Artículos de revistas
Demand organization in public oral health services: analysis of a traditional model
Fecha
2016-12-01Registro en:
RGO - Revista Gaúcha de Odontologia. Faculdade São Leopoldo Mandic, v. 64, n. 4, p. 393-401, 2016.
1981-8637
10.1590/1981-863720160003000053143
S1981-86372016000400393
S1981-86372016000400393.pdf
9807879196081999
4419158525709686
0000-0001-5069-8812
Autor
Universidade Federal do Rio Grande do Norte Departamento de Odontologia
Universidade Estadual Paulista (Unesp)
Institución
Resumen
ABSTRACTObjective: To discuss the municipal experience of the organization and the demand for dental services, based on the guidelines of the Unified Health System (UHS), which point to the structuring of an assistance model based on universality and integrality of care and equity in access to services.Methods: The research, realized in Araçatuba/SP, was based on documentary analysis and interviews with key-informants of the UHS dental service. The traditional court model has a care system for schoolchildren and a basic network with priority for pregnant women.Results: In total, the network has 59 dental surgeons, 31 oral health auxiliaries and 17 Oral Health Teams; however, the school attendance model persists, with 10 professionals attending public schools. Based on the discussions, it is concluded that there are no established criteria for the organization of demand.Conclusion: Most of the attendance occurs by free demand, and the reference and counter-referral system is incipient, damaging the service's resoluteness. RESUMOObjetivo: Discutir a experiência municipal da organização a demanda de serviços odontológicos, com base nas diretrizes do Sistema Único de Saúde (SUS), as quais apontam para a estruturação de um modelo assistencial com base na universalidade e na integralidade da atenção e na equidade no acesso aos serviços.Métodos: A pesquisa, realizada em Araçatuba (SP), teve como base a análise documental e entrevistas com informantes-chave do serviço odontológico do SUS. O modelo de corte tradicional, conta com um sistema de assistência para escolares e uma rede básica com prioridade para gestantes.Resultados: No total, a rede conta com 59 cirurgiões-dentistas, 31 auxiliares em saúde bucal e 17 Equipes de Saúde Bucal, entretanto persiste o modelo de atendimento a escolar, com 10 profissionais atendendo em escolas públicas. A partir das discussões colocadas, conclui-se que, não há critérios estabelecidos para organização da demanda.Conclusão: A maioria dos atendimentos ocorre por livre demanda, e o sistema de referência e contra-referência é incipiente, prejudicando a resolutividade do serviço.
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