Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura / Impact of financial crises on oral health indicators: an integrative review of the literature
Ciênc. Saúde Colet. (Impr.)
; 24(12): 4437-4448, dez. 2019. tab, graf
Article
in Portuguese
| LILACS
| ID: biblio-1055752
Responsible library:
BR1.1
RESUMO
Resumo O objetivo desse estudo foi analisar, por meio de uma revisão integrativa da literatura, os possíveis impactos das crises financeiras sobre os indicadores de saúde bucal em diferentes países, bem como verificar as medidas adotadas de forma a traçar um paralelo com a realidade brasileira. Uma busca de artigos que atendessem a estes critérios foi realizada nas bases PUBMED, EMBASE, Lilacs, SCOPUS e também na literatura cinzenta. Ao final, nove estudos foram incluídos. Os resultados indicam que a população em maior vulnerabilidade, menor renda e menor escolaridade são as mais afetadas, independentemente do indicador avaliado (cárie dentária não tratada, acesso aos serviços de Atenção Odontológica e hábitos de higiene). Quando medidas protetivas com alocação de recursos financeiras foram tomadas, as disparidades diminuíram. Concluiu-se que, frente às crises econômicas, a saúde bucal passa a não ser prioridade enquanto centro nucleador de políticas, o que impacta o acesso ao cuidado dos estratos sociais menos favorecidos.
ABSTRACT
Abstract The aim of this study was to analyze, by an integrative review of the literature, the possible impacts of financial crises on oral health indicators in different countries, as well as to verify the measures adopted in order to compare with the Brazilian reality. A search for articles that met these criteria was carried out in PUBMED, EMBASE, Lilacs, SCOPUS and also in the gray literature. At the end, nine studies were included. The results indicate that the population with higher vulnerability, lower income and lower educational level are the most affected, independently of the evaluated indicator (untreated dental caries, access to dental care services and hygiene habits). When protective measures with allocation of financial resources were taken, disparities decreased. It was concluded that, faced with economic crises, oral health is no longer a priority, which impacts access to care for the less favored social strata.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Financial Arrangements
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Multisectoral Coordination
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Goal 11: Inequalities and inequities in health
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Goal 4: Health financing
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Goal 6: Information systems for health
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Target 3.8 Achieve universal access to health
Database:
LILACS
Main subject:
Poverty
/
Oral Health
/
Health Status Indicators
/
Educational Status
/
Economic Recession
/
Income
Type of study:
Etiology study
/
Health economic evaluation
/
Risk factors
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Systematic review
Aspects:
Social determinants of health
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Equity and inequality
/
Patient-preference
Limits:
Humans
Country/Region as subject:
North America
/
South America
/
Brazil
/
Europa
Language:
Portuguese
Journal:
Ciênc. Saúde Colet. (Impr.)
Journal subject:
Public Health
Year:
2019
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Campinas/BR
/
Universidade Federal de Mato Grosso do Sul/BR
/
Universidade de Brasília/BR