O acesso à saúde bucal no contexto da atenção primária nas regiões brasileiras: um estudo ecológico de tendência temporal.

Abstract

To analyze the historical evolution of access indicators for the population to oral health care in the context of Primary Health Care in the regions of Brazil. Ecological study of public domain secondary data collected in the databases of the Primary Care Information and Management System (e-Gestor), the Health Information System for Primary Care (SISAB) and the SUS Outpatient Information System (SIA/ SUS) in the last 15 years (2007 to 2021). The variables were considered: municipalities, health regions, health macro-regions, indicator of coverage of oral health teams in the Family Health Strategy/Primary Care and the indicator of coverage of the first programmatic dental consultation. Subsequently, a statistical analysis of the weighted average was carried out and the absolute and relative frequencies were presented in tables and graphs. The region with the highest percentage of population covered by oral health teams was the Northeast. The Central-West region had the lowest percentage; and all regions showed a reduction in total coverage over the years. The coverage of the first programmatic dental consultation obtained varied data throughout the period, observing a sharp reduction in the average indicator from 2007 (12,81 %) to 2021 (3.79 %). It is concluded that there was a decrease in the indicators evaluated, directly impacting access to dental services by the brazilian population.