Abstract
Objective: Assess the oral health indicators in the Family Health Units (Unidades de Saúde da Família - USFs) with scheduled demand in comparison with Family Health Units with spontaneous demand in oral health care, in Piracicaba. Methods: 10 Family Health Units located in Piracicaba, were randomly chosen: 5 Units with spontaneous demand and 5 Units with scheduled demand. Secondary data in daily production spreadsheets were collected from the information system, from February to September 2013. These were organized into indicators: 1) access; 2) resolutivity; 3) ratio of dental emergency per inhabitant; 4) mean number of individual preventive and curative dental procedures; 5) ratio of dental extraction per dental procedure; 6) ratio of dental extraction per inhabitant; 7) mean number of supervised toothbrushing sessions. Data were compared and statistically analyzed with the BioStat 5.0 program, by applying the Student's-t test (p ≤ 0.05). Results: There were significant differences in the indicators of dental emergency, dental extraction per clinical procedure, and dental extractions per inhabitant, and these values were higher in Family Health Units with spontaneous demand. Conclusion: The model of scheduling the demand for dental care adopted by the USFs interferes in the number of users seeking dental emergency treatments and reasons for extractions.
Highlights
There were significant differences in the indicators of dental emergency, dental extraction per clinical procedure, and dental extractions per inhabitant, and these values were higher in Family Health Units with spontaneous demand
The model of oral health care at the primary care level can be characterized as the organized demand and scheduling of appointments according to criteria of risk classification of users, or it can be characterized as spontaneous demand, when users seek dental treatment without previously making appointments or subject to risk classification[5]
In the USFs with spontaneous demand, resolutivity was 0.74 which means more treatments started in comparison with those completed
Summary
The definition of access involves multiple concepts, ranging from those focused on use of services, affordability, geographic area, socio-organizational and cultural factors, even concepts focused on users’ subjectivity and perception of health their needs[1].In order to characterize the oral health practices and evaluate the effectiveness of clinical dental care scheduling in this study, access is considered the user’s entry into the system and use of health services.From this perspective, national oral health studies, such as the National Household Sample Survey (Pesquisa Nacional por Amostra de Domicilios - PNAD)2 2003 and 2008, showed that 15.7% and 11.7% of the population, respectively, have never been to the dentist, and the results of epidemiological survey SB Brazil in 2010, showed that 18% of adolescents, 7% of adults and 14% of seniors reported never having made a first dental appointment[3].Despite efforts made by means of health policies and programs, disadvantaged populations still find it difficult to gain access to dental services. In order to characterize the oral health practices and evaluate the effectiveness of clinical dental care scheduling in this study, access is considered the user’s entry into the system and use of health services. From this perspective, national oral health studies, such as the National Household Sample Survey (Pesquisa Nacional por Amostra de Domicilios - PNAD)2 2003 and 2008, showed that 15.7% and 11.7% of the population, respectively, have never been to the dentist, and the results of epidemiological survey SB Brazil in 2010, showed that 18% of adolescents, 7% of adults and 14% of seniors reported never having made a first dental appointment[3]. The model of oral health care at the primary care level can be characterized as the organized demand and scheduling of appointments according to criteria of risk classification of users, or it can be characterized as spontaneous demand, when users seek dental treatment without previously making appointments or subject to risk classification[5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
