1 - Considering the results achieved with the pilot experiments carried out under Order No. 8591-B / 2016, published in the Diário da República, 2nd Series, No. 125, of July 1, 2016, are defined The following objectives for the promotion of oral health in primary health care, within the framework of the revision of the National Program for the Promotion of Oral Health, orienting the strategic action of the National Health Service (S.N.S.) in the oral health area to 2020 to :
(a) Promote equity in oral health care provision by increasing and improving oral health coverage in primary care through the implementation of oral health consultations in all municipalities of the country;
(b) ensure adequate access to oral health responses in primary health care based on referral by the family doctor and the performance of clinically necessary treatments by dentists, excluding strictly aesthetic interventions;
c) Develop an integrated delivery of oral health care in primary health care, fostering the articulation of dentists, general and family doctors, public health doctors, oral hygienists, nutritionists, psychologists. , nurses and other health professionals to promote integration of care in the family health team;
d) To foster the articulation between the oral health team of primary health care with the stomatology services and other hospital specialties, in order to guarantee a simple and effective referral of patients who need hospital care;
e) To develop national, regional and local training activities, according to the needs identified, in order to improve the response to the oral health needs of the population and to make the importance of promoting oral health more visible;
f) To develop actions to promote oral health and prevention of oral cavity diseases, in various contexts, in a continuous manner over time and framed in the promotion of oral health literacy and training, namely through the National School Health Program, the Health Literacy and Care Integration, and the SNS + Proximity initiative;
g) Build partnerships with Municipalities to develop oral health promotion initiatives and projects, with a special focus on primary health care, in line with Local Health Plans;
h) Share good oral health practices implemented by dentists and health professionals working in the oral health field and disseminate experiences and results that translate into effective gains;
(i) promote the proper recording of dentist activity data on primary care in the Oral Health Information System (SISO);
j) Invest in oral health information and knowledge, promoting and encouraging research in Oral Health;
k) Monitor and evaluate the actions developed under the previous paragraphs, using quality indicators that translate into health gains.
2 - The Directorate-General for Health (DGS) shall define the indicators referred to in paragraph k) of the preceding paragraph within 30 days of the entry into force of this Order, including a user satisfaction assessment strand, after Order of Dentists.
(a) Promote equity in oral health care provision by increasing and improving oral health coverage in primary care through the implementation of oral health consultations in all municipalities of the country;
(b) ensure adequate access to oral health responses in primary health care based on referral by the family doctor and the performance of clinically necessary treatments by dentists, excluding strictly aesthetic interventions;
c) Develop an integrated delivery of oral health care in primary health care, fostering the articulation of dentists, general and family doctors, public health doctors, oral hygienists, nutritionists, psychologists. , nurses and other health professionals to promote integration of care in the family health team;
d) To foster the articulation between the oral health team of primary health care with the stomatology services and other hospital specialties, in order to guarantee a simple and effective referral of patients who need hospital care;
e) To develop national, regional and local training activities, according to the needs identified, in order to improve the response to the oral health needs of the population and to make the importance of promoting oral health more visible;
f) To develop actions to promote oral health and prevention of oral cavity diseases, in various contexts, in a continuous manner over time and framed in the promotion of oral health literacy and training, namely through the National School Health Program, the Health Literacy and Care Integration, and the SNS + Proximity initiative;
g) Build partnerships with Municipalities to develop oral health promotion initiatives and projects, with a special focus on primary health care, in line with Local Health Plans;
h) Share good oral health practices implemented by dentists and health professionals working in the oral health field and disseminate experiences and results that translate into effective gains;
(i) promote the proper recording of dentist activity data on primary care in the Oral Health Information System (SISO);
j) Invest in oral health information and knowledge, promoting and encouraging research in Oral Health;
k) Monitor and evaluate the actions developed under the previous paragraphs, using quality indicators that translate into health gains.
2 - The Directorate-General for Health (DGS) shall define the indicators referred to in paragraph k) of the preceding paragraph within 30 days of the entry into force of this Order, including a user satisfaction assessment strand, after Order of Dentists.
3 - The DGS shall review the National Oral Health Promotion Program developing the strategic objectives by 2020 and present it for public discussion within 30 days of the entry into force of this Order.
4 - The Shared Services of the Ministry of Health, EPE (SPMS, EPE), adapt and develop SISO to this policy of oral health care in primary health care, as well as elaborate the Oral Health Bulletin, which should be available on the Health Data Platform (PDS) by December 31, 2018.
5 - The entities of the Ministry of Health and the NHS shall pursue the 2020 objectives defined under the terms of this Order and, in order to promote access and equity in the provision of health care, ensure as concrete objectives that:
a) By the end of the first semester of 2019, at least 30% of the municipalities have at least one dental office;
(b) By the end of 2019, at least 60% of municipalities have at least one dental practice, and at least one such response should exist in all health center groupings;
c) By the end of the first half of 2020, all municipalities have at least one dental practice.
6 - The DGS shall, in conjunction with the other entities referred to in the preceding paragraph, namely with the Regional Health Administrations, the Central Administration of the Health System, IP (ACSS, IP), the SPMS, EPE, and the Order of Dentists, a semiannual evaluation of the implementation of the objectives defined in the terms of this order, which should include recommendations, to be published on the NHS portal and on the entity's website, by September 1 and March 1, respectively.
7 - Costs related to the operationalization and monitoring of this strategy are supported by ACSS, I. P.
8 - This Order shall enter into force on the day following its publication.
September 14, 2018. - The Assistant Secretary of State and Health,
4 - The Shared Services of the Ministry of Health, EPE (SPMS, EPE), adapt and develop SISO to this policy of oral health care in primary health care, as well as elaborate the Oral Health Bulletin, which should be available on the Health Data Platform (PDS) by December 31, 2018.
5 - The entities of the Ministry of Health and the NHS shall pursue the 2020 objectives defined under the terms of this Order and, in order to promote access and equity in the provision of health care, ensure as concrete objectives that:
a) By the end of the first semester of 2019, at least 30% of the municipalities have at least one dental office;
(b) By the end of 2019, at least 60% of municipalities have at least one dental practice, and at least one such response should exist in all health center groupings;
c) By the end of the first half of 2020, all municipalities have at least one dental practice.
6 - The DGS shall, in conjunction with the other entities referred to in the preceding paragraph, namely with the Regional Health Administrations, the Central Administration of the Health System, IP (ACSS, IP), the SPMS, EPE, and the Order of Dentists, a semiannual evaluation of the implementation of the objectives defined in the terms of this order, which should include recommendations, to be published on the NHS portal and on the entity's website, by September 1 and March 1, respectively.
7 - Costs related to the operationalization and monitoring of this strategy are supported by ACSS, I. P.
8 - This Order shall enter into force on the day following its publication.
September 14, 2018. - The Assistant Secretary of State and Health,
Fernando Manuel Ferreira
Araújo.
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