Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Cad Saude Publica. 2020 Jan 31;36(2):e00004219. doi: 10.1590/0102-311X00004219. eCollection 2020.
The objective was to compare the presence and extension of primary health care (PHC) in oral health services using the PHC attributes according to three different types of PHC organizational arrangements: Family Health Strategy (FHS), Community Health Service (CHS) and Traditional Primary Care (TPC). This is a cross-sectional study carried out between 2011-2013, following a cluster random sampling strategy. Adult users were interviewed from 15 health services of that 6 were managed by the CHS, 4 by the FHS and 5 by the TPC and which had the same oral health team for at least two years. The final sample was 407 users interviewed using the Primary Care Assessment Tool - Oral Health of Adults evaluation instrument and a sociodemographic questionnaire. PHC scores were calculated and transformed on a scale ranging from 0 to 10. For high scores, the cut-off point > 5.5 was used. Most of the interviewees were females, for the three types of services. The performance of CHS and FHS was higher than those of TPC in almost all attributes (p < 0.05). The extent of PHC attributes in services was poor (overall highest score was 5.75 in CHS). The CHS was the only service witch half of the users (83; 49.1%) rated oral health services as having a high overall score for PHC. It is concluded that there were differences among the organizational arrangements of PHC oral health services, however, there is much to be improved in the orientation of dental care services for PHC. More studies are necessary to evaluate the differences in PHC services considering oral health.
目的是比较初级卫生保健（PHC）在口腔卫生服务中的存在和延伸，使用 PHC 属性根据三种不同类型的 PHC 组织安排：家庭健康策略（FHS）、社区卫生服务（CHS）和传统初级保健（TPC）。这是一项横断面研究，于 2011-2013 年期间进行，采用聚类随机抽样策略。从这 15 个卫生服务机构中对成年使用者进行了访谈，其中 6 个由 CHS 管理，4 个由 FHS 管理，5 个由 TPC 管理，这些机构至少有两年拥有相同的口腔卫生团队。最终样本为 407 名使用者，使用初级保健评估工具 - 成人口腔健康评估工具和社会人口学问卷进行访谈。计算 PHC 评分并转换为 0 到 10 之间的比例。对于高分，使用 > 5.5 的截止值。对于这三种服务，大多数受访者为女性。CHS 和 FHS 的表现几乎在所有属性上都优于 TPC（p < 0.05）。服务中 PHC 属性的程度较差（CHS 的总体最高得分为 5.75）。CHS 是唯一有一半使用者（83 人；49.1%）认为口腔卫生服务整体 PHC 评分高的服务。结论是，初级卫生保健口腔卫生服务的组织安排存在差异，但口腔卫生服务的初级卫生保健方向还有待改进。需要进一步研究以评估口腔健康方面的初级卫生保健服务差异。
