Avaliação do serviço de saúde bucal da estratégia saúde da família na coordenadoria regional de saúde III de Fortaleza

Abstract

The implementation of Oral Health Teams in the Family Health Strategy aimed at universal access of the population to oral health services; however, despite the increase in the coverage of these services, there are challenges that go against the principles of Primary Health Care and need to be surpassed. Thus, an evaluative and cross-sectional study was carried out with the objective of evaluating the oral health service in the Family Health Strategy of the Regional Health Coordination III of Fortaleza through the attributes of APS, from the perspective of dentists and users. The attributes were evaluated using the Primary Care Assessment Tool (PCATool) professional version, which consists of items distributed among the attributes of Primary Health Care, answered by the participants on a Likert scale (1 to 4). The scores of the instrument are classified as high when greater than or equal to 6.6 and low when less than 6.6. The instrument was applied to permanent employees who had worked in the unit for at least 2 years, as well as to users over 18 years of age who used the oral health services of CORES III between the years 2019 and 2021. The data were analyzed in the SPSS (Statistical Package for Social Sciences) program version 20, considering the confidence interval of 95%, with a significance level of 5%. A descriptive analysis of the data was performed. The chi-square test was used to verify the association between the categorical variables. From the professionals perspective, the attributes first contact access (3.20) and longitudinality (6.36) presented a low score, unlike the attributes integrality (8.16) and care coordination (7.41), which presented a high score, resulting in a high average score (6.88). From the users point of view, all attributes presented a low score: first contact access (4.02), longitudinality (4.83) and care coordination (5.24). It was concluded that first contact access and longitudinality are considered deficient from the perspective of both professionals and users, unlike care coordination and integrality, which were considered satisfactory by dentists. So, more attention is needed to the difficulties identified in the service, making the necessary decisions to provide more resolutivity and effectiveness to the system.