Regulação do acesso ao serviço de prótese dentária para o Sistema Único de Saúde de Minas Gerais: uma proposta de protocolo

Abstract

The present study sought to determine the perception of how access to the dental prosthesis service happens in the Oral Health Teams (ESB) that work with the Family Health Teams (ESF) in municipalities located in Macro Leste do Sul, a health region of Minas Gerais and also propose an access protocol for the dental prosthesis service based on physiological criteria for prioritizing access. As a strategy to better achieve the objectives, a qualitative methodology was chosen, with a focus group approach. The study participants were dental surgeons, working in ESB, serving a specific population in assigned territories. The group consisted of eleven participants, intentionally selected and willing to voluntarily collaborate with the study. The age group was professionals between 28 and 62 years old, working in territories with different economic characteristics and in municipalities with different population numbers, income and relevance in priority service to the SUS.The script for the focus group was prepared based on the PESB - State Oral Health Policy called SORRIA MINAS, within the scope of SUS-MG, which proposes adapting the work process with a focus on the population. The results were interpreted based on content analysis, from which the following themes were identified: Oral Health professionals' role in offering Dental Prosthesis, Equity in the provision of Oral Health care and Comprehensiveness of Care.The study concluded that the role of oral health professionals in offering dental prostheses still requires negotiation and coordination in the territories so that it can happen in an equitable manner and with regulatory flows that guarantee timely care. The urgency was identified to guarantee the training of oral health professionals capable of this articulation and who provide capillarity to oral health care in a generalist way. Professional performance and service, the principles of equity and comprehensive care were understood as fundamental aspects for the provision of dental prostheses in the East of the South Macroregion.