Mattos Grazielle Christine Maciel, Ferreira Efigênia Ferreira E, Leite Isabel Cristina Gonçalves, Greco Rosângela Maria
Cien Saude Colet. 2014 Feb;19(2):373-82. doi: 10.1590/1413-81232014192.21652012.
This scope of this article is to discuss the inclusion of oral health in the Brazilian Family Health Strategy in municipalities of a micro-region of southeastern Brazil, from the standpoint of human resources. Questionnaires were distributed to members of the oral health service: dentists, assistants and managers. The instrument included three dimensions: how and why they adopted the new model; how the service is being reorganized; and what advances were perceived by professionals. The most common reason mentioned by managers for the inclusion of Oral Health was the possibility of changing the technical care model. When asked about their motivation, dentists and assistants also considered the possibility of change in practices to be a priority. It was also seen that there are critical bottlenecks in the hiring and training of human resources to work in the oral health team and in integration among health professionals. Indeed, access is enhanced either by the organization or by the expansion of the teams. The municipalities of the micro-region still encounter difficulties for the functioning of the oral health service, after Family Health, to show actual progress in care practices. However, advances exist and these need to be bolstered to consolidate the health system and improve the quality of life of the population.
本文的范围是从人力资源的角度,探讨巴西东南部一个微型区域的城市将口腔健康纳入巴西家庭健康战略的情况。向口腔健康服务的成员发放了问卷:牙医、助理和管理人员。该工具包括三个维度:他们如何以及为何采用新模式;服务如何进行重组;以及专业人员认为取得了哪些进展。管理人员提到将口腔健康纳入其中的最常见原因是有可能改变技术护理模式。当被问及他们的动机时,牙医和助理也认为改变执业方式的可能性是一个优先事项。还发现,在招聘和培训口腔健康团队工作的人力资源以及卫生专业人员之间的整合方面存在关键瓶颈。事实上,通过组织或扩大团队可以提高可及性。在家庭健康之后,该微型区域的城市在口腔健康服务的运作方面仍然遇到困难,难以在护理实践中取得实际进展。然而,已经取得了进展,需要加强这些进展以巩固卫生系统并提高人口的生活质量。