Organização e resolutividade dos serviços públicos odontológicos para a atenção em saúde bucal de pré-escolares: estudo em dois municípios brasileiros

Abstract

Objective: To describe the organization and resolution of the public health network for oral health care for children aged zero to six years in two Brazilian municipalities. Methods: Descriptive cross-sectional study carried out with secondary data from the medical records of children treated by oral health services [conventional or Oral Health Teams (ESB)] in the municipalities of Belo Horizonte, 2014, and Diamantina, in 2015, Minas Gerais, Brazil. Resoluteness was assessed by the relationship between the percentages of Completed Dental Treatment (TC) and First Consultation (PC). In both municipalities, the Family Health Strategy (ESF) is the model for organizing Primary Health Care (PHC) services. In Belo Horizonte, a representative sample of children was selected among those examined in the Needs Survey by the ESB in 18 of the 147 Basic Health Units (UBS). In Diamantina, the organization of dental care is conventional and occurs on a free demand basis, and is carried out in four of the seven UBS. Descriptive analysis of the data was carried out to obtain absolute and relative frequencies. Results: 1,344 medical records were analyzed in Belo Horizonte, 595 of which were children (44.27%) who had CP. Of these, 295 (21.95%) had CT, with a resolution rate of 49.58%. In the municipality of Diamantina, all 43 children's dental records found in UBS offering dental care were evaluated. Of these, 29 children (67.44%) had CP and 11 (25.58%) had CT, representing a resolution rate of 37.93%. Conclusion: There are differences in the organization and model of oral health care for children in the municipalities studied. For both municipalities, children's access and resolution of oral health care constitute challenges for public health services in PHC.