A média complexidade no quadro da Política Nacional de Saúde Bucal: uma abordagem do seu processo de desenvolvimento em uma perspectiva regional

• Autor(a) principal: Fortuna, Renata Ferraiolo Peixoto
• Data de Publicação: 2011
• 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/1/4557
• topic: National Oral Health Policy; Regionalization of medium complexity; Specialized Dental Centers; Regional Laboratories of Dental Prostheses; Unified Health System; Política Nacional de Saúde Bucal; Regionalização da média complexidade; Centros de Especialidades Odontológicas; Laboratórios Regionais de Próteses Dentárias; Sistema Único de Saúde (Brasil); CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

This thesis analyzes the process of regionalization of medium complexity actions and the supply of dental prostheses in the National Oral Health Policy (PNSB). Two main surveys were made for the understanding of this process: the first was aimed at describing the offer of specialized actions and dental prostheses according to the Regionalization Master Plans (PDR) in 27 federal units of the country. The second study examined the coverage by Oral Health Teams (ESBs) in the Family Health Strategy (ESF) and the distribution of 844 Specialized Dental Centers (CEOs) of 526 Regional Laboratories of Dental Prostheses (LRPDs) deployed by September 2010 in the Brazilian health regions in 27 states. These surveys showed that: the PDRs, in the vast majority of Brazilian states, have not contributed to the organization of regionalized distribution of CEOs and LRPDs in Brazil. Coverage by ESBs is heterogeneous, mostly in the Northeastern Region and in small towns, at the expense of the capital and the Southern and Southeastern states. Regarding the distribution of CEO and LRPD units by health regions, the survey showed that the normative criteria for the selection of municipalities to settle these units have been precariously completed in most of the country. Moreover, the distribution of those units is not consistent with the regionalization principles provided by the SUS Management Pact.