Abstract
Objective: To analyze the indicators of planning and management actions for the work process organization in Centers of Dental Specialties (CEO) presented in the external evaluation tool to the Improving Access and Quality of CEO - AIQP-CEO Program and to provide a follow-up and monitoring tool of goals. Material and Methods: Cross-sectional study with the use of secondary data from the external evaluation of 930 CEOs in Brazil. A descriptive analyses of indicators identified in the “Planning and managing actions for work process organization in CEO” sub-dimension was performed. It provides two monitoring tools: monthly production for each specialty, and monthly minimal and mandatory performance of CEO goals. Results: It was shown that 85.4% of CEO teams have made the monitoring of the goals established to each offered specialty, and 73.1% have performed self-assessment in the last six months, in which most of the teams (647 - 69.6%) have used the Self-Assessment to the Improving Access and Quality Program - SAIQP. It was demonstrated that of the 680 teams that performed self-assessment, 612 (65.8%) consider the results in the teamwork organization. Conclusion: The PMAQ CEO external evaluation brought important information to the qualification process of health services. Concerning the planning, the majority of teams performed the follow-up of goals and self-assessment, and they used the self-assessment results in the teamwork organization. According to results, some tools should be used to support CEO teams in the follow-up of the monthly production by specialty and in the monitoring of goals.
Highlights
Planning is a tool of excellence and powerful for qualification of the Unified Health System (SUS)
The AVE PMAQ-Centers of Dental Specialties (CEO) was composed of the following aspects: observation of the infrastructure conditions of Health Units; services provided by the Health Unit from the point of view of the manager and health professionals and analysis of users’ satisfaction and their perception regarding health services, their access and use
A descriptive analysis of indicators identified in the "Planning and management actions to organize the CEO's work process" sub-dimension, arranged in the AVE PMAQ-CEO, was performed and these indicators were classified into categories (Table 1)
Summary
Planning is a tool of excellence and powerful for qualification of the Unified Health System (SUS). The existing decentralization in SUS provided more precise diagnoses of the local reality and the identification of the health determinants involved, offering the possibility of adequate management aimed at the needs of the population. This gives municipalities more power and responsibility, which makes planning essential and situational, as opposed to the centralized and normative planning of public management until 1990. Planning has enormous potential to enable the achievement of timely resolubility of the established and implemented measures This is one of the main potentialities that give planning the strategic character for management qualification [1] (p.9)
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