Análise situacional da saúde bucal na atenção hospitalar na região de Fortaleza: caso de um hospital da rede SESA

Abstract

In the context of the Sanitary Reform and the creation of the Unified Health System (SUS) with the enactment of the Federal Constitution of 1988, universality, equity and comprehensiveness were established as principles of the system, also allowing the expansion of Primary Health Care coverage. Health (APS). However, it was only with the National Oral Health Policy (PNSB), the largest oral health public policy in the world, that enabled the expansion, creation and reorganization of the care model, articulating the three levels of care. However, the need to improve the quality of services and the improvement of health care networks is evident, due to the time lapse between the creation of the SUS and the creation of the PNSB. Furthermore, it is noteworthy that the PNSB prioritized, consistently in that period, the expansion of primary and secondary care services, thus not having a focus directed towards hospital care. The objective of this research was to carry out a situational analysis of oral health in hospital care, in the region of Fortaleza, taking as a case the Hospital e Maternidade José Martiniano de Alencar (HMJMA). For this purpose, secondary publicly available data obtained from the National Register of Health Establishments (CNES) and the SUS Hospital Information System (SIH-SUS) were used. Information regarding the dental team, work process, hospital admissions at SESA Network hospitals in the Health Region of Fortaleza, in addition to dental infrastructure, dental procedures performed and the flow of hospitalizations at the hospital unit, were treated. It is concluded that Dentistry is consolidated in the hospitals of the SESA Network in Fortaleza, as well as there is a flow of hospitalization for Oral and Maxillofacial Surgery and Traumatology for Fortaleza, Juazeiro do Norte and Sobral.