Souza Georgia Costa de Araújo, Kusma Solena Ziemer, Moysés Samuel Jorge, Roncalli Angelo Giuseppe
Departamento de Odontologia, Universidade do Estado do Rio Grande do Norte, Caicó, Brasil.
Pontifícia Universidade Católica do Paraná, Curitiba, Brasil.
Cad Saude Publica. 2021 Dec 10;37(12):e00320720. doi: 10.1590/0102-311X00320720. eCollection 2021.
The study aimed to analyze strategies for the implementation of the Brazilian National Oral Health Policy (PNSB) and its influence on oral health conditions in state capitals in the first decade of the 21st century. This is a policy assessment study. Data on oral health conditions were obtained from the databases of the Brazilian National Oral Health Surveys in 2003 and 2010 (SBBrasil 2003 and SBBrasil 2010), calculating the annual percent change in variables pertaining to oral health conditions as dependent variables for Brazilian state capitals. The PNSB was analyzed according to its conceptual foundations: oral healthcare model, organization of the supply of oral health services, implementation of oral health promotion strategies, and existence of fluoridation of the public water supply. Data were obtained from the national health databases and face-to-face interviews with oral health coordinators in 13 state capitals. The analyses were controlled and adjusted by the target population's socioeconomic conditions. An association was observed between the characteristics of oral health promotion, services supply, and model of care, indicating that the public services' dynamic is dependent on the management priorities and the policy's conduction. In conclusion, the PNSB is implemented differently in Brazil's state capitals according to the ways its guidelines are conducted in each capital and whether it favors best practices and strategies in oral healthcare. However, the influence of the PNSB is still not clear on the modification of oral health indicators from 2003 to 2010.
该研究旨在分析21世纪第一个十年巴西国家口腔健康政策（PNSB）的实施策略及其对州首府口腔健康状况的影响。这是一项政策评估研究。口腔健康状况数据来自2003年和2010年巴西国家口腔健康调查数据库（SBBrasil 2003和SBBrasil 2010），计算巴西州首府与口腔健康状况相关变量的年度百分比变化作为因变量。根据其概念基础对PNSB进行分析：口腔保健模式、口腔健康服务供应组织、口腔健康促进策略的实施以及公共供水氟化的存在情况。数据来自国家健康数据库以及对13个州首府口腔健康协调员的面对面访谈。分析根据目标人群的社会经济状况进行了控制和调整。观察到口腔健康促进、服务供应和护理模式的特征之间存在关联，表明公共服务的动态取决于管理重点和政策的实施。总之，PNSB在巴西州首府的实施方式因每个首府对其指导方针的执行方式以及是否支持口腔保健的最佳实践和策略而异。然而，PNSB对2003年至2010年口腔健康指标变化的影响仍不明确。
