Analysis of performance of specialized dental care in a care network for people with special needs
DOI:
https://doi.org/10.33448/rsd-v10i2.12678Keywords:
People with disabilities; Dental specialties; Dentistry; Public health.Abstract
The objective of the present study was to analyze the performance of a specialized dental care service for Patients with Special Needs (PSN) treated at the Dental Specialties Center (DSC) of the municipality Aracaju, Brazil. This is a cross-sectional observational and analytical study in which data were collected from medical records of PSN seen at the DSC from 2017 to 2019. Ambulatory actions performed in PSN during 2018 and 2019 were evaluated using information registered in the Informatics Department of the Unified Health System (DATASUS) through the public domain application TABNET and compared with the goal recommended by Ordinance 1,464 of June 24, 2011, of the Minister’s Office (MO)/Ministry of Health (MOH). Two hundred and eighteen medical records were evaluated; 23.4% of the patients had been diagnosed with behavioral disorders. Oral health education activities were registered in 86 medical records, including supervised brushing in PSN, dental extractions in 10% of the consultations, and 62% of the patients seeking care did so through referrals. As for the productions registered in DATASUS, it was verified that the goal recommended by the MOH was not achieved in 3 months in 2018, and in 8 months during 2019. The results demonstrated an unsatisfactory performance of the global fulfillment of the goals with regard to the registration of the production carried out in PSN of the DSC of Aracaju. Therefore, it is necessary to regularize the monthly care for these patients in accordance to the parameter established by Ordinance 1,464 MO/MOH.
References
Andrade, A. P. P., & Eleutéio ASL. (2015). Patients with special needs: dental approach and general anesthesia. Brazilian Dental Journal, 72(1/2), 66.
Andrade, F. B., Pinto, R. S., & Antunes, J. L. F. (2020). Trends in performance indicators and production monitoring at Dental Specialty Centers in Brazil. Reports in Public Health, 36(9), e00162019.
André, F. S., Henriques, R. M. A., Andrade, R. A. R., & Cerqueira, R. A. S. (2013). Protocol of the State Dental Specialty Centers. Sergipe State Health Secretariat. Aracaju: State Health Foundation - FUNESA.
Brazil. (2005). Ministry of Health. Ordinance nº 1,857 of October 11, 2012. It enables the Dental Specialties Center - DSC - to receive financial incentives for the implementation and funding of specialized oral health services and makes other arrangements. Official Gazette of the Federative Republic of Brazil nº 197. Oct 13; Section 1. p. 40.
Brazil. (2006). Ministry of Health. Primary Care Notebook nº 17. Brasília: Ministry of Health.
Brazil. (2008). Ministry of Health. Basic Indicators for Health in Brazil: Concepts and Applications/Interagency Health Information Network - Ripsa. Brasília: Pan American Health Organization. 2nd edition.
Brazil. (2011). Ministry of Health. Ordinance nº 1,459 of June 24, 2011. It establishes the monitoring of the production, consisting of the analysis of a minimum monthly production presented to be carried out by the DSCs, verified through SUS Outpatient Information Systems - OIS/SUS. Official Gazette of the Federative Republic of Brazil nº 58.
Brazil. (2012). Ministry of Health. Department of Health Care. Ordinance nº 911 of August 29.
Brazil. (2012). Ministry of Health. Ordinance nº 2,496 of November 1, 2012. It grants Dental Specialties Centers accession to the Care Network for People with Disabilities and defines the additional amounts of financial incentives for monthly funding. Official Gazette of the Federative Republic of Brazil nº 213. Nov 05; Section 1. p. 52.
Brazil (2012). Ministry of Health. Ordinance nº 835 of April 25, 2012. Institutes financial incentives for investment and funding for the Specialized Care Component of the Care Network for People with Disabilities within the scope of the Unified Health System. Official Gazette of the Federative Republic of Brazil nº 81. 2012, April 26; Section 1. p. 50.
Brazil. (2013). Living without Limits - National Plan for the Rights of People with Disabilities. Human Rights Secretariat of the Presidency of the Republic. National Secretariat for the Promotion of the Rights of People with Disabilities.
Brazil. (2013). Ministry of Health. National Health Council. Resolution 466 of December 12, 2012. It approves regulatory guidelines and standards for research involving human subjects. Federal Official Gazette; Executive Branch, Brasília-DF; Jun 13. Section I. p. 59-62.
Brazil. (2014). Ministry of Health. Health Care Secretariat. Department of Strategic Programmatic Actions. Guidelines for the care of people with cerebral palsy. Brasília-DF.
Brazil. (2015). Ministry of Health. Health Care Secretariat. Department of Specialized and Thematic Care. Line of care for the care of people with autism spectrum disorders and their families in the Psychosocial Care Network of the Unified Health System. Brasília-DF.
Brazil. (2018). Ministry of Health. Health Care Secretariat. Department of Primary Care. Oral Health in the Unified Health System (electronic resource). Brasília: Ministry of Health. 247p.
Brazil. (2019). Ministry of Health. Health Care Secretariat. Department of Specialized and Thematic Care. Guide to Oral Health Care for People with Disabilities. Brasília: Ministry of Health.
Campos, C. C., Frazão, B. B., Saddi, G. L., Morais, L. A., Ferreira, M. G., Setúbal, P. C. O., & Alcântara, R. T. (2009). Practical Manual for Dental Care for Patients with Special Needs. Federal University of Goiás. 2nd edition.
City Hall of Aracaju. (2019). Social mapping of the municipality of Aracaju.
City Hall of Aracaju. (2019). Health of Aracaju is the only one in the state offering dental urgency service.
Estrela C, organizador (2018). Metodologia científica: ciência, ensino, pesquisa. (Scientific methodology: science, teaching research). 3rd Edition Porto Alegre Artes Médicas.
Galvão, M. H. R., & Roncalli, A. G. (2021). Performance of Brazilian municipalities in terms of the provision of specialized oral health services. Reports in Public Health, 37(1): e00184119.
Gavina, V. P. (2016). Oral health for patients with special needs: evaluation of dental specialty centers in the mountainous region of Rio de Janeiro. Masters dissertation, Fluminense Federal University.
Gavina, V. P., Alves, N. S., Alves, F. R., Cortellazzi, K. L., Silveira, F. M., & Assaf, A. V. (2018). Oral Health for Patients with Special Needs: Evaluative Research of the Dental Specialties Centers. Port J Public Health, 36, 81-94.
Haddad, A. S. (2007). Dentistry for Patients with Special Needs. 1st Ed. Livraria Santos Ltda.
IBGE (2010). Brazilian Institute of Geography and Statistics. Demographic Census 2010. General characteristics of the population, religion and people with disabilities.
Machado, F. C. A., Silva, J. V., & Ferreira, M. Â. F. (2015). Factors related to the performance of Dental Specialty Centers. Science and Public Health, 20(4), 1149-1163.
Pereira, A.S., Shitsuka, D.M., Parreira, F.J., Shitsuka, R. (2018). Scientific research methodology. 1rd Edition Santa Maria, RS: UFSM, NTE.
Possamai, T., Pilger, C., Lentsck, M. H., & Mestriner Junior, W. (2015). Secondary actions in oral health: analysis of the dental specialties center in a city in the countryside of Paraná, Brazil. APS Magazine, 18(3), 266-272.
Santos, M. T. B. R., & Haddad, A. S. (2003). Who are the patients with special needs? In Cardoso, R. J. A., & Machado, M. E. L. Dentistry Art and Knowledge (pp. 263-268). São Paulo: Medical Arts-Dental Division.
Santos, C. M. L., Falcão, M. M. L., Souza, A. L. D., Santos, M. S., & Coelho, A. A. (2014). Epidemiological profile of patients with special needs treated at a dental specialty center in the countryside of Bahia. Bahia Public Health Magazine, 38(1), 83-94.
Souza, G. C. A. (2009). Dental Specialties Center: evaluation of medium complexity care in the public network of Grande Natal. Masters dissertation, Federal University of Rio Grande do Norte.
Souza, G. C., Lopes, M. L. D. S., Roncalli, A. G., Medeiros-Júnior, A., & Clara-Costa, I. C. (2015). Referral and counter-referral in oral health: regulation of access to dental specialty centers. Journal of Public Health, 17(3), 416-428.
Sergipe. (2016). State Department of Health. Government of Sergipe. State Health Plan.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Graziane Ribeiro Couto; Marcos Antônio Lima dos Santos ; Lívia Santos Cisneiros de Oliveira; Saul Martins de Paiva; Emílio Prado da Fonseca; Regiane Cristina do Amaral
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
