Study of abandonment of dental treatment in a public service in Porto Alegre: The Centro de Satde Murialdo.

Cizino Risso ROCHA, Solange Beys BERCHT


This study aimed at describing and analyzing patient’s abandoning odontological treatment at the “Centro de Satide Murialdo” [Murialdo Healthcare Center| set up in Porto Alegre, RS, Brazil. Twenty-nine patients, or 30% out of a total of 100, who had used the available service in search of odontological attention in the second semester of 1998 and had quit treatment before clinical discharge, were interviewed at home. It was found out that the majority of patients are females, were seen during morning shift, and dwell, at an average of 15.6 years, in the area ascribed to Murialdo Healthcare Center. Dwellings are selfowned, residents are natives of Porto Alegre and have two children on average. Their average age is 30.2 years old, educational level is incomplete elementary school and the average family income is 3.2 minimum salaries. They looked for odontotological treatment due to pain or dental cavity. Patients refer that they were very well received when they enrolled at Murialdo Healthcare Center’s odontological program. Concerning information received, they remember being told that they were allowed to be absent twice for justified reasons only and that they should go every week in order to complete treatment. At the appointment meeting which is peculiar to the service, they were warned against missing dates set up and told how treatment worked. They were well received on the first appointment, were given explanation on what was wrong with their mouths and on what to do so problems would not return. Their main problem was not solved during the first consultation and this factor did not influence treatment discontinuity. They report that treatments lasted two months on average and that it was not necessary to get away from important activities in order to be treated. Of those patients who pointed out a cause for treatment interruption, the need to be absent from work was referred to as their main reason. Patients are users of “Sistema Unico de Satide and point out pain as a problem in buccal health. The following are quoted as causes for quitting: not being able to be absent from work, length of time for treatment, and external causes to the service, such as illness, pregnancy and change of address. Up to abandonment, treatment offered was considered good. Data are analyzed and discussed in an attempt to establish a reflection on publicsector service evaluation and to enhance patients’ worth as social actors and sources of information. Therefore, it is a first evaluation approach regarding Murialdo Healthcare Center from the perspective of patients who abandoned odontological treatment with a view to contributing to health rationality in improving the “Sistema Unico de Satide” in the city of Porto Alegre, State of Rio Grande do Sul, Brazil.


Oral health; Evaluation; Dentistry in public health


e-ISSN 2177-0018 / ISSN 0566-1854. Indexers: descrição da foto descrição da foto descrição da foto