Avaliação da oferta, acessibilidade e utilização do serviço de atenção secundária em saúde bucal estruturado pelo consórcio público de saúde da microrregião de Sobral –Ceará

Abstract

The implantation of the Consortium of Public Health in Microregion Sobral - Ceará brought a large increase in the supply of specialized procedures in oral health in the 11th Region Health of the State of Ceará. The aim of this study was to evaluate the specialized service in this care Health Region after implantation of this Consortium. To this end, we carried out a descriptive exploratory study with a quantitative approach by collecting and analyzing secondary data supply, utilization and financing of specialized service and application of semi-structured interview to Oral Health Coordinators municipalities consortium. The results showed that the health unit appears to be adequately prepared to meet the demands agreed. However, we found some geographical barriers (distance of some municipalities to host the service, lack of means of transport for the movement of patients), financial (cost of transport) and organizational (offer procedures at night and the lack of an offer proper procedures, based on epidemiological data). These barriers seem well explain the low average utilization of appointments (58.6%), high average rate of missing patients (20%) and low average utilization rate of service (46.2%), which bring with a significant financial impact on municipalities consortium and a clear inability on the fulfillment of the principles of the SUS. A broad discussion of these difficulties is necessary so that we can better utilization rates of the service offered, thus justifying the high investment in building a network of oral health care in this region.