Evolution of post-deployment indicators of oral health on the Family Health Strategy

Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy. Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011. Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance. Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals.

【研究目的】评估家庭健康战略（Family Health Strategy）下21支口腔医疗团队（Oral Healthcare Teams）实施后各项指标的演变情况。【研究方法】本研究采用2009-2011年间，巴西以色列慈善协会阿尔伯特·爱因斯坦医院（Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein）与圣保罗市卫生局（Secretaria Municipal de Saúde de São Paulo）合作项目中口腔医疗团队的门诊服务数据，用以评估参与该合作的口腔医疗专业人员的工作效率、就诊可及性、缺勤率及急诊占比情况。【研究结果】分析期内，急诊占比、诊疗收入占比及就诊可及性均存在显著差异，但缺勤率未出现明显变化。月度细分分析显示，服务启动初期曾出现指标波动，这提示该项工作在数月间逐步趋于成熟，可接纳新增专业人员并扩大服务覆盖人群。将该阶段的各项指标与两家机构约定的目标进行对比后可见，口腔医疗团队整体表现良好。【研究结论】本研究结果显示，既定目标均已达成，这与口腔医疗团队专业人员数量增长、工作流程日趋成熟以及现有人力资源优化配置以保障业务开展密切相关。明晰上述研究结果，可为后续年度口腔医疗团队的工作指导及目标达成情况评估提供重要依据。