Sanglard-Oliveira Carla Aparecida, Werneck Marcos Azeredo Furquim, Lucas Simone Dutra, Abreu Mauro Henrique Nogueira Guimarães
Hum Resour Health. 2012 Apr 20;10:5. doi: 10.1186/1478-4491-10-5.
Professional dental auxiliaries emerged in the early 20th century in the United States of America and quickly spread to Europe and other regions of the world. In Brazil, however, oral health technicians (OHTs), who occupy a similar role as dental hygienists, had a long journey before the occupation achieved legal recognition: Brazilian Law 11.889, which regulates this occupation in the country, was only enacted in 2008. The aim of this paper is to review the literature on the professionalization of OHTs, highlighting the triggering, limiting and conflicting aspects that exerted an influence on the historical progress of these professionals in Brazil. We have tested Abbott's and Larson's theory on professionalization, against the history of OHTs. A number of different dental corporative interests exerted an influence over professionalization, especially in discussions regarding the permissible activities of these professionals in the oral cavity of patients. With primary health care advances in Brazil, the importance of these professionals has once again come to the forefront. This seems to be a key point in the consolidation of OHTs in the area of human resources for health in Brazil.
专业牙科辅助人员于20世纪初在美国出现,并迅速传播到欧洲和世界其他地区。然而,在巴西,与牙科保健员角色类似的口腔健康技术员在该职业获得法律认可之前经历了漫长的历程:规范该国这一职业的巴西第11889号法律直到2008年才颁布。本文旨在回顾有关口腔健康技术员专业化的文献,突出对这些专业人员在巴西的历史发展产生影响的触发、限制和冲突方面。我们对照口腔健康技术员的历史,检验了阿博特和拉森的专业化理论。一些不同的牙科团体利益对专业化产生了影响,尤其是在关于这些专业人员在患者口腔中可允许开展的活动的讨论中。随着巴西初级卫生保健的进步,这些专业人员的重要性再次凸显出来。这似乎是巴西口腔健康技术员在卫生人力资源领域得以巩固的一个关键点。