características do acesso e utilização de serviços odontológicos em municípios de médio porte characteristics of the access and utilization of public dental services in medium-sized cities

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2012
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Abstract
Este estudo de corte transversal descreve as principais características de acesso e utilização de serviços odontológicos básicos e especializados em dois municípios de médio porte da Bahia com 100% de cobertura da Estratégia de Saúde da Família. Realizou-se um inquérito com 2.539 indivíduos de idade acima de 15 anos em 952 domicílios. As principais variáveis analisadas foram a necessidade de saúde bucal percebida, a procura pelo serviço, a barreira de acesso organizacional e o tipo de serviço e o procedimento utilizado. A utilização de serviços públicos odontológicos especializados foi de 11,7% e básicos de 26%. No município com maior utilização de serviços públicos odontológicos, foi menor o uso de serviços privados. A principal barreira de acesso situou-se na AP (Atenção Primária), entre 5,0% e 15,2%. Observou-se pouca interface da atenção secundária com a AP já que apenas 16,6% dos usuários retornaram a esse nível de atenção. Pode-se concluir que a principal barreira de acesso, em municípios com realidades organizacionais e geográficas específicas parece se situar na AP. Ações preventivas individuais foram pouco relatadas. Recomenda-se a redução de barreiras de acesso na AP, bem como a instituição de um protocolo que estimule a longitudinalidade do cuidado nesse nível.
This cross-sectional study sought to describe the main characteristics of access and utilization of primary and specialized public dental services in two medium-sized cities in Bahia with 100% coverage of the Family Health Program. A survey of 952 households and 2.539 individuals aged over 15 years was conducted. The main variables analyzed were: perceived oral health needs, demand for the service, barriers of organizational access and the type of service and procedure utilized. The use of specialized public dental services was of 11.7% and primary care was 26%. In the city where there was greater use of public dental services, there was less use of private services. The main barrier to access remained in primary care (from 5.0% to 15.2%). There was little interface between secondary care a primary care, as only 16.6% of users returned to this level of care. In conclusion, the main barrier to access in cities with specific organizational and geographic realities appears to be in primary dental care. Individual preventive actions were little reported. It is recommended that barriers to access in primary care be eliminated, and also that a protocol (clinical guides) be established to foster the continuity and longitudinality of primary dental care.
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Authors ;Sônia Cristina Lima Chaves;Felipe Fagundes Soares;Thais Regis Aranha Rossi;Maria Cristina Teixeira Cangussu;Andreia Cristina Leal Figueiredo;Denise Nogueira Cruz;Patrícia Ramos Cury
Journal journal of physical activity & health
Year 2012
DOI
10.1590/S1413-81232012001100027
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232012001100027
Keywords
health policy dental care utilizationpublic aspects of medicine política de saúde

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