Garbin Daniela, Mattevi Gianina Salton, Carcereri Daniela Lemos, Caetano João Carlos
Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, Brazil.
Cien Saude Colet. 2013 Feb;18(2):441-52. doi: 10.1590/s1413-81232013000200015.
Based on the regulatory framework and an overview of dentistry in supplementary health, this paper discusses the specifics of the dental sector with respect to health promotion policies and quality of health care services proposed by the National Supplementary Health Agency (ANS). The State's activities in supplementary health are based on law 9.656/98, which defines the relations between operators, products and their beneficiaries, and law 9.961/2000, which created the ANS. Concomitantly there was a great increase in dentistry in the private health plan market, because of changes in the practices of the profession. This required the need to know the logic of the organization of the services regarding the assistance provided and the model of care. The ANS develops measures to encourage operators to implement health promotion programs, striving for an integral care model. At the same time, it promotes the qualification policy of supplementary health care, with emphasis on the scope of care, though in dentistry the focus of evaluation is still individual and fragmented care. Indeed, the great challenge of dentistry is making it a public health policy, accessible to all, and the qualification of dental care in supplementary health.
基于监管框架以及补充健康领域牙科的概述，本文讨论了牙科领域在国家补充健康机构（ANS）提出的健康促进政策和医疗服务质量方面的具体情况。国家在补充健康领域的活动基于第9656/98号法律，该法律界定了运营商、产品及其受益人的关系，以及第9961/2000号法律，该法律设立了ANS。与此同时，由于该行业执业方式的变化，私人健康保险市场中的牙科业务大幅增长。这就需要了解所提供援助的服务组织逻辑和护理模式。ANS制定措施鼓励运营商实施健康促进计划，努力实现综合护理模式。同时，它推动补充医疗保健的资格政策，重点关注护理范围，不过在牙科领域，评估重点仍然是个体和分散的护理。事实上，牙科面临的巨大挑战是使其成为一项人人可及的公共卫生政策，以及补充健康领域牙科护理的资格认定。
