Os centros de especialidades odontológicas nos municípios do Estado do Rio de Janeiro: uma investigação dos fatores identificáveis como facilitadores ou não na implantação de uma política de indução financeira

Abstract

For a long period the assistance model in dentistry adopted at the country only was turned for an age group of the population the children and it was still characterized by the non conservatism, with a high extractions numbers, since there isn t a structure that made possible the access to the other levels. This fact is reverberated by the absence of specific oral health policies in the federal sphere until that in 2004 the Oral Health National Policy appears - the Smiling Brazil Program. The politics guidelines propose the extended access for all age groups and the integral assistance at all the levels, motivating states and local governments to create Specialties Dentistry Centers (CEO) that they would work about reference s units of secondary complexity for the teams of oral health, offering more complex and conclusive procedures complementary to the accomplished in the basic attention. This work analyses that financial incentive federal policy trying to identify the elements that might have contributed or hindered the CEO s implementation in the municipalities of the Rio de Janeiro state in the period of October 2004 to December 2008. The analysis was based on official documents and interview with important actors for understanding of the process disputes.