Elaboração e validação de fluxograma de atendimento do paciente com necessidades especiais vinculado à rede de atenção em saúde bucal municipal de Belém

Abstract

In the context of dentistry, a person with a disability (PWD) is someone who faces long-term impairments of a physical, mental, intellectual, or sensory nature, which may hinder their full participation in society, including making conventional dental treatment impossible. These individuals are considered "Patients with Special Needs" (PSN). The objective of this study was to develop and validate a dental care flow for PSN, outlining the roles and responsibilities of Primary Health Care (PHC), the Dental Specialty Centers (DSCs), and hospitals specializing in PSN care. The target audience includes dentists and coordinators involved in the oral health care network of the city of Belém, aiming to promote reception, equal, and high-quality access to dental services for PSN, ensuring inclusion and proper referral for these individuals. The study is divided into three stages: the first stage involved an integrative literature review, the second stage consisted of the development of the flowchart itself, and the third stage focused on its validation through a questionnaire based on a Likert scale, administered by a calibrated researcher to nine expert judges, selected using the Fehring model with adaptations. A Content Validity Index (CVI) was calculated, with a percentage of 70% or higher considered excellent.