Oral health technicians in Brazilian primary health care: potentials and constraints
Open accessAbstract
Different perspectives on the role of mid-level workers in health care might represent a constraint to health policies. This study aimed to investigate how different agents view the participation of oral health technicians in direct activities of oral healthcare with the goal of understanding the related symbolic dispositions. Theoretical assumptions related to inter-professional collaboration and conflicts in the field of healthcare were used for this analysis. A researcher conducted 24 in-depth interviews with general dental practitioners, oral health technicians and local managers. The concepts of Pierre Bourdieu supported the data interpretation. The results indicated inter-professional relations marked by collaboration and conflict that reflect an action space related to different perspectives of primary care delivery. They also unveiled the symbolic devices related to the participation of oral health technicians that represent a constraint to the implementation of oral health policy, thus reducing the potential of primary health care in Brazil.
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Qualitative studies in Sweden, France and Brazil found various attitudes towards integrated care in both dental and medical healthcare teams.
“Besides, qualitative studies conducted in Sweden, France and Brazil found various attitudes towards integrated care in both dental and medical healthcare teams, in terms of professional interests, shared tasks and responsibility.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [46]
The Methods describe a qualitative study in four Brazilian municipalities, and the Discussion reports both cooperation and conflict among oral health technicians, dentists, and managers, including differing professional interests. This supports the Brazilian oral-health-team part of the claim, but the paper does not establish findings about attitudes within medical healthcare teams; it also does not study Sweden or France. (LLM, conf=0.84)
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Barriers and facilitators in the integration of oral health into primary care: a scoping review
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- Authors
- Aguiar, D. M. L. D., Tomita, N. E., Machado, M. D. F. A. S., Martins, C. L., & Frazão, P.
- Affiliations
- Universidade de Fortaleza, Brasil
- Universidade de São Paulo (BR)
- Universidade Regional do Cariri (BR)
- Venue
- Cadernos de Saúde Pública
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2014-07
- Volume
- 30
- Issue
- 7
- Pages
- 1560-1570
- ISSN
- 0102-311X (ISSN-L)
- OpenAlex
- W2133113504
- Cited by
- 11
- References
- 31
- Citations by year
- 2026: 2 · 2022: 1 · 2021: 2 · 2018: 1 · 2017: 1 · 2016: 3 · 2014: 1
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Cadernos de Saúde Pública (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › General Health Professions › Health, Nursing, Elderly Care
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- mid-level health workers, primary care, interprofessional relations, interprofessional collaboration, general dentists, oral health policy, Pierre Bourdieu, Brazil
- MeSH terms
- Adult, Brazil, Dental Auxiliaries, Dentists, Female, Humans, Interprofessional Relations, Interviews as Topic, Male, Middle Aged, Primary Health Care
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