Petrônio José de Lima Martelli

Análise do avanço das equipes de saúde bucal inseridas na Estratégia Saúde da Família em Pernambuco, região Nordeste, Brasil, 2002 a 2005

The aim of this study was to analyze the implementation of oral health care in the Family Health Strategy in the State of Pernambuco, Brazil, 2002 until 2005. It was observed aspects regarding the expansion of the teams, the percentage of population covered and the rise in the quantitative of oral primary procedures. It was a descriptive and quantitative study, focusing on the 185 cities included in the Family Health Strategy and all cities that included an oral health care in the program. The results showed that the evaluation of the oral health teams was 204.22%, while the percentage of the evolution of oral health care procedures 19.19%. It was observed that the expansion of the type I (327,14%) was higher than type II (125,92%). The estimation of the population covered by oral health team was about 29.56% to 3.450 inhabitants (Decree n. 673/03). The financing of oral health care primary had an increase in the same period of 389.50%. At last, it was verified, in practice, the oral care existent service to oral primary care procedures were changed in oral health teams.

Perfil do cirurgião-dentista inserido na Estratégia de Saúde da Família em municípios do estado de Pernambuco, Brasil

This article intends to approach the incorporation of the oral health to the Family Health Strategy which included the odontology professionals into the primary health care. As the odontology has the work based in a practice of healing with emphasis in restoring activities, the implantation from this new model of attention to the health is questioned in relation to the responsible for the execution of that politics - the human resources. The objective of this article is to characterize the profile of surgeons dentists inserted in the Family Health Strategy in the cities of Pernambuco state connecting it with the specificities of the program. It was used a database of the research Model of Attention in Oral Health and Education of the Surgeon DentisI inserted in the Family Health Strategy in the State of Pernambuco. The results showed that 70.4% of the surgeons dentists are female, with predominance of the age group from 31 to 49 years old, and 65.2% of those were admitted under the contract form. Concerning education, 67.8% have specialization in the Strategy of Family Health, in which 92.3% considered it pertinent, in addition 89.6% of the dentists told to accomplish educational activities.

Análise da atenção à saúde bucal na Estratégia de Saúde da Família do Distrito Sanitário VI, Recife (PE)

The aim of this study was to analyze the work process developed by the oral health teams of the VI Sanitary District of Recife, Pernambuco State, in 2006. It is a descriptive study of qualitative approach in that secondary data were obtained of a previous research accomplished in Recife, where the Sanitary District VI is located. Four semi-structured interviews were accomplished with the oral health coordinator, two surgeon-dentists and a nurse that acted in the Family Health Strategy. The results showed that some practices accomplished by the teams are still incipient such as the epidemic survey, patient reference and counter reference, and the control and evaluation of the actions. However, the progress in the preventive vision and in education practice in the professional health became evidenced through the interviews. In conclusion, in spite of the difficulties for the execution of the practices established by the National Policies of Oral Health, it is noticed a change in the attention model in oral health, being necessary some adjustments and corrections in the activity of the teams, besides a larger participation of other administration levels for the full exercise of oral health in the Family Health Strategy.

Analysis of oral health indicators of Pernambuco: performance of cities according to size population, population enrolled in the Information System for Primary Care and proportion in the Family Health Strategy

Este estudo teve como objetivo analisar a assistencia a saude bucal no Estado de Pernambuco, com base em seus indicadores, segundo as variaveis porte populacional, proporcao da populacao cadastrada e relacao entre as equipes de saude da familia e equipes de saude bucal. Para isso, foram utilizados dados secundarios obtidos do Sistema de Informacao Ambulatorial (SIA/SUS), Cadastro Nacional de Estabelecimentos de Saude (CNES) e Sistema de Informacoes da Atencao Basica (SIAB), utilizando os testes estatisticos ANOVA e Kruskal-Wallis para analise dos dados. Os resultados mostraram que o porte populacional dos municipios demonstrou estar relacionado com o desempenho de alguns indicadores: municipios de grande porte apresentaram menores valores para proporcao de exodontias (p=0,0006). A organizacao das equipes de saude bucal foi outro aspecto discutido neste estudo, observando-se que quanto maior a cobertura e quando a relacao entre as equipes era 1:1, mais favoraveis eram os indicadores de primeira consulta odontologica, escovacao supervisionada, media de procedimentos odontologicos individuais e proporcao de exodontias, todos apresentando diferencas estatisticamente significantes (p<0,05). Dessa forma, pode-se concluir que aspectos demograficos, de cobertura da estrategia e de relacao proporcional das equipes influenciam o desempenho de indicadores em saude bucal em municipios do Estado de Pernambuco.

Análise do acesso aos serviços odontológicos através do indicador de primeira consulta odontológica programática em Pernambuco: estudo comparativo entre os anos 2001 e 2009 - doi: 10.5020/18061230.2012.p151

Objectives: To analyze access to individual dental care developed in the state of Pernambuco, comparing years 2001 and 2009, related to Oral Health Teams in Family Health Strategy. As well, to verify the existence of any inequities in access to dental care, according to geographical region and administrative region. Methods: This descriptive ecological temporal-trend study was performed using secondary data sources, from health care information systems on a national basis. The first dental programmatic appointment was used as the primary care indicator for evaluation of assess to individual dental care. Results: Data analysis showed a significant increase in the number of oral health teams in the state, over the studied years (from 132 teams in 2001 to 1,296 in 2009), representing an increase of 881.82%. Regarding the first dental appointment, an enhancing in coverage was observed (from 10.04% in 2001 to 16.87% in 2009). Conclusions: Despite the positive growth in the first dental appointment indicator, utilization and access to dental services on a programmatic way in primary care still remain low. Numbers indicate relatively low access rates, and reveal that reality of services is far distant from what is constitutionally guaranteed. These results point to the need of rethinking the practice and work to build a system mainly focused on coverage enlargement and on the needs of communities.