National Coordinator of Oral Health, Ministry of Health, Brazil.
Braz Oral Res. 2010;24 Suppl 1:26-32. doi: 10.1590/s1806-83242010000500005.
This article discusses the model of oral health care implemented in the Unified Health System of Brazil in the last decade. This model was conceived as a sub-sector policy that, over the years, has sought to improve the quality of life of the Brazilian population. Through a chronological line, the study presents the National Policy on Oral Health as a counter-hegemonic patient care model for the dentistry practices existing in the country before this policy was implemented. The reorganization of the levels of oral health care, the creation of reference facilities for secondary and tertiary care, through Centers of Dental Specialties and Regional Dental Prosthesis Laboratories, and the differential funding and decentralized management of financial resources were able to expand the actions of oral health for more than 90 million inhabitants. The evolution shown after the deployment of the National Oral Health Policy, as of 2004, demonstrates the greater integration of oral health care under the Unified Health System and provides feedback information to help this policy to continue to be prioritized by the Federal Government and receive more support from the state and local levels in the coming years.
本文讨论了巴西在过去十年中在统一卫生系统中实施的口腔保健模式。该模式被视为一个分部门政策，多年来一直致力于提高巴西人民的生活质量。通过时间线，本研究将国家口腔卫生政策呈现为一种反霸权的患者护理模式，针对的是该政策实施之前巴西国内存在的牙科实践。口腔卫生保健各级的重组，通过牙科专业中心和区域牙科修复实验室创建二级和三级护理的参考机构，以及差异化的资金和财务资源分散管理，使 9000 多万居民的口腔健康行动得到了扩展。自 2004 年开始实施国家口腔卫生政策以来，所展示的演变表明，在统一卫生系统下，口腔卫生保健的融合程度更高，并提供反馈信息，以帮助该政策继续得到联邦政府的优先重视，并在未来几年得到州和地方各级的更多支持。
