Clinical Analysis of Management Aspects of Centers for Dental Specialties

Maf Werneck,Mam Silva,Jhl Amaral,Mhng Abreu,Psa Goes,Lg Zina

doi:10.4034/pboci.2018.181.51

Abstract

Objective: To evaluate the different management aspects of Centers for Dental Specialties (CEO) in Brazil. Material and Methods: Quantitative study with analysis of secondary data. The results of external evaluation of the first PMAQ-CEO cycle were considered, especially those related to planning and self-assessment, demand organization, work process, human resources as well as the availability of supplies/materials/dental equipment. The selected data were analyzed based on the calculation of proportions using the Microsoft Office Excel and Statistical Package for the Social Sciences (SPSS) programs. Results: The planning of actions in CEOs is conducted in nearly 80% of units, with the participation of dental surgeons, receiving support, mainly, from the local dental health or state public manager. The access to CEO is given, mostly, in a referenced or mixed (referenced and spontaneous) form. Only 49% of CEOs offer permanent education actions for workers. The work management process has been guided by quality standards of PMAQ-CEO for 77% of managers. Conclusion: The study allowed perceiving the presence of an often shared management, on the CEO organization, on self-evaluation process, planning, demand organization and work process, as well as human resources and infrastructure, showing conformity with the Oral Health National Policy guidelines. However, the results show that some problems with regard to the evaluation as work routine and management of access to CEOs still persist, pointing to the need for further studies and effort of managers to overcome them.

Highlights

Management is an important component of health policies
The total number of respondents regarding health care management issues were 930 (99.78%) of the 932 healthcare units (CEOs) that participated in the AVE PMAQ-Centers for Dental Specialties (CEO)
In 65.8% of CEOs, the self-assessment results were considered in the organization of the teamwork process (Table 1)

Summary

Introduction

Management is an important component of health policies The development of these policies includes the definition of objectives, strategies, monitoring of actions and evaluation. The evaluation process includes the approach of people and interpersonal relationships, physical, financial resources and quality parameters, grouped into macro variables, classified as structure, process and result [1]. It is necessary to overcome the traditional model of public administration, excessively centered on structure, investing in items of process and result, with emphasis on the quality of relations between managers, professionals and users, continuously increasing the autonomy of these subjects, and incorporating these aspects into the management process itself [2]. The National Program for Improving Access and Quality of Centers for Dental Specialties (PMAQ-CEO), proposed and implemented by the Ministry of Health, aims to evaluate the quality of specialized oral health services. It means the commitment to strengthen the oral health care network, whose organization was initiated in 2004 with the implementation of the Brasil Sorridente Program [3]

Methods

Results

Discussion

Conclusion