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Specialized dental care for people with disabilities in Brazil: profile of specialized dental clinics, 2014 / Atención odontológica especializada para personas con discapacidad en Brasil: perfil de los centros de especialidades odontológicas, 2014 / Atenção odontológica especializada para pessoas com deficiência no Brasil: perfil dos centros de especialidades odontológicas, 2014
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-933
Responsible library:
BR1.1
ABSTRACT
Objective. To analyze the specialized services of oral health care for people with disabilities, attended by the specialty of Special Care Dentistry (SCD). Methods. A cross-sectional study with data from the Program for Improving Access and Quality of Dental Specialties Centers (PMAQ-CEO), 2014. Results. A total of 932 services were evaluated 89.8% did have SCD, 30.4% had physical accessibility, 59.7% had reference to hospital care and most guaranteed complete treatment. Only a third of the CEOs offered 40 hours per week of SCD. Conclusion. The network of care for people with disabilities is being formed, and even with specific financial incentives, has limitations. Services need to eliminate physical and attitudinal barriers to ensure universal accessibility. Protocols based on risk classification are necessary, prioritizing the attendance in the CEO of the complex cases, not attended in the primary care and organizing the dental health care network of the people with disabilities.
RESUMO
Objetivo. Descrever os serviços de atenção à saúde bucal para pessoas com deficiência, atendidas pela especialidade Odontologia para Pacientes com Necessidades Especiais (PNE). Métodos. Estudo transversal, com dados do Programa de Melhoria do Acesso e Qualidade dos Centros de Especialidades Odontológicas (PMAQ-CEO), 2014. Resultados. Dos 932 serviços avaliados, 89,8% contavam com atendimento a PNEs, 30,4% apresentavam acessibilidade física e 59,7% contavam com referência para atendimento hospitalar. A maioria garantia tratamento completo. São disponibilizadas 40h semanais de atendimento clínico a PNEs em 1/3 dos CEOs. Conclusão. A rede de cuidado para pessoas com deficiência encontra-se em formação e, apesar dos incentivos financeiros específicos, apresenta limitações. Os serviços precisam eliminar barreiras físicas e atitudinais para garantir acessibilidade universal. Protocolos baseados em classificação de risco são necessários, priorizando atendimento no CEO dos casos complexos, não atendidos na Atenção Básica e organizando a rede de cuidados em saúde bucal da pessoa com deficiência.
Full text:
Available
Collection:
Preprints
Health context:
SDG3 - Target 3.8 Achieve universal access to health
Health problem:
Financial Arrangements
Database:
SciELO Preprints
Type of study:
Practice guideline
/
Observational study
/
Prevalence study
/
Risk factors
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2020
Document type:
Preprint
