The access carried out in oral health services post-COVID-19 pandemic: a temporal analysis of the SIA-SUS in Jaboatão dos Guararapes

Monicky M. Araujo; Karolayne E. M. da Silva; Maria da Penha R. dos Santos; Sydia Oliveira

doi:10.18203/2394-6040.ijcmph20240880

Authors

Monicky M. Araujo Department of Public Health, Aggeu Magalhães Institute/ Fiocruz, Recife, Pernambuco, Brazil
Karolayne E. M. da Silva Department of Public Health, Aggeu Magalhães Institute/ Fiocruz, Recife, Pernambuco, Brazil
Maria da Penha R. dos Santos Department of Public Health, Aggeu Magalhães Institute/ Fiocruz, Recife, Pernambuco, Brazil https://orcid.org/0000-0002-4420-0800
Sydia Oliveira Department of Public Health, Aggeu Magalhães Institute/ Fiocruz, Recife, Pernambuco, Brazil https://orcid.org/0000-0002-6349-2917

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240880

Keywords:

Oral health, COVID-19, Health services accessibility, Dentistry

Abstract

Background: Aim of the study was to evaluate the access provided, represented by the use of dental services, by users of the unified health system (SUS), in Jaboatão dos Guararapes (PE), during the COVID-19 pandemic.

Methods: Time series analysis of data on dental activities and procedures carried out by dentists registered in the SUS ambulatory information system (SIA-SUS), between January and December, from 2013 to 2022, as a way of characterizing the access carried out, a characteristic of use of services.

Results: The data reveal that there was a reduction in the supply of dental care in all categories during the COVID-19 pandemic, especially in the first two years: 2020 and 2021.

Conclusions: The data analyzed corroborate the perception that the restrictions imposed on care dental services offered by the unified health system had a negative impact on health services in the municipality of Jaboatão dos Guararapes (PE).

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References

Ridde V, Gautier L, Dagenais C, Fanny C, Renyou H, Emmanuel B, et al. Learning from public health and hospital resilience to the SARS-CoV-2 pandemic: protocol for a multiple case study (Brazil, Canada, China, France, Japan and Mali). Health Res Policy Sys. 2021;19(1):76.

Barreto ML, De Barros AJD, Carvalho M, Codeço CT, Hallal PRC, De Andrade Medronho R, et al. What is urgent and necessary to subsidize policies to face the COVID-19 pandemic in Brazil? Revista Brasileira Epidemiol. 2020;23:e200032.

Zhai P, Yanbing D, Xia W, Junke L, Yanjun Z, Yiming L. The epidemiology, diagnosis and treatment of COVID-19. Int J Antimicrobial Agents. 2020;55(5):105955.

Li H, Shang-Ming L, Xiao-Hua Y, Shi-Lin T, Chao-Ke T. Coronavirus disease 2019 (COVID-19): current status and future perspectives. Int J Antimicrobial Agents. 2020;55(5):105951.

Meng L, Hua F, Brian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for den- tal and oral medicine. J Dental res. 2020;99(5):481-7.

Ramírez JM, Varela-Montes L, Gómez-Costa D, Giovannini G, Romero-Maroto M, Diego RG. Management of odonto-stomatological emergencies during the COVID-19 alarm state in dental clinics in the Autonomous Community of Madrid (CAM), Spain: An observational study. Med Oral, Patol Oral Cirugia Bucal. 2021;26(1):e114-7.

Rossi TRA, Lorena JED, Chaves SCL, Martelli, PJDL. Economic crisis, austerity and their effects on financing and access to public and private oral health services. Ciência Saúde Coletiva. 2019;24:4427-36.

Freire DEWG, Freire AR, Lucena EHG, Cavalcanti YW. Oral health access in Brazil: analysis of inequities and non-access from the service user's perspective, according to the National Primary Care Access and Quality Improvement Program, 2014 and 2018. Epidemiologia e servicos de saude: revista do Sistema Unico de Saude do Brasil. 2021;30(3):e2020444.

Bastani P, Mohammadpour M, Mehraliain G, Delavari S, Edirippulige S. What makes inequality in the area of dental and oral health in developing countries? A scoping review. Cost Effectiveness Resource Allocation. 2021;19(1):54.

State Department of Health, Pernambuco. Panel of cases of coronavirus disease 2019 (COVID-19) in Pernambuco, Brazil and the world. Available at: https://app.- powerbi.com/view?r=eyJrIjoiY2QwMzk xMDItZjcxOS00ZGZlLThmOWEtZDNmZjlkNDU4MWQwI-iwidCI6IjA5NWY4NjAxLTRhOWEtND Q5MC1hODBkLWJmMTA4NTliODkxMCJ9&pageName=Re-portSection59e9d3b77e33c5dd75bd. Accessed on 15 January, 2024.

Brazilian Institute of Geography and Statistics (BR). Portal Cidades. Jaboatão dos Guararapes. Complete information. 2022. Available at: https://cidades.ibge.gov.br/brasil/pe/jaboatao-dos-guararapes/panorama. Accessed on 15 January, 2024.

Latorre MRDO, Cardoso MRA. Time series analysis in epidemiology: an introduction to methodological aspects. Revista Brasileira Epidemiol. 2001;4:145-52.

Travassos C, Martins M. A review of the concepts of access to and utilization of health services. Cadernos de Saúde Pública. 2004;20:S190-98.

Jaboatão dos Guararapes, Municipal Health Department (a). Transparency portal. Municipal Health Plan: 2022-2025. Jaboatão dos Guararapes- PE. Available at: https://portaldatransparencia. jaboatao.pe.gov.br/wp-content/uploads/2022/10/ PMS-2022-2025-PORTAL-DA-TRANSPARENCIA.pdf. Accessed on 15 January, 2024.

American Dental Association. What Constitutes a Dental Emergency? American Dental Association. Available at: https://success.ada.org/~/media/CPS/ Files/Open%20Files/ADA_COVID19_Dental_Emergency_DDS.pdf?_ga=2.253879752.110187285. 1584496315-1622146531.1565271894. Accessed on 15 January, 2024.

National Health Council. Resolution no. 510/2016. 2016. Available at: http://conselho.saude. gov.br/resolucoes/2016/Reso510.pdf. Accessed on 15 January, 2024.

Andersen, Ronald M. Revisiting the behavioral model and access to medical care: does it matter? J Heal Social Behavior. 1995;36(1):1-10.

Gonçalves RN, Gonçalves JR Da SN, Silva ROC da, Ditterich RG, Bueno RE. Correlation between municipal development and oral health indicators in a Brazilian metropolitan mesoregion. Cad Saúde Colet. 2023;31(1):e31010226.

Costa WDO; Oliveira WR, Marquez COa. Role of the dental surgeon in the prevention of periodontal diseases and edentulism. Research, Society and Development. 2023;12(1):e14012139726.

Vasconcelos CS. Discussion on public policies related to edentulism. 2022.

Souza KKO, Silva YA, Mendonça ICG. Conservative pulp treatment: literature review. Braz J Heal Rev. 2022;5(3):11912-9.

Brazil. Ministry of Health. Primary Health Care Secretariat. Department of Family Health. Guidelines for dental care in the context of COVID-19/ Ministry of Health, Primary Health Care Secretariat, Family Health Department. Brasília: Ministry of Health. 2022.

Silva HG, Móra PMPK, Zajkowski LA, Celeste RK, Scarparo RK. Urgent dental care in the Brazilian public health system: learning lessons from the COVID-19 pandemic for future situations. Cad Saúde Pública. 2022;38(11):e00013122.

Frichembruder K, Prass TS, Hugo FN. Historical series of emergency dental care in Brazil between 2008 and 2015. Ciênc Saúde Coletiva. 2022;27(8):3215-26.

Cunha AR, Velasco SRM, Hugo FN, Antunes JLF. The impact of the COVID-19 pandemic on the provision of dental procedures performed by the Brazilian Unified Health System: a syndemic perspective. Revista Brasileira De Epidemiologia. 2021;24:e210028.

CFO. Federal Council of Dentistry. What are dental emergencies and urgencies? 2020. Avaiable at: htt://website.cfo.org.br/wp-content/uploads/2020/03/ CFO-urgencias-e-emergencias.pdf. Accessed on 12 January, 2024.

Bado FMR, Fonseca DAV, Cortellazzi KL, Oliveira Júnior AJ, Ambrosano GMB, et al. Repercussions of the COVID-19 epidemic on emergency dental care in the Unified Health System in Piracicaba, 2020. Epidemiol Serv Saúde. 2021;30(4):e2021321.

Chisini LA, Costa FDS, Sartori LRM, Corrêa MB, D'Avila OP, Demarco FF. COVID-19 Pandemic impact on Brazil's Public Dental System. Braz Oral Res. 2021;16(35):e082.

Choi SE, Simon L, Basu S, Barrow JR. Changes in dental care use patterns due to COVID-19 among insu-red patients in the United States. J Am Dent Assoc 2021;152(12):1033-43.

Levesque J, Harris M, Russell G. Patient-centred access to health care: conceptualizing access at the interface of health systems and populations. Int J Equity Heal. 2013;12(1):1-9.