ABSTRACT
OBJECTIVE
Evaluate and compare the protagonism of Oral Health teams (OHt) in the teamwork process in Primary Healthcare (PHC) over five years and estimate the magnitude of disparities between Brazilian macro-regions.
METHODS
Ecological study that used secondary data extracted from the Sistema de Informação em Saúde para a Atenção Básica (SISAB – Health Information System for Primary Healthcare) from 2018 to 2022. Indicators were selected from a previously validated evaluative matrix, calculated from records in the Collective Activity Form on the degree of OHt’s protagonism in team meetings and its degree of organization concerning the meeting agendas. A descriptive and amplitude analysis of the indicators’ variation over time was carried out, and the disparity index was also calculated to estimate and compare the magnitude of differences between macro-regions in 2022.
RESULTS
In Brazil, between 3.06% and 4.04% of team meetings were led by OHt professionals. The Northeast and South regions had the highest (3.71% to 4.88%) and lowest proportions (1.21% to 2.48%), respectively. From 2018 to 2022, there was a reduction in the indicator of the “degree of protagonism of the OHt” in Brazil and macro-regions. The most frequent topics in meetings under OHt’s responsibility were the work process (54.71% to 70.64%) and diagnosis and monitoring of the territory (33.49% to 54.48%). The most significant disparities between regions were observed for the indicator “degree of organization of the OHt concerning case discussion and singular therapeutic projects”.
CONCLUSIONS
The protagonism of the OHt in the teamwork process in PHC is incipient and presents regional disparities, which challenges managers and OHt to break isolation and lack of integration, aiming to offer comprehensive and quality healthcare to the user of the Unified Health System (SUS).
Primary Healthcare; Oral Health; Workflow; Outcome Assessment, Health Care; Health Management
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List of Acronyms: IND: Indicator/NUM: Numerator/DEM: Denominator/Eq: Team/SB: Oral Health1 Other teams: Family Health Team - eSF, Community Health Agent Team - eACS, Family Health Support Center - NASF, Primary Healthcare Team - eAB, Street Clinic Team - eRC, Prison Basic Healthcare Team - eABP and Primary Healthcare Team - eAP.2 Professionals: Community health agent, Endemic disease control agent, Health agent, Social worker, Dental surgeon, Social educator, Nurse, Pharmacist, Physiotherapist, Speech therapist, Physician, Veterinarian, Nutritionist, Other high school-level professionals, Other higher education professionals, Physical education professional, Psychologist, Sanitarian, Nursing technician and assistant, Oral health technician and assistant, Occupational therapist, Naturopath, Music therapist, Art therapist, Holistic therapist, Receptionist.3 Meeting themes: Administrative/operational issues, Work processes, Diagnosis of the territory/monitoring of the territory, Planning/monitoring of team actions, Case discussion/singular therapeutic project, Permanent education, Others (Themes do not fit into any of these themes).4 Shifts: Morning, Afternoon, Night.