Oral component and social determinants in the analysis of the health situation

Abstract

Introduction: the oral component analysis of the health situation requires improvement, to contribute to efficient health management. Today its influence on the formation of human resources demands an approach change sustained by social dentistry and intersectoral character and an improvement in the supporting tools. Objective: present the historical transition of the oral component concept in the analysis of health situation and its links to the health social determinants. Method: a literature and document review was conducted, using data sources within Infomed network as SciELO, PubMed, and Cochrane and BIREME databases. Scientific articles were reviewed with keywords as health social determinants, oral health, and health situation analysis. Boolean operators "and, or" were used. Results: 18 articles were found relevant to the subject, more than 70 % corresponds to the last five years; the historical transition from the concept of oral component of the health situation analysis and its links to the social determinants of health was discussed. Conclusions: the oral health situation analysis requires a change of focus, from a biologic approach to health-based focus. The inclusion of health social determinants in the process is a guarantee for its improvement towards raising quality. The model of the WHO conceptual framework facilitates the theoretical basis and it constitutes a vital tool to guide the process, it is feasible to implement, dialectical, effective and sustainable.

Keywords

• análisis de la situación de salud
• determinantes sociales
• salud bucal
• biología humana
• estilos de vida
• medio ambiente
• organización de los servicios.