Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente

Detalhes bibliográficos
Autor(a) principal: Carneiro, Joana Danielle Brandão
Data de Publicação: 2023
Outros Autores: Pereira, Ana Paula Chancharulo de Moraes, Bousquat, Aylene, Frazão, Paulo
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/219186
Resumo: OBJECTIVE: To depict the influence of discretionary actions exercised by frontline professionals and organizations on the implementation of diverse modalities of access to specialized dental care within the Care Network for Persons with Disabilities. METHODS: A case study conducted in two Brazilian health regions characterized by distinct means of access to specialized dental care employing documentary analysis and interviews with key stakeholders across the period spanning from July to December 2019. RESULTS: In the referenced access region, there was a notable centrality of Primary Health Care (PHC) in caregiving, wherein planning and assessment were integral components of institutional routines. Where spontaneous demand scheduling was accepted, sporadic exchanges of information were evident between PHC units and specialized facilities. The coordination role in caregiving was not vested in PHC teams, and activities such as planning and assessment were not assimilated into organizational routines. CONCLUSIONS: The implementation of policies for specialized dental care for persons with disabilities relied on the coordination furnished by PHC and the orchestration of planning and assessment endeavors aimed at establishing an integrated care network. This implementation proved subject to the discretionary authority of frontline professionals and organizations, highlighting the significant role of relational and institutional environments in the context of public policy implementation within a decentralized and regionalized healthcare system.
id USP-23_4d35c2865591ab12e90316477f9c24c9
oai_identifier_str oai:revistas.usp.br:article/219186
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frenteDental care for persons with disabilities: discretion on the frontlinePublic PolicyDental CareDisabled PersonsPolítica PúblicaAssistência Odontológica Pessoas com DeficiênciaOBJECTIVE: To depict the influence of discretionary actions exercised by frontline professionals and organizations on the implementation of diverse modalities of access to specialized dental care within the Care Network for Persons with Disabilities. METHODS: A case study conducted in two Brazilian health regions characterized by distinct means of access to specialized dental care employing documentary analysis and interviews with key stakeholders across the period spanning from July to December 2019. RESULTS: In the referenced access region, there was a notable centrality of Primary Health Care (PHC) in caregiving, wherein planning and assessment were integral components of institutional routines. Where spontaneous demand scheduling was accepted, sporadic exchanges of information were evident between PHC units and specialized facilities. The coordination role in caregiving was not vested in PHC teams, and activities such as planning and assessment were not assimilated into organizational routines. CONCLUSIONS: The implementation of policies for specialized dental care for persons with disabilities relied on the coordination furnished by PHC and the orchestration of planning and assessment endeavors aimed at establishing an integrated care network. This implementation proved subject to the discretionary authority of frontline professionals and organizations, highlighting the significant role of relational and institutional environments in the context of public policy implementation within a decentralized and regionalized healthcare system.OBJETIVO: Descrever a influência da discricionariedade dos profissionais e organizações da linha de frente na implementação de diferentes formas de acesso à assistência odontológica especializada na Rede de Cuidados à Pessoa com Deficiência. MÉTODOS: Estudo de caso em duas regiões de saúde brasileiras cujo acesso à assistência odontológica especializada era distinto, com análise documental e entrevista com atores-chave, entre julho e dezembro de 2019. RESULTADOS: Na região com acesso referenciado, observou-se que a atenção primária à saúde (APS) tinha centralidade no cuidado e o planejamento/avaliação faziam parte da rotina institucional dos serviços. Na região onde o agendamento era possível por demanda espontânea, notou-se trocas episódicas de informação entre as unidades de APS e as especializadas; o papel de coordenação do cuidado não era um atributo das equipes de APS e as atividades de planejamento/avaliação não estavam incorporadas à rotina das organizações. CONCLUSÕES: A implementação da política de assistência odontológica especializada à pessoa com deficiência se mostrou dependente da coordenação da APS e da condução de atividades de planejamento/avaliação voltadas à construção de uma rede de cuidados integrada e sujeita ao poder discricionário dos profissionais e das organizações da linha de frente, sugerindo que o ambiente relacional e institucional possui um papel importante no processo de implementação de políticas públicas em um sistema descentralizado e regionalizado de saúde.Universidade de São Paulo. Faculdade de Saúde Pública2023-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/21918610.11606/s1518-8787.2023057005318Revista de Saúde Pública; Vol. 57 No. 1 (2023); 74Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 74Revista de Saúde Pública; v. 57 n. 1 (2023); 741518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/219186/200109https://www.revistas.usp.br/rsp/article/view/219186/200108https://www.revistas.usp.br/rsp/article/view/219186/200107Copyright (c) 2023 Joana Danielle Brandão Carneiro, Ana Paula Chancharulo de Moraes Pereira, Aylene Bousquat, Paulo Frazãohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarneiro, Joana Danielle BrandãoPereira, Ana Paula Chancharulo de MoraesBousquat, AyleneFrazão, Paulo2023-11-24T17:28:44Zoai:revistas.usp.br:article/219186Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2023-11-24T17:28:44Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
Dental care for persons with disabilities: discretion on the frontline
title Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
spellingShingle Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
Carneiro, Joana Danielle Brandão
Public Policy
Dental Care
Disabled Persons
Política Pública
Assistência Odontológica
Pessoas com Deficiência
title_short Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
title_full Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
title_fullStr Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
title_full_unstemmed Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
title_sort Assistência odontológica à pessoa com deficiência: discricionariedade na linha de frente
author Carneiro, Joana Danielle Brandão
author_facet Carneiro, Joana Danielle Brandão
Pereira, Ana Paula Chancharulo de Moraes
Bousquat, Aylene
Frazão, Paulo
author_role author
author2 Pereira, Ana Paula Chancharulo de Moraes
Bousquat, Aylene
Frazão, Paulo
author2_role author
author
author
dc.contributor.author.fl_str_mv Carneiro, Joana Danielle Brandão
Pereira, Ana Paula Chancharulo de Moraes
Bousquat, Aylene
Frazão, Paulo
dc.subject.por.fl_str_mv Public Policy
Dental Care
Disabled Persons
Política Pública
Assistência Odontológica
Pessoas com Deficiência
topic Public Policy
Dental Care
Disabled Persons
Política Pública
Assistência Odontológica
Pessoas com Deficiência
description OBJECTIVE: To depict the influence of discretionary actions exercised by frontline professionals and organizations on the implementation of diverse modalities of access to specialized dental care within the Care Network for Persons with Disabilities. METHODS: A case study conducted in two Brazilian health regions characterized by distinct means of access to specialized dental care employing documentary analysis and interviews with key stakeholders across the period spanning from July to December 2019. RESULTS: In the referenced access region, there was a notable centrality of Primary Health Care (PHC) in caregiving, wherein planning and assessment were integral components of institutional routines. Where spontaneous demand scheduling was accepted, sporadic exchanges of information were evident between PHC units and specialized facilities. The coordination role in caregiving was not vested in PHC teams, and activities such as planning and assessment were not assimilated into organizational routines. CONCLUSIONS: The implementation of policies for specialized dental care for persons with disabilities relied on the coordination furnished by PHC and the orchestration of planning and assessment endeavors aimed at establishing an integrated care network. This implementation proved subject to the discretionary authority of frontline professionals and organizations, highlighting the significant role of relational and institutional environments in the context of public policy implementation within a decentralized and regionalized healthcare system.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/219186
10.11606/s1518-8787.2023057005318
url https://www.revistas.usp.br/rsp/article/view/219186
identifier_str_mv 10.11606/s1518-8787.2023057005318
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/219186/200109
https://www.revistas.usp.br/rsp/article/view/219186/200108
https://www.revistas.usp.br/rsp/article/view/219186/200107
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 57 No. 1 (2023); 74
Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 74
Revista de Saúde Pública; v. 57 n. 1 (2023); 74
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1800221804034260992

Registros relacionados