999 resultados para Saúde Bucal
Resumo:
O objetivo deste estudo foi avaliar a incorporao da saúde bucal no Programa Saúde da Famlia no Rio Grande do Norte, com base na anlise de fatores capazes de interferir no processo de mudana dos modelos assistenciais em saúde bucal. Esta avaliao tomou como referncia trs dimenses: o acesso, a organizao do trabalho e as estratgias de programao. Foram sorteados 19 municpios no estado. Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas, a observao estruturada e a pesquisa documental. Foi possvel identificar precariedade nas relaes de trabalho e dificuldades no referenciamento para mdia e alta complexidade, na intersetorialidade, no diagnstico epidemiolgico e na avaliao das aes. A maioria dos municpios apresentou pouco ou nenhum avano no modelo assistencial em saúde bucal. Os municpios que demonstraram avanos apresentaram alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do Estado e altos valores de IDH-M. Concluiu-se que polticas pblicas que contemplam aspectos alm dos pertinentes ao setor saúde so decisivas para uma real mudana nos modelos assistenciais.
Resumo:
O objetivo deste estudo foi avaliar a incorporao da saúde bucal no Programa Saúde da Famlia no Rio Grande do Norte, com base na anlise de fatores capazes de interferir no processo de mudana dos modelos assistenciais em saúde bucal. Esta avaliao tomou como referncia trs dimenses: o acesso, a organizao do trabalho e as estratgias de programao. Foram sorteados 19 municpios no estado. Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas, a observao estruturada e a pesquisa documental. Foi possvel identificar precariedade nas relaes de trabalho e dificuldades no referenciamento para mdia e alta complexidade, na intersetorialidade, no diagnstico epidemiolgico e na avaliao das aes. A maioria dos municpios apresentou pouco ou nenhum avano no modelo assistencial em saúde bucal. Os municpios que demonstraram avanos apresentaram alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do Estado e altos valores de IDH-M. Concluiu-se que polticas pblicas que contemplam aspectos alm dos pertinentes ao setor saúde so decisivas para uma real mudana nos modelos assistenciais.
Resumo:
The public health dentistry is a way to bring oral health to Brazilian National Health System (SUS) and vice-versa. Thus, the epidemiology, in this context, it is one of the most important allies. In this article we intend to discuss the "shared walkway" between epidemiology and public health dentistry, through two views: first, we analyzed the efforts to establish methodological models for oral health sectional studies and the possibilities to construct a national data base. Second, we discussed how this knowledge has been transformed in a qualified scientific production presented in meetings and papers, which reflects, at the same time, about the contribution of this process in the consolidation of public health dentistry field. We concluded that this "shared walkway" was (and still is), influenced by political aspects, which, in different moments, leads to an improvement of public health dentistry. The oral health epidemiology has been established as a knowledge area, with regard to the scientific production in Brazil. At the same time, provide a tool that contributes to make oral health care models more appropriate to National Health System principles and, in other hand, make better the discussions about the social determinants of oral diseases.
Resumo:
The public health dentistry is a way to bring oral health to Brazilian National Health System (SUS) and vice-versa. Thus, the epidemiology, in this context, it is one of the most important allies. In this article we intend to discuss the "shared walkway" between epidemiology and public health dentistry, through two views: first, we analyzed the efforts to establish methodological models for oral health sectional studies and the possibilities to construct a national data base. Second, we discussed how this knowledge has been transformed in a qualified scientific production presented in meetings and papers, which reflects, at the same time, about the contribution of this process in the consolidation of public health dentistry field. We concluded that this "shared walkway" was (and still is), influenced by political aspects, which, in different moments, leads to an improvement of public health dentistry. The oral health epidemiology has been established as a knowledge area, with regard to the scientific production in Brazil. At the same time, provide a tool that contributes to make oral health care models more appropriate to National Health System principles and, in other hand, make better the discussions about the social determinants of oral diseases.
Resumo:
Este trabalho aborda aes de promoo em saúde desenvolcidas no Projeto de Saúde Bucal com Povo Indgena Trememb, Cear, viabilizadas por uma parceria da Igreja Metodista, Universidade Federal do Rio Grande do Norte (UFRN) e Universidade Metodista de Piracicaba (UNIMEP). Pretendeu contribuir para a melhoria na qualidade da saúde bucal Trememb valorizando etnoconhecimentos e saúde integral. A atuao priorizou Aes de Educao e Saúde utilizando um Levantamento Epidemiolgico para o diagnstico situacional de crie e planejamento, e contemplou o Atendimento Odontolgico. Nas Aes de Educao em Saúde utilizou-se a pedagogia da problematizao atravs de Oficinas de Preservao em Saúde resultando na produo da Cartilha de Saúde Bucal Trememb. Os dados epidemiolgicos, com 102 indivduos, obtidos atravs do ndice CPO-D (dentes permanentes cariados, perdidos e obturados) foram organizados pelo programa Epi Info 6.04, em 4 grupos etrios (at 24; 25-34; 35-44; 45) resultando em mdias que variaram de 9,5 a 20,9 respectivamente, evidenciando precria situao de saúde bucal. As aes de promoo em saúde contriburam para conscincia sanitria, no sentido da reivindicao dos direitos saúde representada como um exerccio da cidadania, bem como na busca pela autonomia em relao preveno de doenas bucais entre os Trememb.
Resumo:
Epidemiological surveys are important for obtaining information on the prevalence and etiology of mouth diseases, since the data collected permit health actions to be planned, performed, and assessed. Methodological uniformity is necessary, however, to maintain reproductibility, validity, and reliability, and to allow national and international comparisons. The initiative of the World Health Organization (WHO) as an advisor in ongoing surveys has been extremely useful, stimulating standardization in all countries. In 1991, a Portuguese version of the 1987 third edition of Oral Health Surveys - basic methods, an instruction manual for performing epidemiological surveys, was published and became a reference for many parts of Brazil and the World. The present analysis found conflicting points in relation to the sample size, calibration of the examiners, and criteria for evaluating oral health and treatment needs. In conclusion, due to the dynamic characteristics of scientific knowledge and, considering the regional differences in relation to the development of oral diseases, we recommend that proposals for standardizing surveys be checked periodically. Other important issues may have not been detected in this analysis, urging a thorough discussion within the dentistry community as a whole.
Resumo:
Epidemiological surveys are important for obtaining information on the prevalence and etiology of mouth diseases, since the data collected permit health actions to be planned, performed, and assessed. Methodological uniformity is necessary, however, to maintain reproductibility, validity, and reliability, and to allow national and international comparisons. The initiative of the World Health Organization (WHO) as an advisor in ongoing surveys has been extremely useful, stimulating standardization in all countries. In 1991, a Portuguese version of the 1987 third edition of Oral Health Surveys - basic methods, an instruction manual for performing epidemiological surveys, was published and became a reference for many parts of Brazil and the World. The present analysis found conflicting points in relation to the sample size, calibration of the examiners, and criteria for evaluating oral health and treatment needs. In conclusion, due to the dynamic characteristics of scientific knowledge and, considering the regional differences in relation to the development of oral diseases, we recommend that proposals for standardizing surveys be checked periodically. Other important issues may have not been detected in this analysis, urging a thorough discussion within the dentistry community as a whole.
Resumo:
INTRODUCTION: Humanized and quality prenatal and post-partum care is critical to maternal and newborn health, as well as oral health care. Currently, the National Oral Health Policy is aiming at expanding dental care for pregnant women. Thus, the promotion of oral health and attention to prenatal care policies should be integrated; however, there is still limited participation of pregnant women. Thus, it is necessary to verify the knowledge of pregnant women related to oral health, seeking to estimate the quality of dental care provided during prenatal care, being essential for the Family Health strategy to organize personnel, plan costs and to ensure the quality standard of care. OBJECTIVE: To develop and validate a research instrument on the knowledge of pregnant women about their oral health and of their baby. METHOD: This is a construction and validation study with 93 pregnant women in Family Health Units and specialized private clinics in Obstetrics, in the city of Natal / RN. It was authorized by the Onofre Lopes University Hospital Ethics Committee of the Universidade Federal do Rio Grande do Norte (UFRN) under the registration number 421.163/13. The construction of the instrument followed steps so that it was valid, reliable and sensitive: creation and reduction of the items (drafting of the instrument), content validity and testing of the instrument, and hypotheses validation. Once constructed, the instrument was evaluated by experts who suggested modifications. There was consultation with the target population about the new version of the created instrument, which had the instrument validation verified by internal consistency through intra and inter-calibration and test-retest. Next, the hypotheses were validated. A database was built in the Statistical Package for Social Sciences (SPSS), version 22.0. After creating the hypotheses, an association was found for validating the criteria between each of the specific issues for each established criteria, considering a 5% significance level. Data analysis was carried out by describing the absolute and relative frequencies of the variables pertaining to issues relating to their pregnancy knowledge about their oral health and their baby. The Kappa coefficient was used for the calibration process (Inter and Intra-examiner calibration) and Cronbach's alpha coefficient was used to analyze instrument reproducibility (test-retest). In addition, the chi-square test was used to cross the dependent variable with the (dichotomized) independent variables. RESULTS: The intra and inter agreement analysis presented a Kappa coefficient between 0.400 and 1.000. Internal consistency through the analysis showed that 90% of the instrument's questions showed great reliability in the answers (Cronbach 0.7). In the investigation of the relationship between the dependent variable (knowledge about oral health) and the independent variables (trimester of pregnancy, education, income and multiparous), it was found that none of these independent variables were significantly associated. All hypotheses had their Ho confirmed. CONCLUSION: The constructed instrument was validated, considering that it showed to be sensitive with good reliability and good accuracy, and therefore can be used to assess pregnant womens knowledge about their oral health and the oral health of their baby.
Resumo:
INTRODUCTION: Humanized and quality prenatal and post-partum care is critical to maternal and newborn health, as well as oral health care. Currently, the National Oral Health Policy is aiming at expanding dental care for pregnant women. Thus, the promotion of oral health and attention to prenatal care policies should be integrated; however, there is still limited participation of pregnant women. Thus, it is necessary to verify the knowledge of pregnant women related to oral health, seeking to estimate the quality of dental care provided during prenatal care, being essential for the Family Health strategy to organize personnel, plan costs and to ensure the quality standard of care. OBJECTIVE: To develop and validate a research instrument on the knowledge of pregnant women about their oral health and of their baby. METHOD: This is a construction and validation study with 93 pregnant women in Family Health Units and specialized private clinics in Obstetrics, in the city of Natal / RN. It was authorized by the Onofre Lopes University Hospital Ethics Committee of the Universidade Federal do Rio Grande do Norte (UFRN) under the registration number 421.163/13. The construction of the instrument followed steps so that it was valid, reliable and sensitive: creation and reduction of the items (drafting of the instrument), content validity and testing of the instrument, and hypotheses validation. Once constructed, the instrument was evaluated by experts who suggested modifications. There was consultation with the target population about the new version of the created instrument, which had the instrument validation verified by internal consistency through intra and inter-calibration and test-retest. Next, the hypotheses were validated. A database was built in the Statistical Package for Social Sciences (SPSS), version 22.0. After creating the hypotheses, an association was found for validating the criteria between each of the specific issues for each established criteria, considering a 5% significance level. Data analysis was carried out by describing the absolute and relative frequencies of the variables pertaining to issues relating to their pregnancy knowledge about their oral health and their baby. The Kappa coefficient was used for the calibration process (Inter and Intra-examiner calibration) and Cronbach's alpha coefficient was used to analyze instrument reproducibility (test-retest). In addition, the chi-square test was used to cross the dependent variable with the (dichotomized) independent variables. RESULTS: The intra and inter agreement analysis presented a Kappa coefficient between 0.400 and 1.000. Internal consistency through the analysis showed that 90% of the instrument's questions showed great reliability in the answers (Cronbach 0.7). In the investigation of the relationship between the dependent variable (knowledge about oral health) and the independent variables (trimester of pregnancy, education, income and multiparous), it was found that none of these independent variables were significantly associated. All hypotheses had their Ho confirmed. CONCLUSION: The constructed instrument was validated, considering that it showed to be sensitive with good reliability and good accuracy, and therefore can be used to assess pregnant womens knowledge about their oral health and the oral health of their baby.
Resumo:
RONCALLI, Angelo Giuseppe. A organizao da demanda em servios pblicos de saúde bucal: universalidade, eqidade e integralidade em Saúde Bucal Coletiva. raatuba, 2000. 238p. Tese (Doutorado em Odontologia Preventiva e Social). Faculdade de Odontologia, Universidade Estadual Paulista Jlio de Mesquita Filho
Resumo:
PEREIRA, C. R. S. et al. Impacto da estratgia saúde da famlia com equipe de saúde bucal sobre a utilizao de servios odontolgicos. Cad. Saúde Pblica, v. 25, n. 5, p.985-996. Maio, 2009. ISSN 0102-311X.
Resumo:
NARVAI, Paulo Capel et al. Validade cientfi ca de conhecimento epidemiolgico gerado com base no estudo Saúde Bucal Brasil 2003. Caderno de saúde pblica, Rio de Janeiro, v. 26, n. 4, p. 647-670, abr. 2010.
Resumo:
PEREIRA, Carmen Regina dos Santos et al. Impacto da Estratgia Saúde da Famlia com equipe de saúde bucal sobre a utilizao de servios odontolgicos. Cadernos de Saúde Pblica, Rio de Janeiro, v. 25, n. 5, p. 985-996, maio 2009.
Resumo:
The inclusion of the dentist in the Family Health Program (FHP) teams designates a reorganization of the mouth health care in your country and establishes a new scenario in Brazilian odontology, through of a new way to organize the basic health care, creating conditions to consolidate in mouth health practice actions, in the level of the basic attention, the validation of Unique Health System (UHS) constitutional principles. The purpose of this research is to verify if the actuation of mouth health teams (MHT) dentists, in Natal city north sanitary district, is tuned with FHP goals.The target research population was composed by all dentists working in Basic Health Units (BHU) of Natal north sanitary district. Fifth-eight questionnaires were applied and using open and closed questions we look for identify the functional characteristics of each BHU, the dentists professional attributions on each BHU, as well as the clinical procedures that they execute. This research also searched to identify the factors that facilitate and/or difficult the inclusion process and the dentists activities performance on these BHUs, as well as the necessary actions to north sanitary district MHTs to fulfill the objectives proposed by FHP. The results point that the inclusion of mouth health actions in north sanitary district FHPs brought the incorporation of new values to the used practices. Whoever, its necessary a more frequent evaluation of the carried actions, in a way they can be adapted to the real community necessities, and, is fundamental the data accompaniment, for that these serve of base for planning and redirecting activities, in a way that we do not have only a reproduction of traditional practices, fragmented and isolated, but a truly substitution of the traditional practices and a new way of promoting health
Resumo:
RONCALLI, Angelo Giuseppe. A organizao da demanda em servios pblicos de saúde bucal: universalidade, eqidade e integralidade em Saúde Bucal Coletiva. raatuba, 2000. 238p. Tese (Doutorado em Odontologia Preventiva e Social). Faculdade de Odontologia, Universidade Estadual Paulista Jlio de Mesquita Filho
