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Previous issue date: 2015-08-03 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / A Pol?tica Nacional de Sa?de Bucal (PNSB) incorpora diversos elementos inovadores que tiveram o objetivo de impactar sobre o quadro epidemiol?gico e a vigil?ncia em sa?de bucal. Ao mesmo tempo, as duas edi??es do mais abrangente inqu?rito de sa?de bucal do Pa?s, o SBBrasil, demonstraram uma importante tend?ncia de redu??o nos principais indicadores, particularmente aqueles relativos ? c?rie dent?ria, entre os anos de 2003 e 2010. Desta forma, objetiva-se analisar o efeito da implementa??o da PNSB sobre a tend?ncia nos principais indicadores de sa?de bucal em capitais brasileiras. Trata-se de um estudo de avalia??o de pol?ticas desenvolvido em tr?s fases: 1) An?lise de implanta??o da PNSB nas capitais; 2) An?lise da tend?ncia dos indicadores epidemiol?gicos entre 2003 e 2010; 3) An?lise do impacto da implanta??o sobre a tend?ncia dos indicadores de sa?de bucal. Para a realiza??o da fase 1, os dados de Sa?de Bucal dispon?veis nos Sistemas de Informa??o em Sa?de foram analisados, possibilitando a gera??o de 4 fatores de caracteriza??o da aten??o em sa?de bucal em cidades brasileiras com mais de 100.00 habitantes, a partir da qual foram selecionadas as capitais para uma an?lise mais aprofundada. A fase 2 consistiu na defini??o das capitais a serem investigadas in loco atrav?s da aplica??o de question?rio face a face com Coordenadores de Sa?de Bucal de 13 capitais selecionadas. A fase 3 foi realizada por meio dos dados do SBBrasil 2003 e 2010, dispon?veis pelo Minist?rio da Sa?de com avalia??o dos efeitos das vari?veis independentes, referentes ? caracteriza??o da Aten??o em Sa?de Bucal e vari?veis socioecon?micas de n?vel populacional, sobre as dependentes, modifica??o nos indicadores de sa?de bucal entre 2003 e 2010. Os resultados apontam para a n?o associa??o entre as caracter?sticas da Aten??o em Sa?de Bucal e a redu??o da morbidade bucal na maioria das capitais selecionadas. Observa-se que o Modelo de aten??o em sa?de bucal anda em conson?ncia com as estrat?gias de Promo??o da Sa?de Bucal, Organiza??o da oferta de servi?os em sa?de bucal e com a presen?a de fl?or nas ?guas de abastecimento p?blico. Contudo, isso n?o reflete na modifica??o dos indicadores de sa?de bucal entre 2003 e 2010. A condi??o socioecon?mica parece estar mais associada ao CPO-D satisfat?rio aos 12 anos em 2010 do que o reflexo do Modelo de aten??o em sa?de bucal. Conclui-se que a oferta de servi?os e a aten??o em sa?de bucal p?s PNSB n?o produzem uma resposta direta sobre a modifica??o nos indicadores de sa?de bucal entre 2003 e 2010. / The Brazilian National Policy on Oral Health (PNSB from Portuguese acronym) incorporates several innovative elements that were intended to impact on the epidemiological situation and the surveillance of oral health. At the same time, the two editions of the more comprehensive oral health survey of the country, SBBrazil showed a significant downward trend in key indicators, particularly those related to tooth decay, between the years 2003 and 2010. Thus, the objective is to analyze the effect of implementation of PNSB on the trend of the main oral health indicators in Brazilian capitals. It is a policy assessment study carried out in three steps: 1) Implementation analysis of PNSB in capitals; 2) Trend analysis of epidemiological indicators between 2003 and 2010; 3) The implementation effect analysis on the trend of oral health indicators. For step 1, the oral health data available in the Health Information Systems were analyzed, allowing the creation of 4 characterization factors of dental care from which the capitals were selected for further analysis. Step 2 was the definition of capitals to be investigated by applying questionnaire face to face with Oral Health Coordinators of 13 state capitals selected. Step 3 was performed using the SBBrazil data 2003 and 2010, to assess the effects of independent variables relating to the characterization of attention in oral health and socioeconomic variables of population level, on dependents, changes on oral health indicators between 2003 and 2010. Results pointed to the lack of association between characteristics of oral health attention and the reduction of oral morbidity in most state capitals. There was a link between oral health promoting characteristics, supply of services and the dental care model, which represents the dynamics of public services is entirely dependent on local management in health. These characteristics do not reflect the modification of oral health indicators between 2003 and 2010. Capital with the lowest poverty rates and better human development in 2010 are those that have lower DMFT this year. However, changes in socioeconomic conditions between the years analyzed does not influence directly on the trend in oral health indicators. It is concluded that the PNSB is implemented differently in Brazilian capitals and the conduction mode of its guidelines in each capital favors the development of the provision of oral health services and strategies to promote oral health. The influence of PNSB on change in oral health indicators is still barely noticeable, however, highlights the potential of this policy in establishing priorities and guidelines that contribute to increasing the supply of services and expanding access to oral health care especially where is needed more intensively.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21622 |
| Date | 03 August 2015 |
| Creators | Souza, Georgia Costa de Ara?jo |
| Contributors | 42313384420, http://lattes.cnpq.br/0023445563721084, Pucca J?nior, Gilberto Alfredo, 06395029894, http://lattes.cnpq.br/5788388014201689, Costa, Iris do C?u Clara, 14076152468, http://lattes.cnpq.br/9903762680376103, Noro, Luiz Roberto Augusto, 02255508818, http://lattes.cnpq.br/2335211528795775, Moys?s, Samuel Jorge, 55303900991, http://lattes.cnpq.br/0729563959610211, Oliveira, ?ngelo Giuseppe Roncalli da Costa |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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