Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Porto Alegre, RS, Brasil.
Universidade Federal de Pernambuco, Centro Acadêmico de Vitória, Recife, PE, Brasil.
Epidemiol Serv Saude. 2020 Sep 25;29(5):e2018154. doi: 10.1590/S1679-49742020000500001. eCollection 2020.
To describe the oral health care services for people with disabilities treated within the Dentistry for Patients with Special Needs (PSN) specialty.
This was a cross-sectional study with data from the Program for Improving Access and Quality of Dental Specialty Centers (PMAQ-CEO) in 2014.
Of the total of 932 services evaluated, 89.8% did provide care for PSNs, 30.4% had physical accessibility, 59.7% provided referral to hospital care and most guaranteed complete treatment. Only a third of the Dental Specialty Centers planned 40 or more hours a week for providing clinical care to PSNs.
The care network for people with disabilities is being formed but, even with specific financial incentives, it has limitations. Services need to eliminate physical and attitudinal barriers to ensure universal accessibility. Protocols based on risk classification are necessary, prioritizing care at DSCs for complex cases not attended to in Primary Care and organizing the dental health care network for people with disabilities.
描述特殊需求患者牙科（PSN）专业中为残疾人士提供的口腔保健服务。
这是一项横断面研究，数据来自于 2014 年改善牙科专业中心准入和质量计划（PMAQ-CEO）。
在所评估的 932 项服务中，89.8%为 PSN 提供了服务，30.4%具有物理可及性，59.7%提供了转至医院治疗的服务，且大多数保证了完整的治疗。只有三分之一的牙科专业中心计划每周为 PSN 提供 40 小时或更多的临床护理。
残疾人士的保健服务网络正在形成，但即使有特定的财务激励措施，也存在限制。服务需要消除身体和态度上的障碍，以确保普遍可及性。需要制定基于风险分类的方案，将 DSCs 为在初级保健中未得到治疗的复杂病例提供的护理作为优先事项，并组织残疾人士的口腔保健服务网络。
