Orthodontics in the oral health care network of the Unified Health System (SUS).

This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.

Orthodontics in the oral health care network of the Unified Health System (SUS)

Abstract This observational study aimed to describe and analyze data from two external evaluations of the National Program for Improving Access to and Quality of Dental Specialty Centers (PMAQ CEO), held in 2014 and 2018 in Brazil, which evaluated Dental Specialty Centers (CEO) using a national and census approach. We selected questions through a search in the microdata of the first and second evaluations. The groups were analyzed independently. To compare the groups, nonparametric tests were performed (Mann Whitney U). The formulated hypotheses were: there would be no differences between the data of these groups (h0) and there would be differences between the data of these groups (h1). For qualitative nominal variables, frequency distribution was verified and association tests were performed (chi-square test). The significance level for this study was set at 5%. We observed that orthodontic treatments were found in about 13% of the CEO. Regarding human resources, most professionals were specialists or had MSc or PhD degrees; were civil servants; had been hired by direct administration; or had been hired via public tender. Regarding the work process and inclusion of the CEO in the health care network, we observed a greater number of services that use single and electronic medical records, greater presence of services monitoring and analyzing goals, greater knowledge about monthly average of absenteeism (for 2018); and larger number of services with referrals from primary health care centers (for 2014). Expanding the view on orthodontics and including preventive, interceptive, and corrective treatments at different points in health care networks are essential strategies for achieving comprehensive care in universal health systems.

Perfil e expectativas dos ingressantes da Faculdade de Odontologia da USP: uma visão integrada com as diretrizes curriculares nacionais e o sistema único de saúde / Profile and expectations of the new dentistry students at University of São Paulo: an integrated vision with the National Curriculum Guidelines and the National Health System

A Universidade apresenta um importante papel na formação de um profissional capaz de atender às demandas da população, buscando a relevância social. As Diretrizes Curriculares Nacionais trouxeram para a Odontologia a flexibilização do currículo, permitindo que cada instituição de ensino formulasse sua proposta pedagógica para abranger e se adequar à realidade social local. Dessa forma, são necessários novos perfis de profissionais com condições de responder às necessidades de saúde da população de acordo com os princípios e diretrizes do Sistema Único de Saúde (SUS). Para isso, a formação do cirurgião-dentista deve resgatar o caráter coletivo da prática odontológica, graduando um profissional apto a interferir na realidade do indivíduo e do território. O estudo objetiva verificar as expectativas e motivações dos estudantes ingressantes na Faculdade de Odontologia da Universidade de São Paulo no ano de 2013 em relação ao curso e ao mercado de trabalho no contexto das Diretrizes Curriculares Nacionais e integração com o SUS. Foi aplicado um questionário aos ingressantes no primeiro semestre de 2013 e os dados foram tabulados no software Microsoft Excel. Os resultados revelaram que 46% dos ingressantes já entram na faculdade objetivando uma especialidade, 76,59% dos ingressantes almejam um bom retorno financeiro, ao passo que 53,19% desejam ter seu próprio consultório ou trabalhar como autônomo. Concluímos que diante do perfil de trabalho autônomo, privado e altamente especializado, a academia tem um grande desafio de desconstruir o imaginário trazido pelo ingressante, a fim de que este possa estar apto a trabalhar de forma adequada no SUS (AU).

The National Curriculum Guidelines brought Dentistry a flexible curriculum, allowing each educational institution formulate its own pedagogical proposal to cover and fit the local social reality. The University has an important role in the formation of a professional able to meet the demands of the population, seeking social relevance of the professional act. New professional profiles are needed, who are capable of meeting the health needs of the population, according to the principles and guidelines of UHS. For reach this aim, the vocational training of dental surgeons must rescue the collective character of dentistry practice, initiating the formation of a professional capable of interfere in the reality of the individual and the territory. The study aims to verify the new Dentistry students' expectations and motivations about the course and the labor market, including in the context of the National Curriculum Guidelines and integration with the Unified Health System. A questionnaire was applied to the new students of Dentistry in the first half of 2013 and the data were tabulated using Microsoft Excel software. The data revealed that 46% of freshmen enter college already aiming a specialty, 76.59% of freshmen crave a good financial return, while 53.19% wish to have their own office. We conclude that faced with the autonomous, private and highly specialized job profile, the Academy has a great challenge to deconstruct the imagery brought by the entrants, so that they can be able to work properly in the UHS (AU).