Abstract
ABSTRACT Objective: The aim of this study was to conduct a situational diagnosis related to the organization of oral health services in 40 municipalities of São Paulo State, Brazil. Methods: This is a cross-sectional, quantitative and qualitative, descriptive study performed through document analysis and application of a semi-structured questionnaire to oral health coordinators, in 2014. The following items were defined: dental infrastructure, access and regulation, work organization and assessment strategies. Although the Basic Health Unit is the main gateway to the system, dental care was also conducted in schools; the main service access of the population was the spontaneous demand and there have been production data inconsistencies in the information systems. Results: It was observed that, 60% answered that the health planning process included oral health; 47.5% performed risk assessment; 47.5% did not perform evaluation and monitoring of results. Conclusion: It is concluded that municipalities present different moments in the structuring of the service and that managers should improve the access organization, the work process and service evaluation in order to consolidate the universality and comprehensiveness of health care.
Highlights
After almost three decades of the institutionalization process of the Unified Health System (UHS), it is observed that its deployment and implementation has improved mainly concerning decentralization and municipalization of health service actions
The results showed impairment in delimiting the population access in the assigned area and that 40% of the planning process did not involve the oral health area.The results were described as follows: dental infrastructure description, primary care access and regulation, work process organization and evaluation strategies
Clinical dental care is still performed in schools, the municipalities showed that the Basic Health Unit has been the main gateway for the Unified Health System, with the highest number of dental professionals. (Table 1)
Summary
After almost three decades of the institutionalization process of the Unified Health System (UHS), it is observed that its deployment and implementation has improved mainly concerning decentralization and municipalization of health service actions. Teamwork and intersectoriality are fundamental axes of this conception and home visits, one of its main strategies, aims to expand service access as well as create links with the population[3] In this context, Oral Health was inserted in the Family Health Strategy, advocating a participative dental model role in the Health Unit, in the Family and in the Community, allowing the population better oral health access, as well as quality improvement in the services offered[4]. Previously set in schools, were relocated to the basic network; providing greater oral health integration actions towards other programs This way, the population groups excluded from their basic rights began to benefit from specific programmes[7]
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