Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:54Z No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-27T18:17:03Z (GMT) No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) / Made available in DSpace on 2017-03-27T18:17:03Z (GMT). No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) Previous issue date: 2016-09-30 / No Brasil, apesar da expans?o dos servi?os de sa?de bucal ocorrida nos ?ltimos anos, a organiza??o da demanda e o acesso ? aten??o integral ainda s?o desafios no SUS. Esta pesquisa teve como objetivo analisar o acesso ?s a??es de sa?de bucal na aten??o b?sica e compor estrat?gias de interven??o na perspectiva de sua melhoria. O estudo adotou abordagem qualitativa, de car?ter interventivo, e foi realizado com uma equipe de sa?de da fam?lia, em uma unidade da rede b?sica do munic?pio de Jaboat?o dos Guararapes, Pernambuco - Brasil. Nas estrat?gias metodol?gicas, inicialmente, usou-se a t?cnica do c?rculo hermen?utico dial?tico (CHD), para investigar como os profissionais da equipe de sa?de entendem a tem?tica abordada. Foram constru?dos/reconstru?dos novos e velhos conceitos, a partir dos quais se definiram tem?ticas para aprofundamento. Foram realizadas oficinas, com o intuito de dialogar com os participantes e buscar ferramentas/instrumentos que pudessem contribuir para melhorar o processo de trabalho no que diz respeito ao acesso ao cuidado integral ? sa?de bucal. Os dados foram registrados por meio do Di?rio de Pesquisa e por grava??o de ?udio previamente autorizada. As atividades propostas se desenvolveram de forma compartilhada com profissionais da equipe, e as estrat?gias de a??es foram compostas pelos participantes com base na literatura, considerando seus saberes e experi?ncias pr?ticas. A an?lise se produziu em processo din?mico e de constru??o coletiva de estrat?gias para qualificar a assist?ncia em sa?de. Os participantes conclu?ram que, para prestar assist?ncia qualificada em sa?de bucal, n?o poderiam atuar isoladamente e que mudan?as necess?rias para melhorar o acesso ? sa?de bucal devem incluir vis?o ampliada do cuidado integral e a??o compartilhada entre sujeitos nos processos de trabalho, com a utiliza??o da estrat?gia de acolhimento com classifica??o de risco. Os resultados da pesquisa indicam que o acesso ? sa?de bucal n?o se restringe ? atua??o do profissional/equipe dessa ?rea, mas tamb?m se amplia e se articula ? atua??o de demais profissionais da equipe de sa?de da fam?lia e ? implica??o de todos envolvidos nos processos de trabalho em sa?de: trabalhadores, usu?rios e gestores. / In Brazil despite the expansion of oral health services occurred in recent years, the organization of demand and access to comprehensive care are still challenges in the SUS. The purpose of this study was to analyze the access to oral health actions in primary care and compose intervention strategies with a view to its improvement. This study adopted a qualitative approach in an interventionist character and was conducted with a family health team in a basic unit network from of the city of Jaboat?o dos Guararapes, Pernambuco, Brazil. Regarding the methodological strategies, initially, the dialectical hermeneutic circle (HDC) technique was used, to investigate how the professionals of the health team understand the thematic approach. New and old concepts have been constructed / rebuilt, from which themes have been defined for further study. Workshops were held in order to dialogue with the participants and seek tools / instruments that could contribute to improve the work process with regard to access to comprehensive oral care. The data were recorded through the Research Journal and previously authorized audio recording. The proposed activities have developed on a shared basis with the professional team and the strategies of action were made by the participants based on the literature, considering their knowledge and practical experience. The analysis was produced in dynamic analytical process and collective construction of strategies to qualify health care. All participants concluded that in order to provide skilled oral health care, they could not act alone and that changes needed to improve the access to oral health, should include an expanded view of comprehensive care and shared action among subjects in work processes, using strategy with risk classification. The survey results of the research indicate that access to oral health is not restricted to the performance of the professional / team in this area, but also extends and articulates with the work of other professionals in the family health team and the implication of all involved in the processes of Health work: workers, users and managers.