Absenteísmo às consultas odontológicas programadas dos escolares adscritos à equipe de saúde da família da pedra vermelha: uma aproximação descritiva

Abstract

The city of Moeda adopted the Family Health Strategy (ESF) in 2003, counting currently with two Family Health Teams deployed, each one with a Team of Oral Health (ESB). The strategy adopted by the same has been the past seven years, systematically focused on school, dating from the Incremental System, adopted in the 50s. Opposed to the relative success in terms of better indicators of school children oral health in the city, there has been a high rate of missed dental appointments scheduled for them, with their impact on health and costs to the system. This study, exploratory and predominantly descriptive, proposes, as indicated by his characterization, the description of absenteeism for dental visits scheduled for the schoolchildren of the 2nd period to the 9th grade of elementary school of public health system, ascribed to the ESF Pedra Vermelha, aged 5-19 years, from April 2009 to March 2010. The literature review was conducted from queries to the database MEDLINE, LILACS, SciELO, Digital Library of UNICAMP, USP, the Digital Library Network of Libraries of Fiocruz and Digital Library of Theses and Dissertations UFMG, from January 2009 to December 2010. The following variables were analyzed: month of the scheduled appointment; day of the week's schedule; sex education; studying at school; series; micro area where he resides; his age; professional responsible for your care and codified according to the level need of healing (N1: school which has six or more decayed teeth; N2: four to five decayed teeth; N3: up to three decayed teeth; SN: no needs healing). Statistical analysis was performed with the R Program from the nonparametric test Chi-square and Logistic Model. The Pearson Test and Envelope Probability confirmed the overall adequacy of the statistical model. Significant associations (p <0.05) were found between the main variable and two variables: encoding of school and day of week. The schedules for the students coded as N3, showed two times more no-shows, comparing to other encodings. Schedules on Fridays presented approximately two times more shows, when compared to other days. From the results were formulated explanatory hypotheses to the absenteeism consultations, aimed at building a useful knowledge, that combined with qualitative subsequent approaches, will can subsidize an intervention on reality. The high prevalence of absenteeism in the period, 28.52%, negative impact in the clinical management and oral health of schoolchildren, and impacts the efficiency of the ESB in capacity utilization, which also represents the institutional prejudice, becoming, therefore, a challenge to be overcome.