Dental Procedures in Primary Health Care of the Brazilian National Health System

Mendes, Suellen R; Martins, Renata de Castro; Matta-Machado, Antônio Thomaz Gonzaga da; Mattos, Grazielle Christine Maciel; Gallagher, Jennifer E.; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.3390/ijerph14121480

Cited by 19 publications

(30 citation statements)

References 10 publications

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“…These OHTs also receives high incentives from the UHS, which could explain the results of this study [34]. Previous studies, using PMAQ-AB data, also found differences between Brazilian macro-regions when evaluating the relationship between primary and secondary care in public health services [35] and procedures of primary dental health care performed by the OHTs [36]. Both studies observed the best results for OHTs in the Southern and Southeastern regions, reinforcing the great social disparities between the Brazilian regions, even though the UHS does offer actions and services to promote, prevent, treat and improve the health of all Brazilians in all regions [37].…”

Section: Discussionmentioning

confidence: 55%

What we know about management and organisation of primary dental care in Brazil

et al. 2019

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This cross-sectional study evaluated the management and organisation of primary dental care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) were used. Dentists from 18,114 Oral Health Teams (OHTs) answered a structured questionnaire in 2014. The data were analyzed descriptively and by cluster analysis. Half the Brazilian OHTs (51.0%) undertake planning and programming of activities. The majority of OHTs (66.4%) conducted monitoring and analysis of indicators and oral health information. The majority of OHTs had performed some self-evaluation process in the last 6 months (67.5%) and utilised self-evaluation results for planning and programming actions (71.4%). The OHTs grouped in Cluster 1 demonstrated better management organisation, followed by the teams grouped in Cluster 2. In the Brazilian macro-regions, the more OHTs were grouped in Cluster 1 in the Southeast (87.5%), Northeast (85.4%) and South (82.7%) regions. The majority of OHTs have satisfactory management and organisation. However, some need improvement, mainly in planning and programming actions based on health indicators and self-evaluation. All Brazilian OHTs need to participate in PMAQ-AB and it is important to continue evaluating the data to improve oral health care.

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Section: Discussionmentioning

confidence: 55%

What we know about management and organisation of primary dental care in Brazil

et al. 2019

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“…However, the increase in the frequency of reporting dental prosthesis procedures by OHT from Northeast region is a quite interesting and positive finding. Differences in the management of PHC services and difficulties in the access of people in deprived areas could explain these regional differences in Brazil (18). It is urgent to carried out more analytical studies to understand and surpass these inequalities.…”

Section: Discussionmentioning

confidence: 99%

“…Provisional analysis of data obtained from the external evaluation phase of the first and second cycles of PMAQ-AB was conducted, showing that the majority of the dental teams executed preventive, restorative, endodontic and surgical dental procedures. However, concerning the procedures related to dental prostheses, although they identified people in the need, few are the OHT that reported the confection of it (6,7). In addition, evaluating data from the second cycle of PMAQ-AB, Cunha et al showed that the distribution of teams that performed dental prostheses across the country was unequal and, the provision was almost restricted to partial and total removable prostheses (8).…”

Section: Introductionmentioning

confidence: 99%

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

et al. 2019

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The study aimed to identify the changes in the provision of dental prosthetics procedures in the Brazilian primary care. Secondary data from the Brazilian “National Programme for Improving Access and Quality of Primary Care” was assessed and three similar questions related to dental prostheses execution that were answered by the same 9,698 oral health teams, in 2011/2012 and 2013/2014, were compared. There was a 4.3% increase in the number of teams that identified individuals with prosthetic needs; a 0.8% increase in the number of teams that performed impression for prosthetic purposes; and the number of teams that reported performing dental prostheses consultations increased by 0.6%. Overall, there was a small modification in the number of teams that provided dental prosthesis procedures in Brazil.

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“…The PMAQ-AB is organized in four phases (adherence and contractualization, development, external evaluation, and recontratualization), forming continuous cycles of evaluation, which seek to overcome some challenges for PHC qualification, such as the precariousness of the physical structure and the unsatisfactory conditions of Basic Health Units. 3 Evaluations using data from the 1st and 2nd cycle of PMAQ-AB have already addressed the work process of the teams, 4 user satisfaction with services rendered, 5 service provisions and basic care procedures, 6,7 and availability of instruments in OHS. 8 The provision of effective healthcare services is directly influenced by infrastructure conditions, and availability and adequacy of equipment, as well as materials and supplies that meet the needs of the service.…”

Section: Introductionmentioning

confidence: 99%

Structural characteristics of oral health services in Brazilian Primary Health Care

et al. 2021

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This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the 'National Program for Improving Access and Quality of Primary Care' (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.

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Dental Procedures in Primary Health Care of the Brazilian National Health System

Cited by 19 publications

References 10 publications

What we know about management and organisation of primary dental care in Brazil

What we know about management and organisation of primary dental care in Brazil

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

Structural characteristics of oral health services in Brazilian Primary Health Care

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