Neste estudo foi verificada a satisfação dos usuários com os serviços de atenção básica de saúde, pertencentes ao Distrito de Saúde Sul, da cidade de Campinas, São Paulo, no ano de 2011. Trata-se de um inquérito domiciliar, com abordagem quantitativa, realizado através de um questionário semi-estruturado. As avaliações da satisfação deram-se através do prisma da humanização dos serviços, da integralidade do sistema, da participação do controle social, da resolutividade dos serviços, das atividades de promoção da saúde e da atenção à saúde bucal. Verificou-se uma alta utilização dos serviços pelos usuários, com absoluto predomínio do sexo feminino, com média de idade de 48,7 anos. Constatou-se que a busca pelos serviços de saúde deveu-se a procura por consultas médicas e a medicamentos. Os usuários em sua maioria estão satisfeitos com o atendimento recebido. Os resultados encontrados demonstram o alto nível de humanização dos serviços de saúde, ratificados pelos índices de aprovação do tempo de espera pelas consultas e exames, pela condição das estruturas física das unidades, pela aprovação do atendimento da recepção, pelo horário de funcionamento das unidades, pelo acolhimento destinado aos usuários e pelos meios de informação destinados aos usuários. Verificou-se um alto índice de encaminhamentos para outros níveis de atenção, denotando-se baixa resolutividade dos serviços. Porém, o estudo encontrou uma rede de serviços estruturada e integrada entre si e com os demais níveis do sistema. Os resultados mostram que as ações de promoção de saúde foram muito bem avaliadas pela população, através das práticas integrativas e complementares de saúde, das atividades de grupo e de vivências nas unidades e das atividades de educação em saúde. Porém, estas ações ainda estão voltadas para uma pequena parcela da população. Os resultados da pesquisa mostrou um controle social desarticulado e inoperante, sendo incapaz de executar o seu papel fiscalizador e propositor de políticas públicas de saúde. Como decorrência desta pesquisa, verificou-se que a saúde bucal foi muito bem avaliada pela população. Porém, o estudo mostrou dificuldade no acesso às consultas e que este estava se dando através das urgências odontológicas, indicando a grande necessidade de saúde bucal acumulada. O estudo mostrou que a saúde bucal é pouco referida pelos outros profissionais de saúde. É fundamental que se incorpore no cotidiano das equipes de saúde, mecanismos de avaliação permanente, a fim de identificar os fatores facilitadores e dificultadores para o bom relacionamento entre usuário e serviço, visando à melhoria da assistência e consequentemente a satisfação do usuário. / In this research, an evaluation of satisfaction of users with services of primary health care, belonging to the South Health District, in the city of Campinas, São Paulo, was carried out in the year 2011. This is a household inquiry with quantitative approach performed through a semi-structured questionnaire. The evaluation of satisfaction levels were developed through an angle of humanization of services, health system comprehensiveness, participation in decision making instances of the public health system, solvability potential of the services for health needs, activities of health promotion and oral health care. There was a high frequency in health services by users with absolute predominance of females and mean age of 48.7 years. It was found that the main reason for searching health services was the demand for medical consultations and medicines. The majority of users are satisfied with the health care received. The results demonstrate a high level of humanization of health services, ratified by the approval ratings of waiting time for appointments and examinations, the physical condition of the structures of the units, the approval of the reception attendants approach, by the hours of operation of the units, the humanitarian approach given to users and by means of information for them. There was a high rate of referrals to other levels of care, showing up poor solvability of the service. However, this research found structured and a good level of integration between primary care units and with upper care levels of the system. The results show that health promotion activities were very well evaluated by the population through integrative and complementary health practices, group activities and activities of health education. However, these actions are focused on a small portion of the population. The results of the research showed a disjointed and ineffective level of participation of the community in local health councils, being unable to perform its oversight role and proponent of public health policies. As a result of this research, it was found that oral health care was well evaluated by population. However, the study showed difficulty in access to dental consultations and that oral care was most provided through emergencies, indicating an accumulated great need for oral health. The study showed that oral health is rarely reported by other health professionals. Thus, oral health must be incorporated into the daily health teams and into ongoing assessment mechanisms in order to identify the facilities and difficulties to the good relationship between user and health care service, aiming a significant improvement of health care quality and consequently user satisfaction.

The need for health in general and oral health in particular is a basic and fundamental element for a quality life. Not everyone in America has access to basic oral health services. California, in particular, has greater challenges than other areas of the country in providing basic oral health services to everyone. This paper will discuss the problems of accessing oral health care, the importance of achieving oral health care, the necessity of maintaining oral health, the factors influencing oral health care access, and the response of the dental profession to the problems of access to oral health care. These problems will be examined from the following three perspectives: (1) Statewide Perspective, (2) Locality Perspective, (3) Individual Perspective. Potential solutions for vulnerable populations in accessing oral health care will be developed using data from quantitative and qualitative methodologies.

Bakgrund: Den äldre befolkningen ökar samtidigt som allt fler äldre i Sverige har sina tänder i behåll. Fler kvarvarande tänder och komplicerade restaurationer i munnen ställer större krav på utförd oral hälsovård för den äldre individen och de som ger omsorg till den sköra eller beroende äldre. Tillsammans med att den orala hälsan påverkar och påverkas av individers allmänhälsa och livskvalitet, blir omsorgspersonalens handlingar och beteenden avgörande. Därav finns ett intresse av att studera hur beteenden ser ut hos omsorgspersonal inom äldrevården. Syfte: Att beskriva attityden till och kunskapen om oral hälsovård för sköra eller beroende äldre hos ett begränsat antal omsorgspersonal inom Uppsala Kommun. Metod och material: En enkätstudie med totalt 82 personal inom hemtjänst respektive vård- och omsorgsboende utfördes. Mätinstrumentet som användes var nursing Dental Coping Beliefs Scale. Deskriptiva data presenterades samt analyserades. Resultat: Det blev totalt 53 enkätsvar som användes i studien. Medelvärdet för totala poängen av enkäten var tämligen lågt, detsamma gäller för oral hälsotro, självtillit, intern- och externt locus of control. Extern locus of controll visades signifikant högre för personalen inom vård- och omsorgsboenden jämfört med personalen inom hemtjänsten. Slutsats: Omsorgspersonalen visade gemensamt en tämligen positiv attityd och måttlig nivå av kunskap kring sköra eller beroende äldres orala hälsa. Det krävs fler studier inom området för en verklighetsbild då denna studies resultat visats tveksam. / Background: The elderly population is increasing at the same time as more and more older people in Sweden retain their natural teeth. More remaining teeth and complicated restorations in the mouth place greater demands on performing oral hygiene for the elderly and for those who provide care. Oral health has an impact on and is affected by general health and quality of life. Therefore, the actions and behaviors of nursing staff become crucial for the oral health and quality of life of the frail or dependent elderly. Aim: To describe the attitudes and knowledge regarding oral health care for frail or dependent elderly among a limited number of nursing staff within the Uppsala municipality. Method and material: A survey was conducted with a total of 82 participants. The Nursing Dental Coping Belief Scale index was used to measure and collect data. Descriptive data were presented and analyzed. Results: The mean value for the total score of the questionnaire was relatively low. The same applies to oral health care beliefs, self-efficacy, and internal and external locus of control. External locus of control was shown to be significantly higher for the nursing care staff compared to the home care staff. Conclusion: The care staff shows a moderate level of attitude and knowledge about the oral health of frail and dependent elderly people. This study has been shown to be questionable, therefore more studies are required within the area.

Som tandhygienist är det mycket intressant att studera karies-epidemiologiska undersökningar på både nationell och internationell nivå. Syftet med denna litteraturstudie är att beskriva och jämföra kariesstatus (DMFT) hos 12-åringar i Sverige och Irak, och några av de faktorer som kan påverka DMFT komponenternas roll och inverkan.För att besvara syftet användes information från litteratur och tidskrifter samt WHO:s databas om länderna. Resultatet visar att DMFT för 12-åringar i Irak var 1.7 (2003) och i Sverige 1.0 (2005). DT-komponenten, d.v.s. obehandlad karies, var hög hos irakiska barn medan FT- komponenten var hög för danska barn (inga data tillgängliga för Sverige). DMFT-medelvärde, sockerkonsumtion, ekonomiska resurser för tandvård, antal tandvårdpersonal och fluorprogram var mycket olika i Sverige och Irak, men differensen i DMFT var ändå inte markant. / As a dental hygienist it is relevant to study caries epidemiological studies on both national and international levels. The purpose of this literature study has been to describe and compare dental caries status (DMFT) of 12 years olds in Sweden and Iraq and the factors underlying the DMFT and DMFT components and facilitating role. To achieve the objective information from scientific literature and publications, and data from WHO database on these countries were used. Results showed that the DMFT for 12 year olds in Iraq and Sweden was 1.7(2003), 1.0 (2005) respectively. DT component was high among Iraqi children (untreated caries) while the FT component was high in Denmark, (no data was available for Sweden). DMFT mean, sugar consumption, economic resources for dental care, number of dental health professionals, and fluoride applications were very different in Sweden and Iraq, yet DMFT difference was not marked and serious.