Análise de desempenho da atenção odontológica especializada em rede de cuidados à pessoa com necessidades especiais

Autores

DOI:

https://doi.org/10.33448/rsd-v10i2.12678

Palavras-chave:

Pessoas com deficiência; Especialidades odontológicas; Odontologia; Saúde pública.

Resumo

O objetivo do presente estudo foi analisar o desempenho da atenção odontológica especializada nos Pacientes com Necessidades Especiais (PNE) atendidos no Centro de Especialidades Odontológicas (CEO) de Aracaju, Brasil. Trata-se de um estudo transversal, observacional e analítico em que a coleta dos dados foi feita a partir dos prontuários dos PNE atendidos no CEO nos anos de 2017 até 2019. Foram avaliadas as produções ambulatoriais realizadas nos PNE nos anos de 2018 e 2019 através de informações cadastradas no Departamento de Informática do Sistema Único de Saúde (DATASUS) por meio do aplicativo de domínio público TABNET e comparadas com a meta preconizada pela Portaria nº 1.464 de 24 de junho de 2011 do Gabinete do Ministro (GM) / Ministério da Saúde (MS).  Foram avaliados 218 prontuários, sendo encontrado o registro de 23,4% dos pacientes com o diagnóstico de distúrbios comportamentais, observando-se que em 86 prontuários houve o registro de atividade de educação em saúde bucal, incluindo escovação supervisionada nos PNE, 10% dos atendimentos foram exodontia e 62% dos que procuravam o serviço era via referenciamento. Quanto às produções registradas no DATASUS verificou-se no ano de 2018, que em 3 meses não conseguiram atingir a meta preconizadas pelo MS e para o ano de 2019, 8 meses ficaram abaixo do preconizado. Os resultados demonstram desempenho insatisfatório do cumprimento global das metas, no que concerne ao registro da produção realizada nos PNE do CEO Aracaju, sendo assim é necessário regularizar os atendimentos mensais desses pacientes, tendo como parâmetro a Portaria 1.464 GM/MS.

Referências

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

Publicado

19/02/2021

Como Citar

COUTO, G. R. .; SANTOS , M. A. L. dos .; OLIVEIRA, L. S. C. de; PAIVA, S. M. de; FONSECA, E. P. da .; AMARAL, R. C. do. Análise de desempenho da atenção odontológica especializada em rede de cuidados à pessoa com necessidades especiais. Research, Society and Development, [S. l.], v. 10, n. 2, p. e35710212678, 2021. DOI: 10.33448/rsd-v10i2.12678. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12678. Acesso em: 17 jul. 2024.

Edição

Seção

Ciências da Saúde