219569 Oral health promotion and diseases prevention programs: Main results

Sunday, November 7, 2010

Michelle Rangel , Dipro, National Agency for Supplementary Health - ANS, Rio de Janeiro, Brazil
Introduction: The crisis on health system and the increase on costs of health services, both based on the hegemonic health care model and market interests, have been reported by authors in several countries. Since 2004, the National Agency for Supplementary Health (ANS) a government agency tied with Ministry of Health in Brazil, develops strategies to redirect the oral health care model prevalent in private health plans.

This study aims to describe the main results of oral health promotion programs efforts by private health plans companies.

Methodology: Study with a quantitative approach, which uses, as data collection technique, an electronic semi-structured questionnaire sent to 1842 private health companies in Brazil.

Results: (1) 24.6% of the companies reported that they perform oral health programs; the main issues were oral hygiene (92.4%), dental caries (84.8%), periodontal disease (74.7%) and oral cancer (60.1%); 58.9% of the companies reported using customized guidelines; the clinical results achieved were: reduction of oral diseases (36.1%), reduction in assistential costs (25.3%), decrease in the number of tooth extractions (22.8%).

Conclusion: As an unprecedented initiative in Brazilian public administration, results evidence the positive effects of the oral health promotion programs adopted by companies and their impacts on private oral health care. Although the survey contains questions that should be more detailed and examined closely, the results achieved were innovative and appropriate to induce a new oral health care model, based on health promotion and diseases prevention.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
To describe strategies for quality in private oral health care To define the oral health promotion programs profile offered by companies of private health plans in Brazil

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I follow, since 2006, oral health promotion programs developed by health plans companies and measure their impacts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.