Dental care financing evolution in the SUS: analysis of the process of health care reorganization in relation to federal incentives

• Published in: Physis (Rio de Janeiro, Brazil) Vol. 21; no. 1; p. 197
• Main Authors: Machado Kornis, George Edward, Leila Senna Maia, Renata Ferraiolo Peixoto Fortuna
• Format: Journal Article
• Language: Portuguese
• Published: Rio de Janeiro Universidade do Estado do Rio de Janeiro, Instituto de Medicina Social 01.01.2011
• ISSN: 0103-7331; 1809-4481
• DOI: 10.1590/S0103-73312011000100012

This paper describes and analyzes, in the perspective of federal financing, the development of the so called Política Nacional de Saúde Bucal (PNSB) [Dental Care National Politics]. It considers the progress of improvement of access provided by the inclusion of Dental Care Teams (DCT) in the Family Health Strategy (FHS), and the creation of Odontological Specialties Centers (OEC) and Regional Laboratories of Dental Prostheses (RLDP). Despite the importance of such improvement, this paper aims to reflect on the following issue: how the Decree 302/2009, that disengages DCT from FHS, is able to ensure the already achieved access with continuing financial resources? So a bibliographical and documental analysis was conducted, comprising the issue of SUS Operational Norms until the 2006 Health Pact. In the final remarks, the authors point out that most part of financial resources for dental care coincides with the policies adopted by the Health Ministry in the 1990's: primary care re-organization through the Family Health Strategy, and the incentives politics, as a way of transferring federal resources. Also, they highlight the risk of retreat brought by this decree, as it jeopardizes both the primary care re-organization process in dental care, and its financing, once the incentives politics of the Health Ministry is concerned with the Family Health Strategy.