ANALYSIS OF THE CARE MANAGEMENT CARRIED OUT BY THE HEALTHCARE TEAMS PARTICIPATING IN THE NATIONAL PROGRAM FOR IMPROVING ACCESS AND QUALITY OF BASIC CARE (PMAQ-AB) IN THE MUNICIPALITY OF NATAL / RN.
Oral Health; Health Policy, Program Evaluation, Health Services Research
The inclusion of the Oral Health Team in the Family Health Strategy represented a new space of practices and relationships to be built with the proposed reorientation of the work process. It was possible to increase coverage, effectiveness in responding to the demands of the population and scope of measures of collective character for the possibilities of gains in the fields of team work, relations with users and management, implying a new way of producing oral health care. In this way, the Oral Health Team would be able to provide a new work process with the goal of producing care.
The production of care brings with it the proposal of humanization of the process of developing health actions and services. It implies the accountability of health services and workers, as well as building with the users the possible response to their pain, anguish, problems and afflictions in a way that not only prompts consultation and care but that the process of consulting and service will produce knowledge, accountability and autonomy in each user. However, several factors are cited in the literature as potential obstacles to the construction of a new care model focused on a new work process with the goal of producing care, such as: the fact that dentistry has not been present since the beginning of the Family Health Strategy, the hiring, without any criterion, providing clientelistic practices and contractual ties illegal, or even nonexistent, training in dentistry, historically focused on technicalism and specialization.
Faced with all these factors, it is necessary to adopt the care management in Oral Health. This emerges as an instrument to overcome fragmentation and guarantee integrality, starting from individual work to a transdisciplinary work, reaffirming the need for autonomy, linkage, and co-responsibility that professional teams must take to promote health. Thus, it is essential to evaluate and understand the ways of managing Oral Health care, that is, how the Oral Health Team organizes and manages the work process in the articulation of actions in the context of the work of the Family Health team, and given these results obtained, provide probable justifications for such practices and be an inducer of changes in care in dentistry.