scholarly journals The Oral Health Team in the Family Health Strategy: Trajectories and Challenges

2018 ◽  
Vol 11 (1) ◽  
pp. 438-450
Author(s):  
Renata Maria Colodette ◽  
Tiago Ricardo Moreira ◽  
Andréia Patrícia Gomes ◽  
Rodrigo Siqueira-Batista
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Family Health ◽  
Review Literature ◽  
Successful Implementation ◽  
Electronic Consultation ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Healthcare Model

Objectives: The objective of this study was to review literature focused on the introduction of Brazilian oral healthcare service models, incorporation of Oral Health Teams (OHTs) within the Family Health Strategy (FHS), changes occurring in the work process of the professionals that make up OHTs, difficulties for successful implementation of this new healthcare model and impacts on indicators of oral health. Methods: A review of the literature was conducted through an electronic consultation of the Pubmed and Virtual Health Library (VHL) databases published between 2001 and 2016, using a combination of descriptors. We selected 44 studies for review. Results: Oral healthcare in Brazil evolved from exclusionary and curative models to those aimed at prevention and promotion of health. The increase in government resources dedicated to oral healthcare in Brazil represented an improvement in access to dental treatment, however, some studies demonstrated that OHTs within the FHS still operate by the traditional curative models. Conclusion: Lack of proper planning for hiring OHTs and precariousness of their work contracts were also reported. The need for better managerial planning for implementation of OHTs within the scope of the FHS was demonstrated.

scholarly journals Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Sampling Error ◽  
Family Health ◽  
Health Indicators ◽  
Ministry Of Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

scholarly journals Family risk as adjunct for organizing the demand for oral health service in the Family Health Strategy

2015 ◽  
Vol 44 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Henri Menezes Kobayashi ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
Rívea Inês Ferreira ◽  
Glaucia Maria Bovi Ambrosano
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Multinomial Logistic Regression ◽  
Family Health ◽  
Health Conditions ◽  
Family Risk ◽  
Treatment Needs ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Introduction One of the main problems of the public health services, in which the family oral health team is included, is access by users to dental treatment in primary care, with particular reference to caries disease. Objective The aim of this study was to evaluate the relationship between family risk, for prioritization of home visits and oral health conditions, with a view to providing evidence about the first indicator for organizing the demand for oral health in the Family Health Strategy (FHS). Method The application of family health is based on Form A of the primary care information database SIAB ("Sistema de Informação de Atenção Básica"), used for registering families with the FHS. Eleven dentists examined the oral health conditions of 1165 persons (608 from 12 to 19 years; and 557 from 35 to 44 years of age), classifying them into six codes from A to F. Multinomial logistic regression was used (α=0.05) to analyze the association between family risk variables and oral health situation. Result There was significant association between family risk and presence of caries disease with treatment needs (OR: 2.08, p<0.0001). Conclusion Persons who have family risk would have twice as much chance of presenting caries disease in comparison with those without risk, corroborating the relevance of this element in organizing the demand for oral health.

scholarly journals Oral Health in the Family Health Strategy: analysis of articles published in the period 2004-2014

2018 ◽  
Vol 23 (1) ◽  
pp. 325-338 ◽  
Author(s):  
Chaiane Emilia Dalazen ◽  
Alessandro Diogo De-Carli ◽  
Samuel Jorje Moyses
Keyword(s):  
Oral Health ◽  
Family Health ◽  
Implementation Process ◽  
Electronic Library ◽  
Strategy Analysis ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Process Work ◽  
Number Of Publications

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.

scholarly journals Oral Health in Primary Care through the Family Health Strategy

2019 ◽  
Vol 21 (2) ◽  
pp. 139
Author(s):  
Aline Claudia Ribeiro Medeiros Silva ◽  
Mário Molari
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health System ◽  
Family Health ◽  
Health Indicators ◽  
Family Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractThe purpose of this article is to carry out a literature review on oral health team in primary care with their inclusion in the Family Health Strategy (FHS). The publications were consulted in national papers, official documents and other publications of Health Ministry (MS). In the literature it is observed that with the creation of the Unified Health System (SUS) a process of health restructuring services in Brazil began. The Primary Care National Policy (PNAB) is the result of several historical facts involved with the development and consolidation of SUS. The Family Health Program (PSF), now called the Family Health Strategy (ESF) was created in 1994 aimed at reorienting health care with new bases, centering family focus and attempting to achieve improvement in quality of life of Brazilians. In 2000, oral health teams were included in the PSF to extend access  of the Brazilian population to health promotion actions, prevention and recovery of oral health, improve health indicators and encourage the reorganization of dentistry in primary care. ESF is a unique strategy in the reorganization of the Brazilian health system and the inclusion of the ESB an important complement in primary care, aiming an integral dental practice. Keywords: Primary Health Care. Family Health Strategy. Oral Health. ResumoO presente artigo tem o objetivo de realizar uma revisão de literatura sobre a equipe de saúde bucal na atenção básica, através da sua inserção na Estratégia Saúde da Família (ESF). As publicações consultadas foram artigos científicos nacionais, documentos oficiais (leis e portarias) e outras publicações do Ministério da Saúde (MS).  Na literatura observa-se que com a criação do Sistema Único de Saúde (SUS) iniciou no Brasil um processo de reestruturação dos serviços de saúde. A Política Nacional de Atenção Básica (PNAB) é resultado da experiência acumulada de vários atores envolvidos historicamente com o desenvolvimento e a consolidação do SUS. O Programa Saúde da Família (PSF), atualmente denominado Estratégia Saúde da Família (ESF), foi implantado em 1994 visando a reorientação da prática da atenção à saúde sob novas bases, centrando o foco na família, na tentativa de alcançar uma melhoria na qualidade de vida dos brasileiros. Em 2000, as equipes de saúde bucal foram inseridas no PSF com o objetivo de ampliar o acesso da população brasileira às ações de promoção, prevenção e recuperação da saúde bucal, melhorar os indicadores de saúde, além de incentivar a reorganização da odontologia na atenção básica. A ESF consiste em uma estratégia ímpar na reorganização do sistema de saúde brasileiro e a inclusão da ESB um importante complemento na atenção básica, visando uma prática odontológica integral. Palavras-chave: Atenção Primária à Saúde. Estratégia Saúde da Família. Saúde Bucal.

scholarly journals Evaluation of knowledge of Oral Health of Community Health Agents connected with the Family Health Strategy

2015 ◽  
Vol 20 (4) ◽  
pp. 1185-1197 ◽  
Author(s):  
Giovana Renata Gouvêa ◽  
Marco Antônio Vieira Silva ◽  
Antônio Carlos Pereira ◽  
Fábio Luiz Mialhe ◽  
Karine Laura Cortellazzi ◽  
...  
Keyword(s):  
Oral Health ◽  
Community Health ◽  
Disease Process ◽  
Family Health ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

The aim of this study was to evaluate the knowledge of Community Health Agents (CHA) about the oral health/disease process, and compare the results between those who work in Family Health Teams (FHT), with and without Oral Health Teams (OHT). The participants in this study were 162 subjects, representing 66% of the total number of CHA in the municipality, and 81 of them are connected with Family Health Units (FHU) with OHT, and 81 CHS with FHUs without OHT. Data were collected from October to December 2013, by application of a questionnaire, containing personal and professional data, and 12 validated questions about knowledge of the oral health/disease process. The Mann-Whitney test was applied to verify differences between the groups. Statistically significant differences were verified between the groups of CHA when the total scores of questions about the oral health/disease process were analyzed (p < 0.0021). It was concluded that knowledge about the oral health/disease process, of the CHAs connected with a FHU with an OHT was better when compared with that of CHAs connected with a FHU without an OHT.

scholarly journals Evolution of post-deployment indicators of oral health on the Family Health Strategy

2014 ◽  
Vol 12 (3) ◽  
pp. 274-281 ◽  
Author(s):  
Danielle da Costa Palacio ◽  
Fabiana de Lima Vazquez ◽  
Danielle Viana Ribeiro Ramos ◽  
Stela Verzinhasse Peres ◽  
Antonio Carlos Pereira ◽  
...  
Keyword(s):  
Oral Health ◽  
Family Health ◽  
Albert Einstein ◽  
Sao Paulo ◽  
São Paulo ◽  
Healthcare Teams ◽  
Health Strategy ◽  
Significant Difference ◽  
The Family ◽  
Family Health Strategy

Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy. Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011. Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance. Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals.

scholarly journals Inclusão da Saúde Bucal na Estratégia de Saúde da Família: Dificuldades e Potencialidades / Inclusion of Oral Health in the Family Health Strategy: Difficulties and Potentialities

2019 ◽  
Vol 13 (48) ◽  
pp. 243-253
Author(s):  
Natália Carvalho Gomes Bitencourt Santos Silva ◽  
Marcelo Pereira da Rocha ◽  
Gabriela Carvalho Andrade Aragão ◽  
Aline Benevides Sá Feres ◽  
Thiago Benevides Marques ◽  
...  
Keyword(s):  
Oral Health ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

A inclusão das equipes de saúde bucal na Estratégia de Saúde da Família contribuem no acesso e na qualificação do trabalho na atenção primária em saúde. O objetivo da presente pesquisa foi analisar a inclusão da saúde bucal na estratégia da saúde da família em um município do estado da Bahia. Trata-se de estudo descritivo, com abordagem quantitativa. Foram aplicados questionários com cirurgiões-dentistas e auxiliares de saúde bucal, atuantes em equipes da área urbana de um município de médio porte do estado da Bahia. Percebem-se avanços importantes na saúde bucal, especialmente quanto às ações educativas e preventivas. Por sua vez, foram identificadas dificuldades, especialmente no acesso aos serviços de saúde.    

scholarly journals Oral health in the family health strategy: a change of practices or semantics diversionism

2009 ◽  
Vol 43 (3) ◽  
pp. 455-462 ◽  
Author(s):  
Antonio Carlos Nascimento ◽  
Simone Tetu Moysés ◽  
Julio Cesar Bisinelli ◽  
Samuel Jorge Moysés
Keyword(s):  
Oral Health ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals The challenges of teamwork in the family health strategy

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Aline Gabriela Bega ◽  
Ana Patrícia Araújo Torquato Lopes ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Aida Maris Peres ◽  
...  
Keyword(s):  
Oral Health ◽  
Interpersonal Relationships ◽  
Health Professionals ◽  
Family Health ◽  
Daily Routine ◽  
Structured Interviews ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Objective: To grasp the perceptions and experiences of professionals in the primary health care as teamwork in the Family Health Strategy (FHS) in a medium-sized municipality in the southern of Brazil. Method: Qualitative research carried out, between April and July 2016, with 13 health professionals (nurses, doctors, dentists, community health agents, nursing technicians and oral health aide) workers in FHS. Data were collected through semi-structured interviews, transcribed and submitted to content analysis. Results: From the analysis emerged three thematic categories: Teamwork from the perspective of the FHS health professionals; Strategies for maintaining teamwork out of daily routine; and Challenges of the insertion of Oral Health in the FHS. Conclusions and implications for a practice: Participants demonstrated that they understood the importance of teamwork and interpersonal relationships, and recognize the inherent challenges of this process. They revealed weaknesses in the relationships among dentistry and other members of the FHS, marked by a sense of exclusion and disinterest in participating.

scholarly journals Profile of dentists in oral health team of a microregion of Minas Gerais, Brazil

2014 ◽  
Vol 62 (1) ◽  
pp. 31-36
Author(s):  
Grazielle Christine Maciel MATTOS ◽  
Efigênia Ferreira e FERREIRA ◽  
Ana Cristina Viana CAMPOS ◽  
Isabel Cristina Gonçalves LEITE ◽  
Rosângela Maria GRECO
Keyword(s):  
Oral Health ◽  
Social Participation ◽  
Family Health ◽  
Working Hours ◽  
Graduate Course ◽  
Training Time ◽  
Health Team ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

OBJECTIVE: To describe the profile of dentists in oral health team of the micro-region of Minas Gerais, Brazil. METHODS: Cross-sectional study with 48 dentists in 16 municipalities, in which data collection was conducted by questionnaire. The variables considered for the study were: training time in years, and monthly real salary (centroid), in compliance with weekly working hours, mode of incorporation into the oral health team, postgraduate course, social participation and ongoing involvement in Family Health. All variables were used to group dentists by Two Step Cluster analysis segmentation, with p <0.05 significance level. RESULTS: They formed three clusters that differed mainly in relation to training time in years (p = 0.007), hours worked (p <0.001), postgraduate course (p <0.001) and social participation (p = 0.031). The first cluster grouped dentists with less training time, receiving an intermediate salary to comply with the stated working hours and lack of post-graduate course, the second grouped dentists with the highest salaries and years of graduation who have post-graduate course and the last was composed of dentists with intermediary training time, the lowest salaries that complied with the working hours, have attended the training course / training in the Family Health Strategy and have no social participation. CONCLUSION: Dentists in the Family Health Strategy differ as regards weekly working hours, postgraduate course and social participation in the city, and the training time can be a critical feature to point out these differences.

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