Análise da força de trabalho em saúde bucal no Estado do Maranhão
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFMA |
Texto Completo: | https://tedebc.ufma.br/jspui/handle/tede/tede/4380 |
Resumo: | The oral health workforce is formed by the oral health team, consisting of the dental surgeon (CD), Oral Health Technician (TSB) and Oral Health Assistant (ASB). The aim of this study was to analyze the oral health workforce at the Maranhão state, contextualizing economic, social and geographical indicators. It is a hybrid, cross-sectional study with analysis of individual primary data, with data collection carried out through questionnaires and an ecological type, whose unit of analysis was the city, with secondary data from institutional sites. The first article resulting from the study showed that the training of TSB promoted by PROFAPS through ETSUS-MA in 17 cities had a high level of satisfaction in relation to the skills common to SUS professionals and specific to the TSB, but specific skills for prevention and support clinical and dental care aimed at restoring health were evaluated in an unsatisfactory way and could be better developed. It was also possible to verify the high turnover of workers, reflecting the precariousness of the employment bond and the discontinuity of the human resources policy, evidencing the low valuation of the trained professional. The second study demonstrates the spread of dentists (DC) across the Maranhão state. Except for the Açailândia health region, the others are in accordance with the parameters of the Health Ministry of offering 1 dentist for up to 4000 inhabitants. The distribution of dentists who provide services to SUS and those who do not serve SUS is not uniform among the cities and is directly correlated to population size, PIB per capita and IDH-M impacting the quality of oral health care. Thus, we conclude that the distribution of the oral health workforce at the Maranhão state, suffers from the low appreciation of the human capital. This fact needs to be accompanied by managers in the three spheres of government and by the professional associations that represent these professional categories. |
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QUEIROZ, Rejane Christine de Sousahttp://lattes.cnpq.br/0222566094063579PINHO, Judith Rafaelle Oliveirahttp://lattes.cnpq.br/1541809941431244QUEIROZ, Rejane Christine de Sousahttp://lattes.cnpq.br/0222566094063579PINHO, Judith Rafaelle Oliveirahttp://lattes.cnpq.br/1541809941431244COSTA JÚNIOR, Sylvio dahttp://lattes.cnpq.br/0704323518468933REIS, Regimarina Soareshttp://lattes.cnpq.br/1331679734090263ALMEIDA, Cecília Cláudia Costa Ribeirohttp://lattes.cnpq.br/1783658679814263http://lattes.cnpq.br/3535147566194070DUARTE, Karlinne Maria Martins2022-12-05T16:21:24Z2022-02-21DUARTE, Karlinne Maria Martins. Análise da força de trabalho em saúde bucal no Estado do Maranhão. 2022. 107 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2022.https://tedebc.ufma.br/jspui/handle/tede/tede/4380The oral health workforce is formed by the oral health team, consisting of the dental surgeon (CD), Oral Health Technician (TSB) and Oral Health Assistant (ASB). The aim of this study was to analyze the oral health workforce at the Maranhão state, contextualizing economic, social and geographical indicators. It is a hybrid, cross-sectional study with analysis of individual primary data, with data collection carried out through questionnaires and an ecological type, whose unit of analysis was the city, with secondary data from institutional sites. The first article resulting from the study showed that the training of TSB promoted by PROFAPS through ETSUS-MA in 17 cities had a high level of satisfaction in relation to the skills common to SUS professionals and specific to the TSB, but specific skills for prevention and support clinical and dental care aimed at restoring health were evaluated in an unsatisfactory way and could be better developed. It was also possible to verify the high turnover of workers, reflecting the precariousness of the employment bond and the discontinuity of the human resources policy, evidencing the low valuation of the trained professional. The second study demonstrates the spread of dentists (DC) across the Maranhão state. Except for the Açailândia health region, the others are in accordance with the parameters of the Health Ministry of offering 1 dentist for up to 4000 inhabitants. The distribution of dentists who provide services to SUS and those who do not serve SUS is not uniform among the cities and is directly correlated to population size, PIB per capita and IDH-M impacting the quality of oral health care. Thus, we conclude that the distribution of the oral health workforce at the Maranhão state, suffers from the low appreciation of the human capital. This fact needs to be accompanied by managers in the three spheres of government and by the professional associations that represent these professional categories.A força de trabalho em saúde bucal, é formada pela equipe de saúde bucal, composta pelo cirurgião-dentista (CD), Técnico em Saúde Bucal (TSB) e Auxiliar em Saúde Bucal (ASB). O objetivo deste estudo foi analisar a força de trabalho em saúde bucal no estado do Maranhão, contextualizando indicadores econômicos, sociais e geográficos. É um estudo híbrido, do tipo transversal com análise de dados primários individuados, com coleta de dados realizada por meio de questionários e do tipo ecológico, cuja unidade de análise foi o município, com dados secundários oriundos de sítios institucionais. O primeiro artigo resultante do estudo mostrou que a formação de TSB promovido pelo PROFAPS por meio da ETSUS-MA em 17 municípios teve elevado índice de satisfação em relação as competências comuns aos profissionais do SUS e específicas do TSB, mas competências específicas de prevenção e apoio clínico-odontológico voltado para o restabelecimento da saúde foram avaliadas de forma pouco satisfatória e poderiam ser melhor desenvolvidas. Também foi possível constatar alta rotatividade dos trabalhadores, refletindo a precariedade de vínculo empregatício e descontinuidade da política de recursos humanos, evidenciando a baixa valorização do profissional capacitado. O segundo estudo demonstra o espalhamento dos cirurgiões-dentistas (CD) pelo estado do Maranhão. Exceto a região de saúde de Açailândia, as demais estão de acordo com os parâmetros do Ministério da Saúde de ofertar 1 dentista para até 4000 habitantes. A distribuição de dentistas que prestam serviços no setor público e no setor privado não é uniforme entre os municípios e está diretamente correlacionada ao porte populacional, PIB per capita e IDH-M impactando na qualidade da atenção em saúde bucal. Destarte, concluímos que a distribuição da força de trabalho em saúde bucal no estado do Maranhão, sofre com a baixa valorização do capital humano. Este fato precisa ser acompanhado por gestores nas três esferas de governos e pelas entidades de classe que representam estas categorias profissionais.Submitted by Jonathan Sousa de Almeida (jonathan.sousa@ufma.br) on 2022-12-05T16:21:23Z No. of bitstreams: 1 KARLINNEMARIAMARTINSDUARTE.pdf: 225481 bytes, checksum: b2545386dcec6afd77c3ef8d78beee29 (MD5)Made available in DSpace on 2022-12-05T16:21:24Z (GMT). No. of bitstreams: 1 KARLINNEMARIAMARTINSDUARTE.pdf: 225481 bytes, checksum: b2545386dcec6afd77c3ef8d78beee29 (MD5) Previous issue date: 2022-02-21FAPEMAapplication/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBSUFMABrasilDEPARTAMENTO DE SAÚDE PÚBLICA/CCBSRecursos Humanos em Odontologia;Serviços de Saúde Bucal;Planejamento em Saúde.Dental Staff;Health Services;Dental Health Services;Health Planning.OdontologiaAnálise da força de trabalho em saúde bucal no Estado do MaranhãoAnalysis of the oral health workforce in Maranhão StateDocumento sob sigilo. Prazo provável para disponibilização total: 21/02/2023. Motivo do sigilo: publicação de artigo.info:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALKARLINNEMARIAMARTINSDUARTE.pdfKARLINNEMARIAMARTINSDUARTE.pdfapplication/pdf225481http://tedebc.ufma.br:8080/bitstream/tede/4380/2/KARLINNEMARIAMARTINSDUARTE.pdfb2545386dcec6afd77c3ef8d78beee29MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82255http://tedebc.ufma.br:8080/bitstream/tede/4380/1/license.txt97eeade1fce43278e63fe063657f8083MD51tede/43802023-05-17 13:56:49.224oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttps://tedebc.ufma.br/jspui/PUBhttp://tedebc.ufma.br:8080/oai/requestrepositorio@ufma.br||repositorio@ufma.bropendoar:21312023-05-17T16:56:49Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA)false |
dc.title.por.fl_str_mv |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
dc.title.alternative.eng.fl_str_mv |
Analysis of the oral health workforce in Maranhão State |
title |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
spellingShingle |
Análise da força de trabalho em saúde bucal no Estado do Maranhão DUARTE, Karlinne Maria Martins Recursos Humanos em Odontologia; Serviços de Saúde Bucal; Planejamento em Saúde. Dental Staff; Health Services; Dental Health Services; Health Planning. Odontologia |
title_short |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
title_full |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
title_fullStr |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
title_full_unstemmed |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
title_sort |
Análise da força de trabalho em saúde bucal no Estado do Maranhão |
author |
DUARTE, Karlinne Maria Martins |
author_facet |
DUARTE, Karlinne Maria Martins |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
QUEIROZ, Rejane Christine de Sousa |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0222566094063579 |
dc.contributor.advisor-co1.fl_str_mv |
PINHO, Judith Rafaelle Oliveira |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1541809941431244 |
dc.contributor.referee1.fl_str_mv |
QUEIROZ, Rejane Christine de Sousa |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0222566094063579 |
dc.contributor.referee2.fl_str_mv |
PINHO, Judith Rafaelle Oliveira |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/1541809941431244 |
dc.contributor.referee3.fl_str_mv |
COSTA JÚNIOR, Sylvio da |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/0704323518468933 |
dc.contributor.referee4.fl_str_mv |
REIS, Regimarina Soares |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/1331679734090263 |
dc.contributor.referee5.fl_str_mv |
ALMEIDA, Cecília Cláudia Costa Ribeiro |
dc.contributor.referee5Lattes.fl_str_mv |
http://lattes.cnpq.br/1783658679814263 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3535147566194070 |
dc.contributor.author.fl_str_mv |
DUARTE, Karlinne Maria Martins |
contributor_str_mv |
QUEIROZ, Rejane Christine de Sousa PINHO, Judith Rafaelle Oliveira QUEIROZ, Rejane Christine de Sousa PINHO, Judith Rafaelle Oliveira COSTA JÚNIOR, Sylvio da REIS, Regimarina Soares ALMEIDA, Cecília Cláudia Costa Ribeiro |
dc.subject.por.fl_str_mv |
Recursos Humanos em Odontologia; Serviços de Saúde Bucal; Planejamento em Saúde. |
topic |
Recursos Humanos em Odontologia; Serviços de Saúde Bucal; Planejamento em Saúde. Dental Staff; Health Services; Dental Health Services; Health Planning. Odontologia |
dc.subject.eng.fl_str_mv |
Dental Staff; Health Services; Dental Health Services; Health Planning. |
dc.subject.cnpq.fl_str_mv |
Odontologia |
description |
The oral health workforce is formed by the oral health team, consisting of the dental surgeon (CD), Oral Health Technician (TSB) and Oral Health Assistant (ASB). The aim of this study was to analyze the oral health workforce at the Maranhão state, contextualizing economic, social and geographical indicators. It is a hybrid, cross-sectional study with analysis of individual primary data, with data collection carried out through questionnaires and an ecological type, whose unit of analysis was the city, with secondary data from institutional sites. The first article resulting from the study showed that the training of TSB promoted by PROFAPS through ETSUS-MA in 17 cities had a high level of satisfaction in relation to the skills common to SUS professionals and specific to the TSB, but specific skills for prevention and support clinical and dental care aimed at restoring health were evaluated in an unsatisfactory way and could be better developed. It was also possible to verify the high turnover of workers, reflecting the precariousness of the employment bond and the discontinuity of the human resources policy, evidencing the low valuation of the trained professional. The second study demonstrates the spread of dentists (DC) across the Maranhão state. Except for the Açailândia health region, the others are in accordance with the parameters of the Health Ministry of offering 1 dentist for up to 4000 inhabitants. The distribution of dentists who provide services to SUS and those who do not serve SUS is not uniform among the cities and is directly correlated to population size, PIB per capita and IDH-M impacting the quality of oral health care. Thus, we conclude that the distribution of the oral health workforce at the Maranhão state, suffers from the low appreciation of the human capital. This fact needs to be accompanied by managers in the three spheres of government and by the professional associations that represent these professional categories. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-12-05T16:21:24Z |
dc.date.issued.fl_str_mv |
2022-02-21 |
dc.type.driver.fl_str_mv |
Documento sob sigilo. Prazo provável para disponibilização total: 21/02/2023. Motivo do sigilo: publicação de artigo. info:eu-repo/semantics/doctoralThesis |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
DUARTE, Karlinne Maria Martins. Análise da força de trabalho em saúde bucal no Estado do Maranhão. 2022. 107 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2022. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/tede/4380 |
identifier_str_mv |
DUARTE, Karlinne Maria Martins. Análise da força de trabalho em saúde bucal no Estado do Maranhão. 2022. 107 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2022. |
url |
https://tedebc.ufma.br/jspui/handle/tede/tede/4380 |
dc.language.iso.fl_str_mv |
por |
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por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
dc.publisher.program.fl_str_mv |
PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBS |
dc.publisher.initials.fl_str_mv |
UFMA |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
DEPARTAMENTO DE SAÚDE PÚBLICA/CCBS |
publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
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