Análise do estágio de desenvolvimento da rede de atenção à saúde no Sistema Único de Saúde em Minas Gerais - Brasil

Abstract

This study aimed to analyze the development stage of the oral health care network in the state of Minas Gerais and also to verify the impact of the allocation factor (FA) of the municipalities, the oral health coverage in the Primary Health Care (APS) and in the Family Health Strategy (ESF) and the macro-region of health in this development. A cross - sectional descriptive and analytical study was carried out with 205 municipal oral health coordinators from Minas Gerais. Data collection was performed through a validated questionnaire to analyze the development stage of the oral health care network. Descriptive and cluster analysis were performed, which generated two clusters. Cluster 1 was classified as incipient health care networks, (n = 109). Cluster 2 was classified as advanced health care networks (n = 96). The total median of the final scores of the questionnaires classified Minas Gerais as a state presenting incipient health care networks, with a basic capacity to operate the oral health care networks, reflecting the predominance of cluster 1 in the sample. The variables related to the oral health coordinator (age, training time, coordination time, gender and schooling), FA, APS coverage and health macro-region of the cities surveyed were compared to the clusters. There was no association when the variables age, training time, and coordination time (Mann-Whitney test), gender and coordinator schooling (Pearson's X2 test and Fisher's exact test, respectively), allocation factor and macro-region (Pearson's X2 and Fisher's Exact Test) were compared to the clusters. There was an association with APS (Mann-Whitney Test) coverage. The descriptive analysis showed that most municipalities were classified in FA 1 and 2, the macro-regions with the highest number of municipalities are South and Southeast, and the median coverage of total APS is 100%, and 78.1% for coverage of Oral health in the ESF. To guarantee the effectiveness of the oral health care network in the Unified Health System (SUS) of Minas Gerais, it is essential to organize services according to the needs of the population, by qualifying its operational structure, as well as investments in Management qualification. The findings suggested that APS coverage is related to the effectiveness of the oral health network implantation.