Financing national policy on oral health in Brazil in the context of the Unified Health System

The National Policy of Integrative and Complementary Practices (PNPIC) in the Brazilian Unified Health System (SUS), and The National Policy of Medicinal Plants and Herbal Medicines (PNPMF) were launched in 2006. Based on these, the Brazilian Health Surveillance Agency (ANVISA) re-edited rules related to herbal medicines such as the Guideline to herbal medicine registration (RDC 14/10), the Good Manufacture Practices Guideline (RDC 17/10) and the List of references to assess the safety and efficacy of herbal medicines (IN 05/10). The requisites to prove herbal medicine's safety and efficacy were updated. Therefore, this review aims at presenting and commenting these new rules.

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Perception on Oral Health and Recommendations for Improvement of Public Service Dental

Journal of Health Sciences ◽

10.17921/2447-8938.2019v21n1p65-73 ◽

2019 ◽

Vol 21 (1) ◽

pp. 65

Author(s):

Suzely Adas Saliba Moimaz ◽

Carlos Ayach ◽

Léa Lofego ◽

Cléa Adas Saliba Garbin ◽

Orlando Saliba

Keyword(s):

Health Care ◽

Oral Health ◽

Health System ◽

The Self ◽

Service Improvement ◽

Health Evaluation ◽

Self Assessment ◽

Cross Sectional ◽

Significance Level ◽

Unified Health System

A participação social é uma importante ferramenta para o aprimoramento do Sistema Único de Saúde (SUS), fortalece a instituição de processos de avaliação do desempenho e contribui para a ampliação do acesso e qualidade dos serviços prestados. O objetivo foi avaliar a percepção dos usuários sobre a saúde bucal e as recomendações para melhoria do serviço público odontológico. Trata-se de um estudo transversal, tipo inquérito, com 390 usuários do SUS. As variáveis analisadas foram: autoavaliação da saúde bucal; avaliação da equipe e do serviço odontológico prestado. Realizou-se análise qualitativa das questões discursivas e teste estatístico de associação Qui-Quadrado ou Teste G, ao nível de significância de 5%. A autoavaliação da saúde bucal foi categorizada em muito boa/boa, regular, ruim/muito ruim e os motivos identificados da classificação foram: presença de doença, cuidado com a saúde, dor, educação em saúde, negligência com a saúde, tempo e medo. Quanto à avaliação da equipe e do serviço foram feitas sugestões para a melhoria, relacionadas à: infraestrutura, acesso, humanização e educação em saúde. Constatou-se associação significativa entre o cuidado com a saúde e a percepção positiva da saúde bucal. A presença de doença, negligência, tempo e medo influenciaram negativamente na autoavaliação. Como recomendações para melhoria do atendimento, 15,4% dos entrevistados apontou a infraestrutura; 8,2% o acesso; 6,9% a humanização e 1% a educação em saúde. Conclui-se que o cuidado com a saúde foi o fator mais relacionado a uma boa saúde bucal. Houve poucas recomendações para o aprimoramento da qualidade e resolutividade do serviço prestado. Palavras-chave: Avaliação em Saúde. Autoavaliação. Saúde Bucal. Abstract Social participation is an important tool for the improvement of the Brazilian Unified Health System, strengthens the institution of performance evaluation processes and contributes to the expansion of access and quality of services provided. This study evaluated user’s perceptions on oral health and recommendations for improvement of public dental services. This is a cross-sectional study, type inquiry, with 390 users of the Brazilian Unified Health System. The analyzed variables were self-assessment of oral health, evaluation of the team and the dental service provided. A qualitative analysis of the discursive questions was performed and Chi-square or G-test statistical association test, at a significance level of 5%. The self-assessment of oral health was categorized as very good/good, regular, bad/very bad and the identified reasons for the classification were: presence of disease, health care, pain, health education, negligence in health, time and fear. As for team and service evaluation, suggestions for improvement concerning infrastructure, access, humanization and education in health were made. It was found a significant association between health care and positive perception of oral health. The presence of disease, neglect, time and fear affected negatively the self-assessment. The recommendations for service improvement, 15.4% interviewed users pointed to infrastructure; 8.2% access; 6.9% humanization and 1% education in health. It is concluded that healthcare was the most frequent factor associated with good oral health. There were few recommendations for quality improvement and outcome of service provided.Keywords: Health Evaluation. Self-Assessment. Oral Health.

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Factors associated with conducting planning for secondary oral health care services in Brazil

10.21203/rs.3.rs-37448/v4 ◽

2020 ◽

Author(s):

Edson Hilan Gomes de Lucena ◽

Rênnis Oliveira da Silva ◽

Carolina Dantas Rocha Xavier de Lucena ◽

Amalia Issufo Mepatia ◽

Yuri Wanderley Cavalcanti ◽

...

Keyword(s):

Oral Health ◽

Health System ◽

Health Care Services ◽

Service Management ◽

Statistical Tests ◽

Secondary Data ◽

Chi Square ◽

Factors Associated ◽

Unified Health System ◽

Service Production

Abstract Background: Planning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. This research aims to identify the factors associated with planning Specialized Dental Clinics (SDCs).Methods: Secondary data were used from the external evaluation of the database of the first National Program for Access and Quality Improvement of SDCs (NPAQI–SDCs) and the informed Outpatient Information System of the Unified Health System (OIS/UHS), which contains data on the specialized dental procedures performed at SDCs. It consisted of a quantitative study in which Pearson chi-square statistical tests (p ˂ 0.05) and a multivariate logistic regression were applied with odds ratio (OR) estimate. Results: The results indicated that the realization of planning in SDCs was associated with lower coverage of the Oral Health Team of the Familiy Health Strategy in a municipality (OR = 1.4; 95% CI: 1.0-1.9, p = 0.049), additional training for managers (p = 0.038), the practice of self-assessment (OR = 8.2; 95% CI: 5.8-11.6; p = 0.000) and meeting service production targets (OR = 1.9; 95% CI: 1.2-3.2; p = 0.011). Conclusion: The results indicate that the work processes of the SDCs, especially with regard to service management, are essential to the proper functioning of the service and the practice of planning is linked to the technical capacity and commitment of service managers.

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User satisfaction with public oral health services in the Brazilian Unified Health System

BMC Oral Health ◽

10.1186/s12903-019-0803-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Leonardo de Paula Amorim ◽

Maria Inês Barreiros Senna ◽

Gizelton Pereira Alencar ◽

Lorrany Gabriela Rodrigues ◽

Janice Simpson de Paula ◽

...

Keyword(s):

Oral Health ◽

Health Services ◽

Health System ◽

User Satisfaction ◽

Unified Health System ◽

Oral Health Services

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An evaluation matrix for self-instructional courses of Continuing and Online Education in Health

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.039 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

K C S Gasque ◽

F L Guizardi ◽

SMDBTC Coomans de Brachene ◽

K Fernandes ◽

E B Dutra ◽

...

Keyword(s):

Online Education ◽

Health System ◽

Continuing Education ◽

National Policy ◽

Quality Criteria ◽

Evaluation Tool ◽

Good Tool ◽

Unified Health System ◽

The Matrix ◽

Evaluation Matrix

Abstract Background In 2003, the National Policy for Continuing Education in Health (PNEPS) was created as a strategy to train and update workers of the Unified Health System. To be effectively instituted, the Open University of the Brazilian Unified Public Health System was conceived to offer free online courses. But, it was observed that the online educational modules developed were not structural and pedagogically homogeneous. Objective Propose a matrix of criteria and guidelines to support the improvement of the design of instructional modules, investigating three main areas: ergonomics, education and health. Methodology Anasynthesis was the approach to build the evaluation matrix. Results The matrix consists of 29 criteria (Accessibility, Progression Activities, Updating Practices, Self-Analysis and Self-Management, Assessment, Cognitive Load, Student-Centered, Collaboration, Compatibility and Interoperability, Consistency, Knowledge Building, Student Control, Documentation and Help, Aesthetics, Feedback, Flexibility, Error Management, Interactivity, Maintenance, Clear Instructional Goals and Objectives, Motivation, Personalization, Problem Practicing, Critical Reflection, Relevance, Renewable, Safety, Use of Different Paths, Valorization of Knowledge) with 132 guidelines that allows to check if the online self-instructional module meets minimum quality criteria. Five courses produced by the UNA-SUS system were tested and compared with the perception of users of these courses, obtained by the polls for opening and closing the courses. There was an approximation between the evaluations using the matrix and the responses of the surveys of the courses, answered by the users. Results from these surveys were transferred to a user matrix. The Interactivity and Collaboration criteria were considered non-mandatory for self-instructional courses without tutors. Conclusions The matrix is an adequate evaluation tool for self-instructional courses developed for Continuing Education. Key messages The evaluation matrix is adequate to evaluate online self-instructional courses developed for Health professionals qualification. Self-instructed courses could be a good tool for Continuing Education in health, according to students’ perceptions.

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Taxonomic synopsis of medicinal Lamiales species used in Alta Floresta, Mato Grosso, Brazil: Potentialities for the Unified Health System

Research Society and Development ◽

10.33448/rsd-v10i11.19686 ◽

2021 ◽

Vol 10 (11) ◽

pp. e340101119686

Author(s):

José Martins Fernandes

Keyword(s):

Rural Communities ◽

Medicinal Plants ◽

Health System ◽

Glandular Trichomes ◽

National Policy ◽

Plant Morphology ◽

Medicinal Species ◽

Mato Grosso ◽

Unified Health System ◽

The Status

This work presents the morphology of 16 medicinal species of Lamiales used in Alta Floresta, Mato Grosso, Brazil, as well comments about phytogeography, popular use in the municipality, the status of the species in the National Policy on Medicinal Plants and Phytotherapeutics, and examples of preclinical trials. The work was performed between March and September 2020, through botanical sample of the Lamiales species presented in the book " Plantas medicinais de Alta Floresta: com contribuição a etnobotânica", obtained in rural communities and urban neighborhoods in the municipality of Alta Floresta, State of Mato Grosso. The morphological study was carried out at the Laboratory of Plant Morphology, located at the University Campus of Alta Floresta, Universidade do Estado de Mato Grosso. In general, the species are native (56%) with wide distributions in Brazil. Most species have glandular trichomes (72%) on the leaves and/or flowers and have been shown to be efficient and/or promising (85.5%) in studies. However, only 37.5% of these studies were conducted by the Ministry of Health. None of the species are offered as a phytotherapeutic by the Unified Health System (SUS), although six are on the last National Report of Medicinal Plants of Interest published by SUS. Based on the information provided, it is evident that these species could be used in studies about new phytotherapeutics for SUS users.

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Factors associated with conducting planning for secondary oral health care services in Brazil

10.21203/rs.3.rs-37448/v2 ◽

2020 ◽

Author(s):

Edson Hilan Gomes de Lucena ◽

Rênnis Oliveira da Silva ◽

Carolina Dantas Rocha Xavier de Lucena ◽

Amalia Issufo Mepatia ◽

Yuri Wanderley Cavalcanti ◽

...

Keyword(s):

Oral Health ◽

Health System ◽

Health Care Services ◽

Service Management ◽

Statistical Tests ◽

Secondary Data ◽

Chi Square ◽

Factors Associated ◽

Unified Health System ◽

Service Production

Abstract Background: Planning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. This research aims to identify the factors associated with planning Specialized Dental Clinics (SDCs).Methods: Secondary data were used from the external evaluation of the database of the first National Program for Access and Quality Improvement of SDCs (NPAQI–SDCs) and the informed Outpatient Information System of the Unified Health System (OIS/UHS), which contains data on the specialized dental procedures performed at SDCs. It consisted of a quantitative study in which Pearson chi-square statistical tests (p ˂ 0.05) and a multivariate logistic regression were applied with odds ratio (OR) estimate. Results: The results indicated that the realization of planning in SDCs was associated with lower coverage of the Oral Health Team of the Familiy Health Strategy in a municipality (OR = 1.4; 95% CI: 1.0-1.9, p = 0.049), additional training for managers (p = 0.038), the practice of self-assessment (OR = 8.2; 95% CI: 5.8-11.6; p = 0.000) and meeting service production targets (OR = 1.9; 95% CI: 1.2-3.2; p = 0.011). Conclusion: The results indicate that the work processes of the SDCs, especially with regard to service management, are essential to the proper functioning of the service and the practice of planning is linked to the technical capacity and commitment of service managers.

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Case-resolving capacity of dental care of the Unified Health System: the perception of users in a city in the state of São Paulo, Brazil

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018235.17902016 ◽

2018 ◽

Vol 23 (5) ◽

pp. 1657-1666

Author(s):

Arinilson Moreira Chaves Lima ◽

Cléa Adas Saliba Garbin ◽

José Eduardo Corrente ◽

Nemre Adas Saliba ◽

Suzely Adas Saliba Moimaz

Keyword(s):

Oral Health ◽

Health System ◽

Health Center ◽

Dental Care ◽

Health Problems ◽

Outcome Variable ◽

Waiting Room ◽

Cross Sectional ◽

Unified Health System ◽

Long Time

Abstract The aim of this study was to learn about the users' perceptions concerning the case-resolving capacity of dental care in the Unified Health System and to analyze the associations between solving capacity and both sociodemographic characteristics and access to the service. This was a cross-sectional study with a quantitative approach, in which 461 users responded to individual interviews. The outcome variable was the case-resolving capacity of dental care, obtained through the question: “In your opinion, is the dentist of this health center managing to solve all your oral health problems (Yes/No)”. Independent variables were grouped into the following: sociodemographic and related to the access to the service. Most participants reported that their oral health problems were being solved. By using the Poisson regression, the lack of case-resolving capacity was found to be associated to the patients' not considering the dental surgeon's working hours convenient; to the long time they had to wait to get an appointment in the health center; and to the long time they had to wait in the waiting room. The results showed the positive view that users have about the case-resolving capacity of public dental care, and the relationship between access to the service and the said solving capacity.

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OP131 Rapid Review For Policy: Interchangeability Of Biological Medicines

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462319001612 ◽

2019 ◽

Vol 35 (S1) ◽

pp. 30-30

Author(s):

Daniela Rego ◽

Cecilia Farinasso ◽

Roberta Borges Silva ◽

Dalila Fernandes Gomes ◽

Aurelina Aguiar de Aguiar ◽

...

Keyword(s):

Health System ◽

Systematic Reviews ◽

Evidence Synthesis ◽

Scientific Evidence ◽

National Policy ◽

Primary Objective ◽

Rapid Review ◽

Pharmacovigilance System ◽

Independent Manner ◽

Unified Health System

IntroductionDue to the high judicialization rates which pressure the financing of biologic medicines by the Brazilian Unified Health System (Sistema Único de Saúde - SUS), it has been decided to formulate the National Policy for Biologic Medicines. After identification of problems and prioritization, interchangeability based only on economic criteria was the main problem to be confronted. The primary objective of this study was to identify political options to approach the problem of interchangeability in systematic reviews.MethodsWe conducted a rapid evidence synthesis for policy based on an adaptation of the SUPPORT tools, and searched in six literature databases. The selection of studies was performed in a systematic, transparent and independent manner. The International Network of Agencies in Health Technology Assessment (INAHTA) members were consulted to learn how this practice occurs worldwide.ResultsWe included seven systematic reviews and one policy brief, whose options to approach the problem were: production of robust scientific evidence on interchangeability; implementation of a pharmacovigilance system; appreciation of the clinical efficacy in the practice of interchangeability; and educational strategies for healthcare professionals in Brazil. Nine countries responded to our query.ConclusionsEvidence-informed policy has a central role for the Brazilian Ministry of Health. The present rapid evidence synthesis for policy will subsidize decision making regarding the interchangeability of biologic medicines within the Brazilian Unified Health System.

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Factors associated with conducting planning for secondary oral health care services in Brazil

BMC Health Services Research ◽

10.1186/s12913-020-05703-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Edson Hilan Gomes de Lucena ◽

Rênnis Oliveira da Silva ◽

Carolina Dantas Rocha Xavier de Lucena ◽

Amalia Issufo Mepatia ◽

Yuri Wanderley Cavalcanti ◽

...

Keyword(s):

Oral Health ◽

Health System ◽

Health Care Services ◽

Service Management ◽

Statistical Tests ◽

Secondary Data ◽

Chi Square ◽

Factors Associated ◽

Unified Health System ◽

Service Production

Abstract Background Planning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the needs perceived by the community. This research aims to identify the factors associated with planning Specialized Dental Clinics (SDCs). Methods Secondary data were used from the external evaluation of the database of the first National Program for Access and Quality Improvement of SDCs (NPAQI–SDCs) and the informed Outpatient Information System of the Unified Health System (OIS/UHS), which contains data on the specialized dental procedures performed at SDCs. It consisted of a quantitative study in which Pearson chi-square statistical tests (p < 0.05) and a multivariate logistic regression were applied with odds ratio (OR) estimate. Results The results indicated that the realization of planning in SDCs was associated with lower coverage of the Oral Health Team of the Familiy Health Strategy in a municipality (OR = 1.4; 95% CI: 1.0–1.9, p = 0.049), additional training for managers (p = 0.038), the practice of self-assessment (OR = 8.2; 95% CI: 5.8–11.6; p = 0.000) and meeting service production targets (OR = 1.9; 95% CI: 1.2–3.2; p = 0.011). Conclusion The results indicate that the work processes of the SDCs, especially with regard to service management, are essential to the proper functioning of the service and the practice of planning is linked to the technical capacity and commitment of service managers.

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