Abstract
Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy.Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011.Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance.Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals.
Highlights
Actions of the Family Health Strategy have transformed the system of healthcare in Brazil and have been increasingly consolidated as an important instrument in promoting well-being of the population, with improved health and quality of life
According to Emmi and Barroso,(5) to incorporate oral healthcare into the Family Health Strategy does not necessarily include the dentist (D), oral healthcare assistant (OHA), and the oral healthcare technician (OHTn) in the minimal team made up of physician, nurse, and nurse’s aide, but it requires mixing the work of these professionals with this Oral Healthcare Teams (OHTs)
The data available in reference to the partnerships established by Secretaria Municipal de Saúde de São Paulo (SMS/São Paulo (SP)), or those published by municipalities of other states, focused on the process of implementation, on covering of the areas with this service, or on the satisfaction of the user, without the use of the indicators presented here.[5,6,16,17,18,19] when the option was made to use one of these indicators, they were collected in a different manner – without considering the production of all the OHTs or of only the D and OHTn, excluding the OHA – and with other instruments, which makes it impossible to perform comparisons among them.[20]
Summary
Actions of the Family Health Strategy have transformed the system of healthcare in Brazil and have been increasingly consolidated as an important instrument in promoting well-being of the population, with improved health and quality of life Throughout this transformation, the Primary Care Units [UBS - Unidade Básica de Saúde] have been able to form multi-professional teams composed at minimum, by a physician, a nurse, one or two nursing assistants, and four to six community agents. The challenge of working within a multidisciplinary team appeared, with responsibility over a territory when a certain number of families live This strategy brought with it the possibility of reclaiming the bonds of commitment and of co-responsibility among healthcare services, professionals, and the population. The work process in oral health should be compatible and permeable to the work process of the other professional categories that work in the UBSs, in order to meet most of the demands of this assisted community, based on the bond, on the collective, and on the participation of this population
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