Abstract
This study aimed to conduct an integrative review of scientific literature on the topic of Oral Health in the Family Health Strategy in the period 2004-2014. Articles published in national and international journals (n = 141) were consulted and selected from the electronic Library the Scientific Electronic Library Online (SciELO) and from electronic databases PubMed, Lilacs, BBO and Cochrane. The implementation process of oral health teams in the Family Health Strategy was the most frequent thematic variable (18%) of the 15 variables identified. The Northeast was the Brazilian macro-region where the largest number of published articles originated (n = 61). The studies were predominantly quantitative, and the highest number of publications occurred in 2010 (n = 26). We concluded that there is an increasing interest in investigating the context of oral health implementation in the Family Health Strategy, with particular emphasis on theme categories related to the micro-process work and the redefinition of professional identities arising from multidisciplinary work in primary care.
Highlights
In 1994 the Family Health Strategy (FHS) was established as a entry point to care for users into the Unified Health System (SUS) in Brazil
Researchers have investigated the role of the Oral Health Team (OHT)/FHS, in aspects related to the micro-process work, innovation in care models, and potential epidemiological impact on oral health[3,4,5,6,7]
We found only three of national basis[47,48,49] and two at the macro-regional level[49,50] showing the need for broad and specific research in this direction, especially when considering the size of Brazil and, its important contextual differences regarding population needs and the profile of the working process of the OHT/FHS in the various scenarios
Summary
In 1994 the Family Health Strategy (FHS) was established as a entry point to care for users into the Unified Health System (SUS) in Brazil. The insertion of the Oral Health Team (OHT) into the Family Health Strategy (FHS) starting in 2000 represented the possibility of introducing a change into the current oral health care model of the national Unified Health System (UHS), which emphasizes dental care with a clinical, individual, repairing, and biomedical focus[1]. This transformation would be possible through conceptual redefinition and reorientation of practices aimed at actions based on the principles of integrity, coordination, and continuity of care by the OHT, among other strategic actions[2]. This review and comment on the scientific literature concerning the oral health topic in FHS allows more insight into the working process and the results of the recent integration/expansion of OHT in primary care in Brazil[5,6]
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