Correlation between work processes of oral health teams and performance indicators in Rio Grande do Norte
Oral health. Health policy. Evaluation of health programs and projects.
This study addresses the analysis of processes and indicators in oral health from the perspective of the production of culture of analysis, evaluation and intervention, capable of generating institutional capacity in teams and local systems in order to produce changes in service practices. The objective of this work was to evaluate and understand how the Oral Health Teams organize and manage the work process in the articulation of actions in the state of Rio Grande do Norte and the correlation with two indicators of the National Program for Access and Quality Improvement. Primary Care (PMAQ-AB). Secondary databases were used for both indicator evaluation (health indicator monitoring) and PMAQ-AB external evaluation for the 2nd cycle of this program. Data were analyzed using SPSS Statistics (Version 22). For descriptive analysis were evaluated the means, standard deviations, maximum, minimum, median, quartiles. To verify significant difference of indicators and patterns of work processes, the Mann-Whitney test was used. Significant values were considered p <0.05. As a result we present that, in general, the Oral Health teams that participated in the external evaluation of PMAQ-AB in the state of Rio Grande do Norte affirmed to plan the organization of the work process. By correlating the work process patterns of the oral health teams and the indicators, it was found that the more satisfactory the Work Process pattern developed by the eSB in the municipalities, the higher the means of the First Consultation and Ratio of Indicators. Treatment Completed by First Consultation, both with statistical significance (p = 0.001 and p = 0.003, respectively). It is concluded in this study that the organization of the work process was a determining factor in the impact on service utilization indicators. However, it is suggested to evaluate other conditioning factors that may interfere with the improvement of these indicators. Among these factors, it is suggested to consider structural aspects (physical and human resources of services).