Indicators proposed by the Brazilian Ministry of Health for monitoring and evaluating oral health actions in the National Health System: documentary research, 2000-2017

França, Mary Anne de Souza Alves; Freire, Maria do Carmo Matias; Pereira, Edsaura Maria; Marcelo, Vânia Cristina

doi:10.5123/S1679-49742020000100002

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Sumário

RESEARCH NOTE • Epidemiol. Serv. Saúde 29 (1) • 2020 • https://doi.org/10.5123/S1679-49742020000100002 linkcopy

Indicators proposed by the Brazilian Ministry of Health for monitoring and evaluating oral health actions in the National Health System: documentary research, 2000-2017^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: to present the indicators for monitoring and evaluation of oral health actions in the Brazilian National Health System (SUS), proposed in the period 2000-2017.

Methods: documental research conducted on the Ministry of Health website regarding government guidelines on oral health monitoring and evaluation systems; the indicators were classified according to the following categories: access to care; resolutive capacity and continuity; and availability of oral health services.

Results: oral health indicators were identified in the following guidelines: ‘Health Services Performance Evaluation Methodology Project’, ‘SUS Qualification Evaluation Program’, ‘National Program for Improving Primary Care Access and Quality’, and ‘SUS Performance Index’; most of them refer to access to services and resolutive capacity and continuity of care.

Conclusion: oral health indicators in the four government guidelines identified provide important input for health management, but new indicators are needed for effective monitoring and evaluation of oral health actions.

Keywords:
Indicators of Health Services; Oral Health; Health Management; Government Document

Category	Indicators and sources	Guideline	Calculation formula
Category	Indicators and sources	Guideline	Numerator	Denominator
Access to care	Dental appointment Sources: PNAD and PNS	PROADESS	No. of people who had a dental appointment in the last 12 months x 100	Total resident population
	Percentage of people who never had a dental appointment Sources: PNAD and PNS	PROADESS	No. of people reporting never having had a dental appointment x 100	Total resident population
	Percentage of the population reporting having used health services in the last 15 days, in a given geographical space. Sources: PNAD and PNS	PROADESS	No. of people seeking health services in the last 15 days and who received care x 100	Total resident population
	Coverage of first programmatic dental appointment ^a Sources: SIA/SUS and IBGE	SUS Qualification Evaluation Program	Total number of first programmatic dental appointments ^a attended in a given place and period x 100	Population in the same place and period
Service availability	Number of dental surgeons per 100,000 inhabitants, in a given geographic space, in the year under consideration. Source: CNES	PROADESS	No. of dental surgeons x 100 mil	Total resident population
Service availability	Estimated population coverage of the Family Health Strategy Oral Health teams Sources: FCES and IBGE	SUS Qualification Evaluation Program	No. of Family Health Strategy Oral Health teams implanted (Modalities I and II) x 3,450 people	Population in the same place and period x 100

Category	Indicators	Calculation formula (and sources consulted)		Parameter
Category	Indicators	Numerator ^a	Denominator	Parameter
1^st and 2^nd Cycles
Access to care	Coverage of first programmatic dental appointment	No. of first programmatic dental appointments in a given place and period x 100	Population registered in the same place and period Source: SIAB Form A	Not provided
	Coverage of first dental care appointment for pregnant women	No. of pregnant women having first appointment with Oral Health team dental surgeon in a given place and period x 100	No. of pregnant women registered in the same place and period Source: SIAB SSA2 Report	Not provided
	Average urgent dental care session per inhabitant	No. of urgent dental care sessions performed by the Oral Health team dental surgeon in a given place and period	Population registered in the same place and period Source: SIAB Form A	Not provided
	Oral mucosa alteration incidence rate	No. of diagnoses of oral mucosa alteration in service users care for the by Oral Health team in a given place and period x 1,000	Population registered in the same place and period Source: SIAB Form A	Not provided
Service availability	Average supervised collective dental brushing actions	No. of people taking part in the supervised collective dental brushing action performed in a given place and period x 100	Population registered in the same place and period Source: SIAB Form A	Not provided
Resolutive capacity and continuity	Average dental prosthesis fitted	No. of dental prostheses fitted by the Oral Health team in a given place and period	Population registered in the same place and period x 0.03 Source: SIAB Form A	Not provided
Resolutive capacity and continuity	Ratio between concluded treatments and first programmatic dental appointments	No. of treatments concluded by the Oral Health team dental surgeon in a given place and period	No. of first programmatic dental appointments carried out by the Oral Health team dental surgeon in the same place and period Source: PMA2 Report - SIAB Complement	Not provided
3^rd Cycle
Access to care	Coverage of first programmatic dental appointments	No. of first programmatic dental appointments attended x 100	Population registered	15% first programmatic dental appointment attended/year 1.25% first programmatic dental appointment attended/month
Service availability	Percentage of services made available by the Oral Health team	Quantity of actions and service performed by the Oral Health team x 100	Total actions and services expected by the Oral Health team	70%/month
Resolutive capacity and continuity	Ratio between concluded treatments and first programmatic dental appointments	No. of treatments concluded by the dental surgeon	No. of first programmatic dental appointments	0.5-1.0 treatment concluded/month

Category	Simple indicators and sources	Calculation formula		Parameter
Category	Simple indicators and sources	Numerator	Denominator	Parameter
Service availability	Population coverage estimated by the Oral Health teams Sources: CNES and IBGE	Average monthly number of Family Health Strategy Oral Health teams plus Average monthly number of qualified equivalents per each 60 hours/week of non-Oral Health team dental surgeons x 3,000 inhabitants	Population resident in the municipality	50% coverage taking one Primary Care Oral Health team per each group of 3,000 inhabitants in the year assessed
Service availability	Average supervised collective dental brushing actions Sources: SIA/SUS and IBGE	No. of people taking part in the supervised collective dental brushing action in the 12 month period, in a municipality, divided by 12 x 100	Population in the municipality in the period evaluated	8 participants per 100 inhabitants - average of municipalities covered by Oral Health teams or THD/ACD teams greater than 60%
Resolutive capacity and continuity	Proportion of tooth extraction in relation to dental procedures Sources: SIA/SUS and IBGE	No. of teeth extractions performed in a municipality and year evaluated x 100	Total individual preventive and curative procedures, selected per municipality and year evaluated.	8% (percentage close to the average for the year 2010: 8.6%) of all Brazilian cities that performed dental procedures on the SUS

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Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 (61) 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[TFN21] Sources: Ministry of Health; 2011a⁶; 2011b⁷.

[TFN22] a) ‘First dental appointment’ is considered to be when the preventive treatment plan is prepared. Urgent/emergency care is not taken into consideration.

[TFN23] Legend:

[TFN24] PNAD: National Household Sample Survey.

[TFN25] PNS: National Health Survey.

[TFN26] CNES: National Health Establishment Registry.

[TFN27] SIA/SUS: Brazilian National Health System Outpatient Information System.

[TFN28] IBGE: Brazilian Institute of Geography and Statistics.

[TFN29] FCES: Health Establishment Registry Form.

Indicators proposed by the Brazilian Ministry of Health for monitoring and evaluating oral health actions in the National Health System: documentary research, 2000-2017*

Indicators proposed by the Brazilian Ministry of Health for monitoring and evaluating oral health actions in the National Health System: documentary research, 2000-2017^*