Financing national policy on oral health in Brazil in the context of the Unified Health System
Abstract
This article discusses the model of oral health care implemented in the Unified Health System of Brazil in the last decade. This model was conceived as a sub-sector policy that, over the years, has sought to improve the quality of life of the Brazilian population. Through a chronological line, the study presents the National Policy on Oral Health as a counter-hegemonic patient care model for the dentistry practices existing in the country before this policy was implemented. The reorganization of the levels of oral health care, the creation of reference facilities for secondary and tertiary care, through Centers of Dental Specialties and Regional Dental Prosthesis Laboratories, and the differential funding and decentralized management of financial resources were able to expand the actions of oral health for more than 90 million inhabitants. The evolution shown after the deployment of the National Oral Health Policy, as of 2004, demonstrates the greater integration of oral health care under the Unified Health System and provides feedback information to help this policy to continue to be prioritized by the Federal Government and receive more support from the state and local levels in the coming years.
Descriptors
Dental Health Services; Oral Health; Health Policy; Public Health.
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Authors
- Gilberto Alfredo Pucca Junior
DDS, National Coordinator of Oral Health, Ministry of Health, Brazil. MSc in Epidemiology of Aging, São Paulo School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil. - Edson Hilan Gomes de Lucena
Technical Advisor of the National Coordination of Oral Health, Ministry of Health, Brasilia, DF, Brazil. - Patricia Tiemi Cawahisa
Technical Advisor of the National Coordination of Oral Health, Ministry of Health, Brasilia, DF, Brazil. MSc in Dentistry, University of Maringá, PR, Brazil.