Structural characteristics of oral health services in brazilian primary health care

Detalhes bibliográficos
Autor(a) principal: Maria Tereza de Abreu Scalzo
Data de Publicação: 2021
Outros Autores: Antonio Thomaz Gonzaga da Matta Machado, Mauro Henrique Nogueira Guimarães de Abreu, Renata de Castro Martins
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1590/1807-3107bor-2021.vol35.0023
http://hdl.handle.net/1843/58527
http://orcid.org/0000-0001-9081-6297
http://orcid.org/0000-0002-0516-8529
http://orcid.org/0000-0001-8794-5725
http://orcid.org/0000-0002-8911-0040
Resumo: This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the ‘National Program for Improving Access and Quality of Primary Care’ (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.
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spelling 2023-09-06T20:17:13Z2023-09-06T20:17:13Z202135https://doi.org/10.1590/1807-3107bor-2021.vol35.00231807-3107http://hdl.handle.net/1843/58527http://orcid.org/0000-0001-9081-6297http://orcid.org/0000-0002-0516-8529http://orcid.org/0000-0001-8794-5725http://orcid.org/0000-0002-8911-0040This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the ‘National Program for Improving Access and Quality of Primary Care’ (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.Este estudo teve como objetivo descrever a estrutura dos serviços de saúde bucal na atenção primária à saúde no Brasil com centros participantes do segundo ciclo do 'Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica' (PMAQ-AB), o maior programa de avaliação de serviços de saúde já instituído no país. Este estudo transversal avaliou 16.202 serviços de saúde bucal, sendo 22 equipamentos odontológicos e 25 insumos odontológicos. A presença de cada equipamento/material odontológico gerou pontuação para os serviços. A soma dessas pontuações foi comparada entre diferentes regiões do Brasil. Os dados quantitativos foram descritos por quartis e os categóricos por frequências, utilizando o SPSS, versão 25. A maioria dos centros avaliados apresentava equipamentos adequados, em boas condições de uso e insumos odontológicos suficientes para a atenção primária à saúde bucal. Os dados também mostraram falta de alguns equipamentos, como raios X, jato de bicarbonato e aparelhos de ultrassom, enquanto para materiais odontológicos foi constatada falta de amálgama (cápsula e preparo manual), anestesia sem vasoconstritores e medicação intracanal. Os serviços apresentaram mediana de 14 equipamentos e 22 materiais odontológicos. Das regiões brasileiras, o Sul apresentou a maior mediana, enquanto as regiões Norte e Nordeste apresentaram a menor. Os serviços de saúde bucal apresentaram consultórios odontológicos com boa disponibilidade de equipamentos e insumos odontológicos para a realização das atividades clínicas. Contudo, ainda foram observadas diferenças na estrutura de serviços entre as regiões brasileiras.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorengUniversidade Federal de Minas GeraisUFMGBrasilFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVABrazilian Oral ResearchAtenção primária à saúdePesquisa sobre serviços de saúdeServiços de saúde bucalPrimary health careHealth services researchDental health servicesStructural characteristics of oral health services in brazilian primary health careCaracterísticas estruturais dos serviços de saúde bucal na atenção primária à saúde brasileirainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/bor/a/7wD9k4yVC8ZrmSMctph96Xq/?lang=en#Maria Tereza de Abreu ScalzoAntonio Thomaz Gonzaga da Matta MachadoMauro Henrique Nogueira Guimarães de AbreuRenata de Castro Martinsapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/58527/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALStructural characteristics of oral health services in brazilian primary health care .pdfStructural characteristics of oral health services in brazilian primary health care .pdfapplication/pdf239217https://repositorio.ufmg.br/bitstream/1843/58527/2/Structural%20characteristics%20of%20oral%20health%20services%20in%20brazilian%20primary%20health%20care%20.pdfd4b75d460439844efabea6986b8e66b7MD521843/585272023-09-06 17:17:13.57oai:repositorio.ufmg.br:1843/58527TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-09-06T20:17:13Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Structural characteristics of oral health services in brazilian primary health care
dc.title.alternative.pt_BR.fl_str_mv Características estruturais dos serviços de saúde bucal na atenção primária à saúde brasileira
title Structural characteristics of oral health services in brazilian primary health care
spellingShingle Structural characteristics of oral health services in brazilian primary health care
Maria Tereza de Abreu Scalzo
Primary health care
Health services research
Dental health services
Atenção primária à saúde
Pesquisa sobre serviços de saúde
Serviços de saúde bucal
title_short Structural characteristics of oral health services in brazilian primary health care
title_full Structural characteristics of oral health services in brazilian primary health care
title_fullStr Structural characteristics of oral health services in brazilian primary health care
title_full_unstemmed Structural characteristics of oral health services in brazilian primary health care
title_sort Structural characteristics of oral health services in brazilian primary health care
author Maria Tereza de Abreu Scalzo
author_facet Maria Tereza de Abreu Scalzo
Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
author_role author
author2 Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
author2_role author
author
author
dc.contributor.author.fl_str_mv Maria Tereza de Abreu Scalzo
Antonio Thomaz Gonzaga da Matta Machado
Mauro Henrique Nogueira Guimarães de Abreu
Renata de Castro Martins
dc.subject.por.fl_str_mv Primary health care
Health services research
Dental health services
topic Primary health care
Health services research
Dental health services
Atenção primária à saúde
Pesquisa sobre serviços de saúde
Serviços de saúde bucal
dc.subject.other.pt_BR.fl_str_mv Atenção primária à saúde
Pesquisa sobre serviços de saúde
Serviços de saúde bucal
description This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the ‘National Program for Improving Access and Quality of Primary Care’ (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2023-09-06T20:17:13Z
dc.date.available.fl_str_mv 2023-09-06T20:17:13Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/58527
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1590/1807-3107bor-2021.vol35.0023
dc.identifier.issn.pt_BR.fl_str_mv 1807-3107
dc.identifier.orcid.pt_BR.fl_str_mv http://orcid.org/0000-0001-9081-6297
http://orcid.org/0000-0002-0516-8529
http://orcid.org/0000-0001-8794-5725
http://orcid.org/0000-0002-8911-0040
url https://doi.org/10.1590/1807-3107bor-2021.vol35.0023
http://hdl.handle.net/1843/58527
http://orcid.org/0000-0001-9081-6297
http://orcid.org/0000-0002-0516-8529
http://orcid.org/0000-0001-8794-5725
http://orcid.org/0000-0002-8911-0040
identifier_str_mv 1807-3107
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Brazilian Oral Research
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dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
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