O impacto da pandemia de covid-19 na atuação do pediatra e do odontopediatra no Sistema Único de Saúde do Brasil: um estudo ecológico

• Autor(a) principal: Santana, Davi Moreira
• Data de Publicação: 2023
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/jspui/handle/riufs/19940
• topic: Medicina; Odontopediatria; Epidemiologia; COVID-19, Pandemia de, 2020; Crianças; Saúde e higiene; Serviços de saúde pública; Saúde da Criança; Sistema Único de Saúde; Child health,; COVID-19; Epidemiology; Unified Health System

In 2019, in China, the first cases of COVID-19 were diagnosed. On the other hand, in 2020, the World Health Organization (WHO) declared a pandemic due to the growing number of cases of this disease, forcing Brazil to restructure its health care model, which had several impacts. In this sense, the objective of the work was to evaluate the impact of the COVID-19 pandemic on the outpatient production of pediatricians and pediatric dentists in the Brazilian Unified Health System (SUS). An ecological study was carried out with an analytical and quantitative approach, using public domain data from the SUS Information Technology Department. The monthly number of professionals who worked in the SUS, the number of outpatient procedures for each professional category and the projection of residents aged zero to 13 were recovered to normalize it. The data were compared between the pre-pandemic (2018-2020) and pandemic (2020-2022) periods, with a significance level of 5%. After data analysis, it was possible to notice a significant reduction in the monthly number of outpatient procedures performed in the SUS by pediatricians in the first and second year of the COVID-19 pandemic when compared to the pre-pandemic period (p < 0.001 and < 0.002, respectively ). This reduction represents a median percentage reduction of - 57.1% (95%CI -51.3%; -71.7%) in the first and -22.3% (95%CI -0.55%; -31.5% ) in the second pandemic year. In relation to pediatric dentists, a significant reduction was observed only between the pre-pandemic period and the first pandemic year (p < 0.001), representing -82.0% (95% CI -73.4%; -93.6%). Furthermore, a significant, positive and moderate correlation was observed between the productivity of both professional categories in the SUS throughout the period investigated (p < 0,001; ? = 0,744). Finally, it was possible to conclude that the COVID-19 pandemic negatively affected the provision of specialized medical-dental outpatient care for children in the SUS