Silva Helbert Eustáquio Cardoso da, Gottems Leila Bernarda Donato
Fundação de Ensino e Pesquisa em Ciências da Saúde. SMHN Quadra 03/Conjunto A/Bl. 1/Edifício Fepecs. 70710-907 Brasília DF Brasil.
Cien Saude Colet. 2017 Aug;22(8):2645-2657. doi: 10.1590/1413-81232017228.22432015.
Secondary care in dentistry in Brazil has scarce and broadly underutilized resources. The challenge is to organize the interface between primary health care (PHC) and secondary care in order to consolidate the population's access to specialist dental care in the Unified Health System (SUS). This article seeks to analyze national publications in Portuguese and English on the interface between secondary health care and primary health care in dentistry from the perspective of comprehensive care in the SUS. It is an integrative review, considering the publications of the following databases: SciELO (Scientific Electronic Library Online), LILACS (Latin American and Caribbean Literature) WEB OF SCIENCE, SCOPUS, PubMed (International Literature on Health Sciences) and GOOGLE SCHOLAR. The search located 966 articles, of which 12 were used in full. Coverage of the oral health teams (ESB) in the family health strategy (ESF), primary health care implementation in a structured way, access to secondary health care, counter-referral to PHC, development of indicators and socioeconomic conditions and inequalities in the distribution of dental specialist centers (CEO) are factors that influence the integrity of oral health care in the SUS.
巴西牙科二级保健资源稀缺且普遍未得到充分利用。面临的挑战是组织好初级卫生保健（PHC）与二级保健之间的衔接，以便巩固民众在统一卫生系统（SUS）中获得专科牙科护理的机会。本文旨在从SUS综合保健的角度，分析葡萄牙语和英语的关于牙科二级保健与初级卫生保健之间衔接的国内出版物。这是一项综合综述，参考了以下数据库的出版物：SciELO（科学电子图书馆在线）、LILACS（拉丁美洲和加勒比文献）、科学网、Scopus、PubMed（国际健康科学文献）和谷歌学术。检索到966篇文章，其中12篇被全文采用。家庭健康战略（ESF）中口腔健康团队（ESB）的覆盖范围、以结构化方式实施初级卫生保健、获得二级保健的机会、向初级卫生保健的反向转诊、指标的制定以及牙科专科中心（CEO）分布中的社会经济状况和不平等，都是影响SUS中口腔保健完整性的因素。
