Análise de discurso do sujeito coletivo de cirurgiões-dentistas no cotidiano da regulação assistencial

Abstract

Objective: To understand the practice of dentists when establishing the assistance flow for cases of suspected oral cancer lesions in a municipality in northeastern Brazil. Method: This was a qualitative study, from the point of view of approaching the research problem. These data were collected through semi-structured interviews and analyzed according to the Collective Subject Discourse method. Four dental surgeons (DS) from the public health system were interviewed, three of whom were from oral health teams and one was a stomatologist at the Dental Specialties Center. Results: Professionals understand the assistance flow as part of their routine, however, at both levels of care, it lack them knowledge about their duties. For these DS, the reference is summarized to a “referral little file” and, even though, they allude to the other stages of the flow. According to them, there is always a vacancy, but there is no demand. This seems to suggest a problem in this network. Conclusions: DSs act regardless of the severity of the problem. The only guarantee that the patient has is the paper in hand and the hope that he will get an appointment, when he is not lost in the face of communication problems.