Saúde bucal e atributos da atenção primária no Sistema Único de Saúde: uma revisão integrativa

Abstract

Primary Health Care is the preferred entry point to the Unified Health System and should be guided by its essential and derived attributes to enhance health care delivery to individuals and communities. Understanding the institutionalization of the health system and its advancements in public policies requires a review of theoretical frameworks related to key aspects of its evolution. This study aimed to analyze, in the scientific literature, the attributes of Primary Health Care associated with Oral Health services within the Unified Health System. An integrative literature review was conducted, focusing on the essential and derived attributes of these services in Brazil. The search was performed in the open-access digital library Scientific Electronic Library Online, resulting in the selection of 20 articles published between 2008 and 2022. Data processing was carried out using a matrix composed of categories, subcategories, themes, and keywords, constructed based on a conceptual map developed from theoretical references. Data analysis followed Bardin’s thematic analysis technique. The review identified barriers and advancements regarding the attributes of dental care in oral health services in Brazil. The attributes First Contact Care and Care Coordination were the most prevalent, followed, in descending order, by the attributes: Comprehensiveness, Community Orientation, Continuity of Care, Family Orientation, and Cultural Competence, the latter being the least addressed in the selected articles.In conclusion, the study found that the essential and derived attributes of Primary Health Care are not yet fully implemented within the Unified Health System, often occurring partially and with varying degrees of implementation.