scholarly journals GESTÃO PÚBLICA NA ODONTOLOGIA COM O ADVENTO DO PROGRAMA BRASIL SORRIDENTE

Author(s):  
Sérgio Spezzia

ResumoA instituição no ano de 2004 da nova Política Nacional de Saúde Bucal, intitulada Programa Brasil Sorridente (PBS), trouxe consigo inovação e mudou o quadro odontológico na área de saúde. O objetivo deste artigo foi averiguar a performance da gestão pública odontológica e do PBS no desempenho da assistência à saúde pública odontológica. O PBS trouxe consigo um impacto significativo para alavancar a saúde bucal no Brasil, uma vez que até então não havia pelo governo federal, adoção de medidas satisfatórias para o setor. Os repasses de verba destinados ao custeio da saúde bucal da União para os municípios aumentaram. Constatou-se melhora significativa nos serviços prestados, relacionados a assistência à saúde pública odontológica com a implementação do PBS, comparando-se com a realidade apresentada anteriormente e levando-se em consideração o repasse de verbas escasso de antes.Palavras-chave: Gestão em Saúde. Sistema Único de Saúde. Iniquidade Social. Saúde Bucal. AbstractInstitution in 2004 of the National Oral Health Policy, the Brazilian Smiling Program, brought with it innovation and changed the odontological framework in the health area. The objective of this article was to investigate the performance of public dental management and the Brazilian Smiling Program in the performance of dental public health care. PBS brought with it a significant impact to leverage oral health in Brazil, since until then the federal government had not adopted satisfactory measures for the sector. The onlending of funds destined to the cost of oral health of the Union to the municipalities increased. There was a significant improvement in the services provided, related to dental public health assistance with the implementation of PBS, comparing with the reality presented previously and taking into account the transfer of scarce funds from before.Keywords: Health Management. Unified Health System. Social Inequity. Oral Health.

Author(s):  
Alexandre Fávero BULGARELLI

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil


Author(s):  
Ramprasad Vasthare ◽  
Anil V. Ankola ◽  
Arron Lim Yan Ran ◽  
Prateek Mansingh

Across the world, the segment of the elderly in populations is seen to be increasing at a rapid rate. There also exists a trend in which more teeth are retained as age increases due to effective dental public health measures like fluoridation. This inevitably places an increased need for dental healthcare among the geriatric populations. Since oral health greatly affects the systemic health of aged individuals, it is imperative for dentists and physicians to work together as a team to impart treatment to the best of one’s abilities for geriatric patients. It is therefore, necessary to first assess the oral health concerns surrounding the geriatric population from the perspective of public health dentistry. Relationship of the elderly with periodontal disease, dental caries, salivary hyposalivation and xerostomia, cognitive changes, and simultaneous usage of diverse medications was discussed. This paper reviewed the literature and then examined and discussed the various problems mentioned in depth and suggested recommendations for a plan of action. Knowledge about the specific oral health concerns and issues will help to better position us in developing strategies for providing better oral healthcare to the geriatric population in addition to the existing systemic healthcare. In the future, the elderly will make up a huge portion of the demographic visiting dentist regularly for a myriad of oral health problems. Dental health professionals therefore, must have adequate training and competency to deal with the predicament of this geriatric population. Preventive and treatment services can ensure healthy aging which will improve the quality of life.


2017 ◽  
Vol 12 (4) ◽  
pp. 411-433 ◽  
Author(s):  
Christopher Newdick

AbstractHow does the concept of autonomy assist public responses to ‘lifestyle’ diseases? Autonomy is fundamental to bioethics, but its emphasis on self-determination and individuality hardly supports public health policies to eat and drink less and take more exercise. Autonomy rejects a ‘nanny’ state. Yet, the cost of non-communicable diseases is increasing to individuals personally and to public health systems generally. Health care systems are under mounting and unsustainable pressure. What is the proper responsibility of individuals, governments and corporate interests working within a global trading environment? When public health care resources are unlikely to increase, we cannot afford to be so diffident to the cost of avoidable diseases.


2018 ◽  
Vol 53 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Andreas G. Schulte ◽  
Georgios Tsakos

Caries is the most prevalent chronic condition worldwide and the association between high-level intake of sugars and dental decay is strong and well established. Interestingly, to combat caries, dental practitioners and public health dentists in many countries have focused mainly on the application of different kinds of fluorides and fissure sealants but not on the reduction of sugar intake. Furthermore, for many years, sugars have not been the focus of dental research activities presented at the annual conferences of the European Organisation for Caries Research (ORCA) and the European Association of Dental Public Health (EADPH). In 2015, following the publication of the new WHO guidelines on the intake of sugars, the boards of ORCA and EADPH agreed to organize a common symposium entitled “Joint ORCA-ADPH Symposium on Sugar: The Oral Health Perspective”. This symposium was organized by a scientific committee and took place on July 6, 2016, in association with the 63rd ORCA Congress in Athens, Greece. It included 9 lectures highlighting different aspects of sugar consumption, contribution of sugar to dental caries, measuring sugar consumption, and fighting against sugar on a patient and public health basis. The purpose of this commentary is to give background information about the rationale of the above-mentioned symposium.


2020 ◽  
Author(s):  
Xiaohua Liang ◽  
Lun Xiao ◽  
Xue-Li Yang ◽  
Xue-Fei Zhong ◽  
Peng Zhang ◽  
...  

Abstract Background: During the coronavirus disease 2019 (COVID-19) pandemic, it is essential to evaluate the socioeconomic burden imposed on the Chinese health care system.Methods: We prospectively collected information from the Center for Disease Control and Prevention and the designated hospitals to determine the cost of public health care and hospitalization due to COVID-19. We estimated the resource use and direct medical costs per confirmed case and the costs associated with public health care per thousand people at the national level.Results: The average costs per case for specimen collection and nucleic acid testing (NAT) were $29.49 and $53.44, respectively, while the average cost of NAT for high-risk populations was $297.94 per capita. The average costs per thousand people for epidemiological surveys, disinfectant, health education and centralized isolation were $49.54, $247.01, $90.22 and $543.72, respectively. A single hospitalization for COVID-19 in China cost an average of $3,792.69 ($2,754.82-$5,393.76) in direct medical costs incurred only during hospitalization, while the total costs associated with hospitalization were estimated to have reached nearly $31,229.39 million in China as of 20 May 2020. The cost of public health care ($6.81 billion) was 20 times that of hospitalization.Conclusions: This study highlights the magnitude of resources needed to control the COVID-19 pandemic and treat COVID-19 cases. Public health measures implemented by the Chinese government have been valuable with regard to reducing the infection rate and may be cost-effective ways to control emerging infectious diseases.


2011 ◽  
Vol 5 (1) ◽  
pp. 1-3
Author(s):  
Gaurav Gupta ◽  
Manu Narayan ◽  
Navin A Ingle ◽  
Sabyasachi Saha ◽  
Sahana Shivkumar

ABSTRACT Oral health care for children and adults with disabilities is a health care area that has received scant attention. It is seen that most persons with a significant disability cannot find a professional resource to provide appropriate and necessary dental care. Lack of access to dental services for this growing segment of our population is reaching critical levels and is a national dilemma.


2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.


2021 ◽  
Vol 7 (1) ◽  
pp. 42-46
Author(s):  
Karma Tenzin ◽  
Tshewang Gyeltshen ◽  
Gyan P Bajgai ◽  
Sonam Nyedup ◽  
Choki Choki ◽  
...  

Introduction: Bhutan’s healthcare approach in achieving the sustainable development goal 3 (SDG 3) has been largely through primary healthcare as enshrined in the universal health coverage (UHC). Bhutan has forged a unique primary healthcare model in which oral health is integrated in its primary care initiatives. The Oral Health program under the Department of public health was established in 1999 with clear line objectives. The program has achieved commendable successes over the years. However, with changing needs, enhancing and mainstreaming of oral health and dentistry in the country must be accorded a top priority. This is particularly important as the Oral Health Policy and service standards were drafted fourteen years ago in 2007. The 2021 World Health Orgnization (WHO) agreement “to provide basic oral health services to all”, to which Bhutan is signatory, needs to be strictly implemented. Therefore, oral health dialogue was conducted to deliberate on the oral health systems in the country with experts from the field who were from within and outside Bhutan. This oral health policy dialogue generated important themes such as strategic and competent workforce, capacity development, need to transform oral health services in more people centric ways and mainstreaming oral health in other health policies.


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