Thesis (M.P.H.)--University of Michigan, 1942.

Thèse (Ph. D.)--Université Laval, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis--University of Turku, Finland, 2000. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thèse (Ph. D.)--Université Laval, 1996. / Includes bibliographical references.

Thesis (M.S.)--Boston University, Henry M. Goldman School of Graduate Dentistry, [1976], (Dental Public Health) / Bibliography: leaves 21-22. / Until recently, little attention has been directed toward meeting the dental needs of Boston’s Native American community. Through the cooperation and support of Boston University School of Graduate Dentistry and the Boston Indian Council, plans were developed to establish a comprehensive dental program providing continuous dental care and dental health education to the Native American people living in the Boston area. A needs assessment was conducted to gather baseline data on the dental needs of children in the Indian community. Fifty children ranging in age from 2-19 were screened for dental disease and evaluated for oral hygiene. Results of the screening find the Indian children in Boston exhibiting a high number of decayed teeth with little or no previous dental care. In addition, approximately 46% of the children displayed poor oral hygiene. It was agreed by the Boston Indian Council and the Boston University School of Graduate Dentistry that dental services along with dental health education was needed for the population. Staff workshops were conducted to train members of the community to be dental health educators. Plans to educate the children by the trained dental health educators were not implemented at that time due to the community’s desire to obtain needed dental services for the children. It is anticipated that next year the community will be ready for an educational program after witnessing positive results from the dental treatment. The dental school provided therapeutic, preventive and emergency services to insure at least a maintenance level of care. The dental students were sensitized to the special needs of the Indian children before they began treatment. Of the 50 children screened between 10/1975 and 1/1976, 2 of the most severe cases have completed all treatment, 12 are presently receiving treatment and many more are waiting their turn. The community’s response to the dental program has been quite favorable. Parents are calling the dental school requesting appointments for their children to receive dental services. A pragmatic approach to the development of a dental program for an underserved Indian population was undertaken. An available source of dental care is now accessible and affordable to a culturally-precious Indian community.

Objetivo: Estudos demonstram progressos na promoção da equidade em certos níveis da provisão de serviços no SUS. O objetivo deste trabalho foi verificar a aplicação deste princípio constitucional na provisão de serviços públicos odontológicos no Estado do Paraná, partindo do conceito de equidade vertical descrito na legislação brasileira. Método: Este estudo ecológico analisou indicadores de alocação de recursos, oferta e utilização dos serviços odontológicos para municípios do Paraná, 2003. Os dados foram obtidos através de relatórios administrativos, referências bibliográficas, e bancos oficiais disponibilizados na Internet. Utilizando estatísticas não paramétricas, através do programa SPSS 8.0 1997, analisou-se a associação entre indicadores de serviços odontológicos e de condição socioeconômica. Resultados: Identificou-se tendência redistributiva dos recursos federais transferidos aos municípios para Atenção Básica, intensificada a partir do lançamento do Programa Saúde da Família. Observou-se ainda tendência pró-equidade na oferta e utilização dos serviços odontológicos em Atenção Básica. Porém, quando um indicador de capacidade de resposta do sistema de saúde foi considerado, duas situações ocorreram: para municípios com sistemas de saúde melhor avaliados, a provisão de serviços odontológicos associou-se positivamente com os indicadores socioeconômicos; para os demais verificou-se associação negativa. O PSF apresentou características mais equânimes do que outras políticas de saúde bucal. Conclusões: Foram identificados progressos quanto à equidade na provisão de serviços públicos odontológicos no Paraná, associados principalmente com a implantação do PSF com equipes de saúde bucal. Argumenta-se que estes progressos estão relacionados com a capacidade de alguns municípios com piores condições de vida desenvolverem boas respostas dos sistemas de saúde. / Objective: Studies have shown progresses on the promotion of equity in the provision of some health services in the context of SUS. This study aimed to verify if this constitutional principle has been applied to the provision of dental public services in the state of Paraná, considering the concept of vertical equity as described in the Brazilian law. Methods: This ecological study assessed resources, supply and utilization of dental services in towns of Paraná, 2003. Data were obtained from administrative reports, bibliographic references, and official databases available on web. The appraisal of association between indices assessing dental services and socioeconomic status used non parametric statistics, performed by the SPSS 8.0 1997 software. Results: A redistributive trend was identified for federal resources addressed to municipalities for primary health care. The supply and utilization of dental services in units of primary health care also presented a pro-equity trend. However, when considering an index of responsiveness of health systems, two situations were identified: for towns with better-off health systems, the provision of dental services was positively associated with socioeconomic indices; while the remaining towns presented a negative association. The Health Family Program (PSF) presented a more equitable feature than other dental health policies. Conclusions: Progresses on the promotion of equity in the provision of dental public services at Paraná were identified, mainly associated to the implementation of PSF with dental teams. They were discussed as associated with the ability of some municipalities presenting poorer life conditions developing good answers for their health systems.

A problemática deste trabalho foi originada pela recente criação do Hospital de Ensino Odontológico da Faculdade de Odontologia da Universidade Federal do Rio Grande do Sul. Para tanto, foram pesquisadas quais formas de caracterização jurídica poderiam ser mais adequadas para a gestão do HEO visando apurar alternativas de desburocratização de processos de aquisições e contratação de pessoal. A partir dessa pesquisa são discutidas três alternativas: Organizações Sociais, Fundações de Apoio e Órgão Auxiliar com destaque orçamentário. Também é proposta uma sistemática para apoiar a gestão de custos do hospital com a finalidade de manter a instituição sustentável econômico e financeiramente. A sistemática preliminarmente proposta está estrutura num roteiro com 7 fases: (i) Compreensão da estrutura organizacional da empresa; (ii) Identificação dos centros de custos; (iii) Identificação dos recursos consumidos pelos centros de custos e distribuição dos custos pelos centros de custos; (iv) Identificação das atividades desenvolvidas na instituição; (v) Quantificação dos recursos consumidos pelas atividades desenvolvidas detalhando os insumos e custos fixos; (vi) Análise dos resultados; (vii) Proposição de melhorias. Por fim são apresentados os resultados possíveis de serem implementados, conclusões e propostas de melhorias e de trabalhos futuros sobre o tema. / The problematic of this work was originated by the recent creation of the Dental Teaching Hospital of the Faculty of Dentistry of the Federal University of Rio Grande do Sul. For this purpose, it was investigated which forms of juridical characterization could be more adequate for the management of HEO in order to determine alternatives of debureaucratization of procurement processes and hiring of personnel. Based on this research, three alternatives were discussed: Social Organizations, Support Foundations and Auxiliary Organ with budgetary emphasis. A system was also proposed to support the hospital's cost management in order to keep the institution economically and financially sustainable. The systematics preliminarily proposed is structure in a script with 7 phases: (i) Understanding of the organizational structure of the company; (ii) Identification of cost centers; (iii) Identification of resources consumed by cost centers and distribution of costs by cost centers; (iv) Identification of the activities carried out at the institution; (v) Quantification of the resources consumed by the activities developed detailing the inputs and fixed costs; (vi) Analysis of results; (vii) Proposals for improvements. Finally, this study presents the possible results to be implemented, conclusions and proposals for improvements and future work on the theme.

Objetivo: Estudos demonstram progressos na promoção da equidade em certos níveis da provisão de serviços no SUS. O objetivo deste trabalho foi verificar a aplicação deste princípio constitucional na provisão de serviços públicos odontológicos no Estado do Paraná, partindo do conceito de equidade vertical descrito na legislação brasileira. Método: Este estudo ecológico analisou indicadores de alocação de recursos, oferta e utilização dos serviços odontológicos para municípios do Paraná, 2003. Os dados foram obtidos através de relatórios administrativos, referências bibliográficas, e bancos oficiais disponibilizados na Internet. Utilizando estatísticas não paramétricas, através do programa SPSS 8.0 1997, analisou-se a associação entre indicadores de serviços odontológicos e de condição socioeconômica. Resultados: Identificou-se tendência redistributiva dos recursos federais transferidos aos municípios para Atenção Básica, intensificada a partir do lançamento do Programa Saúde da Família. Observou-se ainda tendência pró-equidade na oferta e utilização dos serviços odontológicos em Atenção Básica. Porém, quando um indicador de capacidade de resposta do sistema de saúde foi considerado, duas situações ocorreram: para municípios com sistemas de saúde melhor avaliados, a provisão de serviços odontológicos associou-se positivamente com os indicadores socioeconômicos; para os demais verificou-se associação negativa. O PSF apresentou características mais equânimes do que outras políticas de saúde bucal. Conclusões: Foram identificados progressos quanto à equidade na provisão de serviços públicos odontológicos no Paraná, associados principalmente com a implantação do PSF com equipes de saúde bucal. Argumenta-se que estes progressos estão relacionados com a capacidade de alguns municípios com piores condições de vida desenvolverem boas respostas dos sistemas de saúde. / Objective: Studies have shown progresses on the promotion of equity in the provision of some health services in the context of SUS. This study aimed to verify if this constitutional principle has been applied to the provision of dental public services in the state of Paraná, considering the concept of vertical equity as described in the Brazilian law. Methods: This ecological study assessed resources, supply and utilization of dental services in towns of Paraná, 2003. Data were obtained from administrative reports, bibliographic references, and official databases available on web. The appraisal of association between indices assessing dental services and socioeconomic status used non parametric statistics, performed by the SPSS 8.0 1997 software. Results: A redistributive trend was identified for federal resources addressed to municipalities for primary health care. The supply and utilization of dental services in units of primary health care also presented a pro-equity trend. However, when considering an index of responsiveness of health systems, two situations were identified: for towns with better-off health systems, the provision of dental services was positively associated with socioeconomic indices; while the remaining towns presented a negative association. The Health Family Program (PSF) presented a more equitable feature than other dental health policies. Conclusions: Progresses on the promotion of equity in the provision of dental public services at Paraná were identified, mainly associated to the implementation of PSF with dental teams. They were discussed as associated with the ability of some municipalities presenting poorer life conditions developing good answers for their health systems.

Thesis (M.S.P.H.)--University of Michigan, 1942.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2003.