As clínicas de estágio de urgência odontológica da Faculdade de Odontologia da UFJF: desafios e perspectivas

Abstract

The present dissertation was developed in the scope of the Professional Master in Management and Evaluation of Education (PPGP) of the Center for Public Policies and Education Evaluation of the Federal University of Juiz de Fora (CAEd / UFJF). The management case studied will discuss issues involving dental emergency care at the Faculty of Dentistry of the Federal University of Juiz de Fora (FO-UFJF). Evidence of the critical issues surrounding the attendance at the FO-UFJF clinics shows that the demand for care is greater than the capacity care, which, in fact, happens in the Clinics of Stage I and II Urgency. One of the challenges observed in the clinics is that the service is not scheduled, and the order of care is done according to the order of incoming of the patients. Thus, there is no model of classification of patients that prioritizes cases that are more serious and guarantees a service with equity, which means that there is no protocol of classification of risk. Moreover, in urgency clinics, the resolution of care is also a critical issue, since many procedures are only partial, requiring referral to other clinics where the patients can complete the treatment. Another critical point is the long wait for care, which can aggravate the patient's clinical condition, often leading to loss of dental elements in this process. In view of thepresented situation, the following research question was defined: What are the challenges faced in the context of the Dental Urgency Stage Clinics of the Faculty of Dentistry of the Federal University of Juiz de Fora (UFJF) regarding the demand for patient care? With this, the general objective of this research is to analyze the difficulties experienced in the Dental Urgency Stage Clinics, involving questions related to the demand for patient care and classification criteria, also addressing the resolution of the care, as well as the referencing system. On the other hand, the theoretical reference will address the attendance of dependents of the SUS as a social function of the UFJF and the functioning of the Dentistry courses and patient care in other HEIs, as well as the laws that regulate the process of formation of Dental Surgeons. The research methodology was quanti-qualitative based on analysis of evidence gathered from medical records and waiting lists for care and, later, semi-structured interviews directed to trainee students, preceptors and to the Coordination of Clinics of Emergency Urgency Stage I and II of FO-UFJF. The results indicated the need to adopt measures in order to optimize the care process, guaranteeing the principles established by the SUS, as well as the rights regarding priority care, together with the improvement of resources. Owing to these results, as an Educational Action Plan, measures were proposed that include the adoption of a Risk Classification Protocol that can contribute to a more equitable care and based on the principles of universality, integrality and equity, observing criteria that consider the severity of each table and also covering the cases of priority care provided by law, as well as complementary measures involving the creation of electronic medical records, standard form for anamnesis / screening, oral health prevention projects and campaigns for publicizing and raising awareness about the operation of clinics of urgency with those involved in the care process, whether patients, professionals or students.