Oral health actions in the primary health care network of northeastern brazil in relation to oral cancer

ABSTRACT Objective: To describe oral health actions against oral cancer promoted by Primary Health Care Teams in northeastern Brazil. Methods: This is a descriptive and inferential study based on data related to detection, referral, registration, follow-up and documents related to these actions in the External Evaluation of the 1st and 2nd Program for Improving Access and Quality of Primary Care Cycles. Results: Overall, 5,599 and 7,700 teams were evaluated, respectively, in the first and second cycles, with the highest and lowest concentrations in the states of Bahia / Maranhão and Bahia / Sergipe. In all, 58.9% / 79.7% Health Teams conducted campaigns to detect oral lesions and referred suspected cases of oral cancer, and 43.9% / 23% of them recorded and followed suspicious / confirmed cases and only 20.7% / 16.2% had documents proving these records in the respective cycles. There was statistical significance in the comparisons of actions and the evaluation cycles (p ? 0.01). Conclusion: Health teams in northeastern Brazil need to improve actions related to detection, referral, registration, follow-up and verification of oral health documents related to oral cancer.

摘要
研究目的：本研究旨在描述巴西东北部基层医疗卫生团队（Primary Health Care Teams）开展的口腔癌防控相关口腔健康工作。
方法：本研究为描述性与推断性研究，数据来源于《基层医疗服务可及性与质量提升计划》第一、二轮外部评估中，与口腔癌防控相关的筛查、转诊、登记、随访及对应工作文件的相关记录。
结果：首轮与第二轮评估分别覆盖5599支与7700支基层医疗卫生团队；首轮评估的团队分布集中度最高的州为巴伊亚州与马拉尼昂州，第二轮评估的团队分布集中度最低的州为巴伊亚州与塞尔希培州。两轮评估中，分别有58.9%、79.7%的团队开展了口腔病变筛查并转诊口腔癌疑似病例；43.9%、23%的团队对疑似/确诊病例完成登记与随访；仅20.7%、16.2%的团队拥有可证明上述工作记录的相关文件。不同评估轮次间的各项工作开展情况差异均具有统计学意义（p≤0.01）。
结论：巴西东北部的基层医疗卫生团队仍需优化与口腔癌防控相关的筛查、转诊、登记、随访及文件归档验证等工作。