Saúde bucal na atenção básica: estratégias para melhorar o acesso

Abstract

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 Jaboatão 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.