公共口腔卫生行动和服务的管理绩效:2022年巴西Serra Catarinense地区的一项横断面研究

Priscila Nunes, Rafael Gomes Ditterich, Claudia Flemming Colussi, Heloisa Godoi, Ana Lúcia Schaefer Ferreira de Mello
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引用次数: 0

摘要

目的:评价市卫生服务管理在公共口腔卫生行动和服务方面的绩效。方法:2022年在巴西Serra Catarinense地区的18个城市进行了横断面研究,其中包括卫生部长、初级保健和口腔卫生协调员;从三个方面(计划、监测和评价以及具体行动)对绩效进行自我评估,并将其归类为差(3);按管理职能进行分析,采用Kruskal-Wallis和scheff均值比较检验和方差分析,显著性水平为5%。结果:整体表现为中等,计划方面的平均值较高(2.51;95%置信区间[CI] 2.32;2.69);具体行动维度表现最差(2.28 95%CI 2.08;2.48)。与其他职能的协调员相比,卫生部长的平均绩效更高(3.22;p-valor 0.007)。结论:卫生服务管理者的绩效被认为是中等的,并且根据管理者的角色而有所差异。具体的口腔健康行动表现最差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management performance in public oral health actions and services: a cross-sectional study in the Serra Catarinense region, Brazil, 2022.

Objective: To evaluate municipal health service management performance regarding public oral health actions and services.

Methods: Cross-sectional study conducted in the 18 municipalities of Serra Catarinense region, Brazil, in 2022, with health secretaries, primary care and oral health coordinators; performance was self-assessed considering three dimensions (planning, monitoring and evaluation, and specific actions) and classified as poor (<2), medium (2-3) and good (>3); analyses were carried out according to management functions, using Kruskal-Wallis and Scheffé means comparison tests and analysis of variance, taking a 5% significance level.

Results: Overall performance was evaluated as medium, with higher averages for planning (2.51; 95% confidence interval [CI] 2.32; 2.69); the specific actions dimension had the poorest performance (2.28 95%CI 2.08; 2.48). Health secretaries had higher performance averages when compared to coordinators of other functions (3.22; p-valor 0.007).

Conclusion: Health service manager performance was considered to be medium, with differences depending on the managers' role. Specific oral health actions had the poorest performance.

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