A interface da urgência em saúde bucal no SUS: o caso de um Pronto Socorro, no município de São Paulo, 2006
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Data
2008-08-26
Autores
Toledo, Maria Elvira [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
A urgência em saúde bucal, passa a ser destaque na atual política nacional de Saúde Bucal como um direito de cidadania. Passados 20 anos desde a implantação do SUS, este salienta a necessidade de se reorganizar os serviços com outro olhar, evidenciando que o binômio saúde–doença está na dependência de fatores sociais. Considerando que os serviços de urgência são includentes, não discriminatórios, com uma ampla superfície de contato com a população, promovendo uma captação passiva da provável população de maior atividade de doença, com agravos não só de origem biológica, mas também advindos de iniqüidades sociais, estes devem se preparar para um atendimento humanizado, minimizar iniqüidades, monitorar e avaliar técnicamente, participar da rede de referência e contra referência, para cumprir os princípios do SUS. Esta pesquisa analisou a prática de um serviço de urgência e emergência do SUS, com atendimento em Saúde Bucal, no município de São Paulo, em 2006, visando sistematizar saberes que possam contribuir para uma reorganização da assistência e construção de parâmetros que subsidiem o desenvolvimento de modelos de atenção a urgência adequados e humanizados. Foi analisada uma amostra dos Boletins Emergenciais dos atendimentos de um mês por trimestre do ano, digitalizados no sistema HOSPUB. Os resultados demonstraram que a faixa etária que mais procura o serviço é a de 20 a 29 anos com 45% de freqüência, não havendo distinção entre sexo, sendo 85% de pessoas da própria região. Foram realizadas 106.632 consultas no ano, 5,1% de Saúde Bucal, com uma média de 462,6 atendimentos/mês e 15,4 atendimentos/ plantão de 24 horas. A cobertura regional para consultas de urgência foi de 1 consulta/ ano a cada 67,8 habitantes. Foram realizados 2,5 procedimentos/atendimento, com uma espera de 60 minutos em média...
Urgency in health care, assumes a new prominent role in The National Oral Health Policy as a citizenship right. In 20 years of the SUS’s implantation, this system proves the need of restructuring the services with a new approach, putting in evidence the binomial health illness is on the dependence of social factors. Considering that services in urgency are comprehensive, not discriminatory, a large contact surface with the population, a passive capture of the likely population with the most activity of the illness, with disorders not only of biological origin, but also from social iniquities, these services must be prepared for a humanized care of the population, minimizing inequities, with monitoring and technical assessment, participating in the network of reference and counter reference, fulfilling the principle of comprehensiveness in the SUS. This research examined the practice of an urgency and emergency service of the SUS, with Oral Health Care, in São Paulo, in 2006 with the goal of systematizing all knowledge that can contribute to a reorganization of such assistance towards the construction of parameters that subsidize the development of appropriate and humanized models of attention to the urgency. A sample of one month per quarter was analyzed, and inputted into the HOSPUB system. The results showed that the age group that most demand the service is from 20 to 29 years old with 45% of frequency and there is no meaningful distinction between sex and 85% of the demand is from individuals of the region itself. Regarding the conditions of service of the unit studied, from 106,632 consultations held in the year, 5.1% were of Oral Health, with an average of 462.6/month and 15.4 consultations/each 24 hours on-call. The regional coverage for emergency consultations on Oral health was 1 consultation / year for every 67.8 inhabitants. An average of 2.5 procedures... (Complete abstract click electronic access below)
Urgency in health care, assumes a new prominent role in The National Oral Health Policy as a citizenship right. In 20 years of the SUS’s implantation, this system proves the need of restructuring the services with a new approach, putting in evidence the binomial health illness is on the dependence of social factors. Considering that services in urgency are comprehensive, not discriminatory, a large contact surface with the population, a passive capture of the likely population with the most activity of the illness, with disorders not only of biological origin, but also from social iniquities, these services must be prepared for a humanized care of the population, minimizing inequities, with monitoring and technical assessment, participating in the network of reference and counter reference, fulfilling the principle of comprehensiveness in the SUS. This research examined the practice of an urgency and emergency service of the SUS, with Oral Health Care, in São Paulo, in 2006 with the goal of systematizing all knowledge that can contribute to a reorganization of such assistance towards the construction of parameters that subsidize the development of appropriate and humanized models of attention to the urgency. A sample of one month per quarter was analyzed, and inputted into the HOSPUB system. The results showed that the age group that most demand the service is from 20 to 29 years old with 45% of frequency and there is no meaningful distinction between sex and 85% of the demand is from individuals of the region itself. Regarding the conditions of service of the unit studied, from 106,632 consultations held in the year, 5.1% were of Oral Health, with an average of 462.6/month and 15.4 consultations/each 24 hours on-call. The regional coverage for emergency consultations on Oral health was 1 consultation / year for every 67.8 inhabitants. An average of 2.5 procedures... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Saúde bucal, Odontologia - Aspectos sociais, Oral Health, Urgency, Health Policies
Como citar
TOLEDO, Maria Elvira. A interface da urgência em saúde bucal no SUS: o caso de um Pronto Socorro, no município de São Paulo, 2006. 2008. 164 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2008.