team practice in primary health care, based on graduation and attributions in the Family Health Strategy of the Metropolitan Region of Manaus, Amazonas. The field research was carried out through the application of a questionnaire and interviews to dental surgeons, from July 2017 to May 2018. The interviews were recorded and performed based on the semi-structured questionnaire with 19 divided questions, in blocks, relative to the characterization of the work, scope of practice in the primary health care, scope of practice of the oral health team, and the demographic characteristics of the interviewees. Quantitative data were analyzed statistically and qualitative data were analyzed. A total of 129 dentists, predominantly female, with a median age of 38 years, were the majority Brazilian, with natural amazonense. Most respondents have more than 10 years of training, graduating from public schools in the State of Amazonas, of which 56.6% have a specialist degree, having been working for more than 5 years in the APS. It was found that all dentists in the capital are statutory. 60% of dental surgeons stated that they learned to perform most of the procedures in the undergraduate course and that they could perform more procedures if they had available materials and adequate infrastructure. The dentists in the capital evaluated access to specialty services as "good", and those of other municipalities as "bad", justifying the absence of a Center for Dental Specialties in these municipalities. The dentists agreed that they could delegate to the Oral Health Technician 17 of the 27 procedures performed by a dental surgeon in primary health care. Most oral health teams are organized in modality I. Oral health technicians in the metropolitan region of Manaus act as assistant assistants in oral health. The scope of professional practice of the dentists that are being studied is consistent with their professional training. In order to better qualify the practice of dentistry in SUS, it is essential that in addition to ongoing efforts in the field of work management, training and lifelong education, there is a greater commitment of municipal management in planning urban context, as in the rural, aiming at the integrality of health care.