Canasta de prestaciones GES odontológico de embarazadas : estudio comparativo en 2 comunas de la Región Metropolitana.
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Fecha
2013
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
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Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Las mujeres cuando se encuentran en periodo de embarazo aumentan
considerablemente el riesgo de presentar ciertas patologías de la cavidad bucal tales
como gingivitis y caries dental debido principalmente al cambio hormonal que ellas
sufren durante este proceso y al aumento del consumo de alimentos cariogénicos a
deshoras.
La presencia de gingivitis favorece la circulación de patógenos y mediadores
inflamatorios como las citoquinas que pueden desencadenar una cascada inflamatoria y
generar un trabajo de parto anticipado.
Debido a la vulnerabilidad que presentan las mujeres durante la gestación y la
evidencia que relaciona salud bucal con alteraciones en el embarazo, dan sustento a la
incorporación de la salud bucal de las embarazadas entre las condiciones de salud
incluidas en el Régimen de Garantías Explícitas (GES). Es así como el año 2010, el
gobierno lanza 1 o nuevas patologías AUGE, entre ellas el GES de Salud Oral Integral
de la Embarazada, otorgando a las mujeres gestantes un acceso más universal y
equitativo de atención.
En este trabajo se investigará el cumplimiento de este programa en el nivel
primario de atención, siendo el objetivo principal comparar si existe una concordancia
entre la canasta de prestaciones de atención primaria definida por el MINSAL y los
recursos destinados para este fin con los tratamientos efectivamente realizados en las
pacientes atendidas bajo esta Garantía en 2 comunas de la Región Metropolitana.
Pregnancy is a period ful/ of changes for the mother and her family. Admitting the importance of this period for woman, her son and family, the Ministry of Health has prioritized dental care of pregnant women, incorporated in ju/y 2010 the Integral Oral Health of Pregnant to GES group diseases of the General Scheme of Health Warranty, with the objective of delivering to pregnant women more universal access and equitable care9. In the present work a descriptive study cross-sectional was realised, primarily aimed to compare a correlation between the package of primary care services defined by MINSAL with the treatments real/y made in patients treated under thís Warranty in 2 communes of the Metropolitan Region: Santiago and Macul. lt a/so explored the oral health of pregnant women and their relationship with treatments performed. We selected a random simple of 139 medica/ records, with the following information: age, commune of residence, FONASA group to which it belongs, if the patient is or not primípara, presence of Gingivitis/Periodontitis, number of dental caries and benefits received from the package of primary care services defined by MINSAL. After analysis of the data, we can conclude that the value of the package of services in Santiago and Macul is lower than that proposed by the MINSAL at 21,3 and 32,3% respective/y. A/so pregnant women in the commune of Macu/ have better oral health than those of Santiago, being the youngest pregnant.
Pregnancy is a period ful/ of changes for the mother and her family. Admitting the importance of this period for woman, her son and family, the Ministry of Health has prioritized dental care of pregnant women, incorporated in ju/y 2010 the Integral Oral Health of Pregnant to GES group diseases of the General Scheme of Health Warranty, with the objective of delivering to pregnant women more universal access and equitable care9. In the present work a descriptive study cross-sectional was realised, primarily aimed to compare a correlation between the package of primary care services defined by MINSAL with the treatments real/y made in patients treated under thís Warranty in 2 communes of the Metropolitan Region: Santiago and Macul. lt a/so explored the oral health of pregnant women and their relationship with treatments performed. We selected a random simple of 139 medica/ records, with the following information: age, commune of residence, FONASA group to which it belongs, if the patient is or not primípara, presence of Gingivitis/Periodontitis, number of dental caries and benefits received from the package of primary care services defined by MINSAL. After analysis of the data, we can conclude that the value of the package of services in Santiago and Macul is lower than that proposed by the MINSAL at 21,3 and 32,3% respective/y. A/so pregnant women in the commune of Macu/ have better oral health than those of Santiago, being the youngest pregnant.
Notas
Tesis (Odontología)
Palabras clave
Embarazadas, Plan AUGE, Chile, Patologías Dentales, Salud Bucal