Acesso ao serviço de endodontia nos Centros de Especialidades Odontológicas em um município do interior da Bahia: humanização e equidade

Abstract

Dentistry in Brazil has undergone a history marked by many transformations. In the past, it occupied a secondary position within the public health system. However, over the years, this trajectory has changed. The implementation of the Sistema Público de Saúde (SUS) has boosted important policy guidelines that allow these advancements to be seen and felt today. Among them, the National Oral Health Policy (PNSB) has contributed to the growth in the number of oral health teams within primary care, as well as promoted the creation and implementation of the CEO, aiming to ensure coverage, expansion, and improvement of oral health services, and to enhance care quality at all levels of healthcare, in pursuit of integrality. However, despite all these advancements, there are still signs of precarious dental care in state of Bahia, both at the primary and secondary levels. These services appear overwhelmed, inefficient, and incapable of ensuring comprehensive and equitable care. Given this reality, this dissertation proposes an intervention project to organize the demand for endodontic services in a municipality in state of Bahia, through simple and feasible measures to overcome the main challenges and enable access to endodontic care as recommended by SUS. To achieve this, a qualitative approach was used, through semi-structured interviews analyzing the reports of users and dental surgeons working in endodontic services, managers of the CEOs in the municipality, and dentists randomly selected from USFs. Based on these data, the aims were defined, along with goals, implementation timelines, required actions/strategies, and the individuals responsible for executing each objective. Throughout the project implementation process, a necessity was observed: to ensure a attention to healthcare that is accountable, competent, and capable of resolution. That guarantees the performance of all procedures established by the MS.