A Qualitative Study of Patients’ Perceptions of Dental Care in Primary Health Care
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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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doi
open access

Published: 14 December 2020

A Qualitative Study of Patients’ Perceptions of Dental Care in Primary Health Care

Heriberto F. Sanchez, Andrea Maria D. Vargas, Marcos Azeredo F. Werneck, Efigênia F. Ferreira

Federal University of Minas Gerais, Brazil

journal of social and political sciences
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doi

10.31014/aior.1994.03.04.145

Pages: 535-543

Keywords: Primary Health Care, Health Evaluation, Qualitative Research, Patient Participation

Abstract

Knowledge of patients' views can contribute to the strengthening of health services. The aim of this study is to describe the patients' perception of a public oral health service, contributing to evaluations in health services. This is a qualitative study in which a focus group was conducted, with the participation of six patients of the oral health system in the city of Belo Horizonte, MG, Brazil, all with a minimum experience of three years of using the service. A theoretical model with dimensions aimed at assessing integrality and primary care services was used. In conducting the research, a semi-structured script was used. The data were analyzed by content analysis. The most representative categories for evaluating oral health actions in primary care are the health unit; the welcoming and its relation with the creation of the bond; service with a strong emphasis on the humanized relationship between professional and patient and on teamwork and; as a highlight, citizen participation, based on the recognition of a “system” that prevents the proper functioning of services and that must be fought with citizenship. Patients’ perceptions can be used to assess oral health in primary care from the perspective of those who actually use health services, seeking ultimately to constantly improve them. Knowledge of patients' perceptions may enable organizations to know their performance, through assessment methodologies based on the established perceptions.

References

  1. Al-Jaber, A., Da’Ar, O. (2016). Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia, BMC Health Services Research 16, 628. https://doi.org/ 10.1186/s12913-016-1876-6

  2. Amorim, L. P., Senna, M. I. B., Alencar, G. P., Rodrigues, L. G., Paula, J. S., Ferreira, R. C. (2019). User Satisfaction With Public Oral Health Services in the Brazilian Unified Health System, BMC Oral Health. 19,126. https://doi.org/10.1186/s12903-019-0803-8.

  3. Bardin, L. (1977). Análise de conteúdo. Lisboa: Edições 70.

  4. Brasil, (2006). Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Saúde Bucal, Cadernos de atenção básica no. 17. Brasília. http://bvsms.saude.gov.br/bvs/publicacoes/saude_bucal.pdf

  5. Campos, D.F, Filho, R.B.N., Castro, F.N. Castro (2017). Service Quality in Public Health Clinics: Perceptions of Users and Health Professionals. International Journal of Health Care and Quality Assurance, 30, 680-692. https://doi.org/ 10.1108/IJHCQA-09-2016-0140.

  6. Campos, G.W.S. (2007). Health and political reform: is the Brazilian National Health Care System sustainability in question? Ciencia e Saude Coletiva 12, 301-306. https://doi.org/ 10.1590/S1413-81232007000200002.

  7. Carvalho, S.R, Gastaldo, D. (2008). Health promotion and empowerment: a reflection based on critical-social and post-structuralist perspectives, Ciencia e Saude Coletiva 13, 2029-2040. https://doi.org/10.1590/S1413-81232008000900007

  8. Chaves, S.C.L., Cruz, D.N., Barros, S.G. et al (2011). Assessing the supply and use of secondary care in specialized dental clinics in Bahia State, Brazil, Cadernos de Saude Publica 27, 143-154. https://doi.org/ 10.1590/S0102-311X2011000100015

  9. Coelho, M.O., Jorge, M.S.B. (2009). Technology of relations as device of humanized attendance in basic attention to health in the perspective of access, sheltering and attachment, Ciencia e Saude Coletiva 14, 1523-1531. https://doi.org/ 10.1590/S1413-81232009000800026.

  10. Cunha, E.M., Giovanella, L., (2011). Longitudinality/continuity of care: identifying dimensions and variables to the evaluation of Primary Health Care in the context of the Brazilian public health system, Ciencia e Saude Coletiva. 16, 1029-1042. https://doi.org/ 10.1590/S1413-81232011000700036

  11. Fadel, M.A.V., Filho, G.I.R (2009). Percepção da qualidade em serviços públicos de saúde: um estudo de caso, Revista de Administração Publica 43, 07-22. https://doi.org/ 10.1590/S0034-76122009000100002

  12. Gurung, G., Derrett, S., Hill, P., et al, (2016). Governance challenges in the Nepalese primary health care system: time to focus on greater community engagement? International Journal of Health Planning and Management. 3,1 167-174. https://doi.org/ 10.1002/hpm.2290

  13. Husserl. E. (1988). Investigações lógicas: 6ª investigação: elementos de uma elucidação fenomenológica do conhecimento, São Paulo, Nova Cultural.

  14. Kitzinger, J. (1995), Qualitative Research: Introducing focus groups, British Medical Journal 311, 299.

  15. Mattos, G.C.M., Ferreira, E.F., Leite, I.C.G, et al, (2014). The inclusion of the oral health team in the Brazilian Family Health Strategy: barriers, advances and challenges, Ciencia e Saude Coletiva 19,373-382. https://doi.org/ 10.1590/1413-81232014192.21652012.

  16. Mc Manus, A. (2015). Health promotion innovation in primary health care, Australasian Medical Journal. 6, 15-18. https://doi.org/10.4066/AMJ.2013.1578

  17. Medeiros, F.A., Araújo-Souza, G.C., Albuquerque-Barbosa, A.A., et al (2010). Basic health unit embracement: focusing on user satisfaction. Revista de Salud Publica 12, 402-413.

  18. Mosquera, P.A., Hernandez, J., Veja, R., et al, (2014). Challenges os implementing a primary health care strategy in a contexto of a market-oriented health care system: the experience of Bogota-Colombia, International Journal of Health Planning and Management. 29, 347-367. https://doi.org/10.1002/hpm.2228

  19. Nora, C.R.D., Junges, J.R. (2013). Humanization Policy in Primary Health Care: A Systematic Review, Revista de Saude Publica. 47, 1186-200. https://doi.org/10.1590/s0034-8910.2013047004581

  20. Petersen, P.E. (2009). Global policy for improvement of oral health in the 21st century – implications to oral health research of World Health Assembly 2007, World Health Organization, Community Dentistry andt Oral Epidemiology. 37, 1-8. https://doi.org/ 10.1111/j.1600-0528.2008.00448.x

  21. Peruzzo, H. E., Silva, E. S., Batista, V. C., Haddad, M. C. F. L., Peres, A. M., Marcon, S. S., (2019). Organizational Climate and Teamwork at the Family Health Strategy, Revista Brasileira de Enfermagem. 72, 721-727. https://doi.org/ 10.1590/0034-7167-2017-0770.

  22. Rodrigues, P.H.A. (2014).Political challenges facing the consolidation of the Sistema Único de Saúde: a historical approach. História, Ciencia, Saude-Manguinhos 21, 37-59. https://doi.org/10.1590/S0104-59702014000100003.

  23. Rodrigues, M.P., Lima, K.C., Roncalli, A.G Roncalli, (2008). Social representation related to care in the family health program in Natal-Brazil. Ciencia e Saude Coletiva 13, 71-82. https://doi.org/10.1590/S1413-81232008000100012.

  24. Ronzani, T.M, Silva, C.M. (2008). Brazil’s Family Health Program according to healthcare practitioners, managers and users, Ciencia e Saude Coletiva. 13, 23-34. https://doi.org/10.1590/S1413-81232008000100007.

  25. Silva Júnior, A.G., Alves, M.G.M., Mascarenhas, M.T.M., et al (2008). Evaluation experiences of the supplementary care sector: contributions of integrality, Ciencia e Saude Coletiva 13, 1485-1500. https://doi.org/ 10.1590/S1413-81232008000500014.

  26. Souza E.C.F., Vilar, R.L.A., Rocha, N.S.P.D., et al (2008). Primary health care access and receptivity to users: an analysis of perceptions by users and health professionals. Cadernos de Saude Publica 24, S100-S110. https://doi.org/ 10.1590/S0102-311X2008001300015

  27. Starfield, B., Shi, L., Macincko, J. (2005). Contribution of Primary Care to Health Systems and Health. The Milbank Quarterly 83,457–502 https://doi.org/10.1111/j.1468-0009.2005.00409.x

  28. Tesser, C.D., Neto, P.P, Campos, G.W.S. (2010). User embracement and social (de)medicalization: a challenge for the family health teams. Ciencia e Saude Coletiva 15, 3615-3624. https://doi.org/ 10.1590/S1413-81232010000900036

  29. Turato, E.R (2005). Qualitative and quantitative methods in health: definitions, differences and research subjects, Revista de Saude Publica 39, 507-514. https://doi.org/ 10.1590/S0034-89102005000300025

  30. Vaitsman, J, Andrade, G.R.B. (2005). Satisfaction and responsiveness: ways to measure quality and humanization of health assistance, Ciencia e Saude Coletiva 10, 599-613. https://doi.org/ 10.1590/S1413-81232005000300017

  31. Viegas, A.P.B., Carmo, R.F., Luz, Z.M.P. (2015). Factors associated to the access to health services from the point of view of professionals and users of basic reference unit, Saude e Sociedade 24, 100-112. https://doi.org/10.1590/S0104-12902015000100008.

  32. Watkins, D.A., et al. (2018). Alma-Ata at 40 years: reflections from the Lancet Commission on Investing in Health. The Lancet. 392, 1434–60. https://doi.org/ 10.1016/S0140-6736(18)32389-4

  33. WHO. The World Health Report 2002. Reducing Risks, Promoting Healthy Life, Geneva, World Health Organization, 2002. https://www.who.int/whr/2002/en/whr02_en.pdf?ua=1

  34. Williamson, L. (2014). Patient and citizen participation in health: the need for improved ethical support, American Journal of Bioethics 14, 4-16. https://doi.org/  10.1080/15265161.2014.900139

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