Pucca G A, Gabriel M, de Araujo M E, de Almeida F C S
Ministry of Health, Brasília, Brazil Department of Dentistry, University of Brasília, Brasília, Brazil.
Department of Community Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil Observatory for Oral Health Human Resources, São Paulo, Brazil.
J Dent Res. 2015 Oct;94(10):1333-7. doi: 10.1177/0022034515599979. Epub 2015 Aug 27.
Brazil is the only country in the world to propose a universal health care system with the aim of guaranteeing delivery of all levels of health care, free of charge, to a population of over 200 million inhabitants by means of a unified health system ("Sistema Único de Saúde" [SUS]). The national policy of oral health, also known as Smiling Brazil ("Brasil Sorridente"), was implemented in 2004. Oral health was designated as 1 of the 4 priority areas of the SUS, transforming oral health care in Brazil, with the objective that the SUS achieve the integrality of care envisaged at its creation. The aim of this article is to share part of this experience in order to prompt reflection about the inclusion of oral health care in other health care systems around the world. The most significant results of Smiling Brazil can be seen in 3 areas: (1) oral health epidemiological indicators, (2) financial investment and professional development, and (3) the building of an oral health care network throughout the 10 y of the policy. The "Discovery!" article presented here portrays 10 y of evolution; however, it is important to point out that this is a process undergoing construction and that the oral health care network needs to be further expanded, refined, and solidified so that over time and through changes in the political parties in power, Smiling Brazil prevails as a perennial policy and not merely an action by a single government.
巴西是世界上唯一一个提出全民医疗保健系统的国家，其目标是通过统一的医疗系统（“单一医疗系统”[SUS]），免费为超过2亿居民提供各级医疗保健服务。国家口腔健康政策，也被称为“微笑巴西”，于2004年实施。口腔健康被指定为SUS的4个优先领域之一，改变了巴西的口腔医疗保健状况，目标是让SUS实现其创建时所设想的全面护理。本文的目的是分享这一经验的一部分，以促使人们思考将口腔医疗保健纳入世界其他医疗保健系统的问题。“微笑巴西”最显著的成果体现在3个方面：（1）口腔健康流行病学指标，（2）财政投资和专业发展，以及（3）在该政策实施的10年里构建口腔医疗保健网络。这里呈现的“发现！”一文描绘了10年的发展历程；然而，重要的是要指出，这是一个正在建设的过程，口腔医疗保健网络需要进一步扩大、完善和巩固，以便随着时间的推移以及执政政党的更迭，“微笑巴西”能够作为一项长期政策持续存在，而不仅仅是一届政府的行动。
