Efeito no quantitativo das equipes de saúde bucal após a política nacional de atenção básica 2017

Abstract

Objective: To evaluate the effect of the National Primary Care Policy (PNAB) published in 2017 on the number of Oral Health Teams (ESB) implemented in the Family Health Strategy between October 2017 and July 2019. Methodology: This was a study. of quantitative, descriptive and analytical nature, which used the data available in the public reports of the history of oral health coverage available on the e-Manager Platform of Primary Care of the Ministry of Health of all Brazilian municipalities (5,570). Survival of the number of municipalities that did not reduce the amount of ESB was analyzed according to the region of the country, human development index (HDI), Gini inequality index and population size. Cox Regression was used to analyze the factors associated with the reduction in the number of ESB implanted after 1, 3, 6, 9, 12 and 15 months of the publication of the 2017 PNAB Ordinance, considering p <0.05. Results: After 15 months of publication of PNAB 2017, 6.9% of Brazilian municipalities reduced the amount of ESB. The reduction in the number of ESB was greater in the South (5.5%, OR = 1.893) and Northeast (4.3%, OR = 1.452) regions. Municipalities that were more unequal in terms of income distribution (Gini index> 0.62, OR = 1.193) and larger (> 100 thousand inhabitants, OR = 2.225) also had a larger reduction in GGE. Conclusion: The PNAB 2017 tripled the number of municipalities that reduced the number of ESB, which should significantly impact inequalities in access to health services in the Health Unic System (SUS).