Role of management and human resource factors on matrix support in secondary oral health care in Brazil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1111/cdoe.12712 http://hdl.handle.net/1843/58090 https://orcid.org/0000-0001-8794-5725 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0003-1842-2300 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0002-6169-7708 https://orcid.org/0000-0002-4160-018X |
Resumo: | Objectives: To investigate the association between health management and human resource factors on matrix support (MS) in a nationally representative sample of Dental Specialty Centres (DSCs) in Brazil. Methods: This survey included 1042 DSCs (Response rate = 94.99%) in the second cycle of the National Program for the Improvement of the Quality and Access to the Dental Specialty Centres (PMAQ-CEO, in Portuguese) in 2018. Previously trained interviewers extracted information on MS, health management and human resources of the DSC by using a structured instrument. An MS score was created by adding the number of positive answers to the 10 MS questions. Negative binomial regression models were used to estimate the unadjusted and adjusted rate ratios (RR) and corresponding 95% confidence interval (CI). Results: Of all the DSCs (n = 1042), 116 (11.1%) performed all 10 MS procedures. Those DSCs with a manager who had a higher education degree in the area of Public Health or Public Management (RR = 1.01, 95% CI, 1.01–1.02) and with human resources that received incentives, bonuses or financial awards for performance related to the PMAQ-CEO result (RR = 1.01 95% CI 1.01–1.02) are more likely to perform MS, when compared to the reference categories. The DSCs that are more likely to perform MS include those that developed actions as a result of periodic planning and evaluation with confirmatory documentation (RR = 1.06, 95% CI; 1.01–1.10); those that received support for planning and organizing the work scheme (RR = 1.03, 95% CI; 1.01–1.05); those that monitored and analysed the goals set for each specialty offered at the DSC, with (RR = 1.06, 95% CI; 1.01–1.10) or without confirmatory documentation (RR = 1.06, 95%CI; 1.02–1.11); those whose team periodically performed self-assessment processes, using the Ministry of Health's formal self-assessment (AMAQ in Portuguese) (RR = 1.04, 95% CI; 1.02–1.05); those who followed clinical guidelines (with confirmatory documentation) regarding the referral of patients from primary care to the DSC (RR = 1.02, 95% CI; 1.01–1.04). On the contrary, DSCs that did not use the results achieved in previous PMAQ cycles in the organization of the DSC's team work scheme proved to be less likely to perform MS (RR = 0.98, 95% CI; 0.96–0.99). Conclusions: Matrix support is associated with human resources and management factors in secondary oral health care in Brazil. Continuing professional development and some management characteristics are important for secondary dental care quality and could be considered in health policy initiatives. |
id |
UFMG_cd16cf9cdeecf6cda97eb6599210e773 |
---|---|
oai_identifier_str |
oai:repositorio.ufmg.br:1843/58090 |
network_acronym_str |
UFMG |
network_name_str |
Repositório Institucional da UFMG |
repository_id_str |
|
spelling |
2023-08-22T20:23:05Z2023-08-22T20:23:05Z20215011926https://doi.org/10.1111/cdoe.127121600-0528http://hdl.handle.net/1843/58090https://orcid.org/0000-0001-8794-5725https://orcid.org/0000-0001-6900-7559https://orcid.org/0000-0003-1842-2300https://orcid.org/0000-0002-0316-4591https://orcid.org/0000-0002-6169-7708https://orcid.org/0000-0002-4160-018XObjectives: To investigate the association between health management and human resource factors on matrix support (MS) in a nationally representative sample of Dental Specialty Centres (DSCs) in Brazil. Methods: This survey included 1042 DSCs (Response rate = 94.99%) in the second cycle of the National Program for the Improvement of the Quality and Access to the Dental Specialty Centres (PMAQ-CEO, in Portuguese) in 2018. Previously trained interviewers extracted information on MS, health management and human resources of the DSC by using a structured instrument. An MS score was created by adding the number of positive answers to the 10 MS questions. Negative binomial regression models were used to estimate the unadjusted and adjusted rate ratios (RR) and corresponding 95% confidence interval (CI). Results: Of all the DSCs (n = 1042), 116 (11.1%) performed all 10 MS procedures. Those DSCs with a manager who had a higher education degree in the area of Public Health or Public Management (RR = 1.01, 95% CI, 1.01–1.02) and with human resources that received incentives, bonuses or financial awards for performance related to the PMAQ-CEO result (RR = 1.01 95% CI 1.01–1.02) are more likely to perform MS, when compared to the reference categories. The DSCs that are more likely to perform MS include those that developed actions as a result of periodic planning and evaluation with confirmatory documentation (RR = 1.06, 95% CI; 1.01–1.10); those that received support for planning and organizing the work scheme (RR = 1.03, 95% CI; 1.01–1.05); those that monitored and analysed the goals set for each specialty offered at the DSC, with (RR = 1.06, 95% CI; 1.01–1.10) or without confirmatory documentation (RR = 1.06, 95%CI; 1.02–1.11); those whose team periodically performed self-assessment processes, using the Ministry of Health's formal self-assessment (AMAQ in Portuguese) (RR = 1.04, 95% CI; 1.02–1.05); those who followed clinical guidelines (with confirmatory documentation) regarding the referral of patients from primary care to the DSC (RR = 1.02, 95% CI; 1.01–1.04). On the contrary, DSCs that did not use the results achieved in previous PMAQ cycles in the organization of the DSC's team work scheme proved to be less likely to perform MS (RR = 0.98, 95% CI; 0.96–0.99). Conclusions: Matrix support is associated with human resources and management factors in secondary oral health care in Brazil. Continuing professional development and some management characteristics are important for secondary dental care quality and could be considered in health policy initiatives.Objetivos: Investigar a associação entre gestão em saúde e fatores de recursos humanos no apoio matricial (MS) em uma amostra nacionalmente representativa de Centros de Especialidades Odontológicas (CEO) no Brasil. Métodos: Este levantamento incluiu 1.042 CEOs (taxa de resposta = 94,99%) no segundo ciclo do Programa Nacional de Melhoria da Qualidade e Acesso aos Centros de Especialidades Odontológicas (PMAQ-CEO) em 2018. Entrevistadores previamente treinados extraídos informações sobre MS, gestão em saúde e recursos humanos do CEO por meio de instrumento estruturado. Uma pontuação de MS foi criada adicionando o número de respostas positivas às 10 perguntas de MS. Modelos de regressão binomial negativa foram usados para estimar as razões de taxas não ajustadas e ajustadas (RR) e o intervalo de confiança (IC) de 95% correspondente. Resultados: De todos os DSCs (n = 1.042), 116 (11,1%) realizaram todos os 10 procedimentos de EM. Aqueles CEOs com gestor de nível superior na área de Saúde Coletiva ou Gestão Pública (RR = 1,01, IC 95%, 1,01–1,02) e com recursos humanos que receberam incentivos, bônus ou prêmios financeiros por desempenho relacionado ao resultado do PMAQ-CEO (RR = 1,01 IC 95% 1,01–1,02) são mais propensos a realizar EM, quando comparados às categorias de referência. Os CEOs com maior probabilidade de realizar EM incluem aqueles que desenvolveram ações como resultado de planejamento e avaliação periódica com documentação confirmatória (RR = 1,06, IC 95%; 1,01–1,10); os que receberam apoio para planejar e organizar o esquema de trabalho (RR = 1,03, IC 95%; 1,01–1,05); os que acompanharam e analisaram as metas estabelecidas para cada especialidade oferecida no CEO, com (RR = 1,06, IC 95%; 1,01–1,10) ou sem documentação confirmatória (RR = 1,06, IC 95%; 1,02–1,11); aqueles cuja equipe realizava processos de autoavaliação periodicamente, utilizando a autoavaliação formal do Ministério da Saúde (AMAQ) (RR = 1,04, IC 95%; 1,02–1,05); aqueles que seguiram orientações clínicas (com documentação confirmatória) quanto ao encaminhamento de pacientes da atenção primária ao CEO (RR = 1,02, IC 95%; 1,01–1,04). Ao contrário, CEOs que não utilizaram os resultados obtidos em ciclos anteriores do PMAQ na organização do esquema de trabalho da equipe do CEO mostraram-se menos propensos a realizar AM (RR = 0,98, IC 95%; 0,96–0,99). Conclusões: O apoio matricial está associado a recursos humanos e fatores gerenciais na atenção secundária à saúde bucal no Brasil. O desenvolvimento profissional contínuo e algumas características de gestão são importantes para a qualidade da assistência odontológica secundária e podem ser considerados em iniciativas de políticas de saúde.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoengUniversidade Federal de Minas GeraisUFMGBrasilFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVACommunity Dentistry and Oral EpidemiologyServiços de saúde bucalMecanismos de avaliação da assistência à saúdeRelações interprofissionaisDental health servicesHealth care evaluation mechanismsInterprofessional relationsRole of management and human resource factors on matrix support in secondary oral health care in BrazilPapel da gestão e fatores de recursos humanos no apoio matricial na atenção secundária à saúde bucal no Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://onlinelibrary.wiley.com/doi/10.1111/cdoe.12712Mauro Henrique Nogueira Guimarães de AbreuJoão Henrique Lara do AmaralLívia Guimarães ZinaMara VasconcelosRafaela da Silveira PintoMarcos Azeredo Furquim Werneckapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/58090/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALRole of management and human resource factors on matrix support in secondary oral health care in Brazil.pdfRole of management and human resource factors on matrix support in secondary oral health care in Brazil.pdfapplication/pdf219925https://repositorio.ufmg.br/bitstream/1843/58090/2/Role%20of%20management%20and%20human%20resource%20factors%20on%20matrix%20support%20in%20secondary%20oral%20health%20care%20in%20Brazil.pdfa03384db2961da5e3454b0c49d77a41cMD521843/580902023-08-22 17:23:05.503oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-08-22T20:23:05Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
dc.title.alternative.pt_BR.fl_str_mv |
Papel da gestão e fatores de recursos humanos no apoio matricial na atenção secundária à saúde bucal no Brasil |
title |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
spellingShingle |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil Mauro Henrique Nogueira Guimarães de Abreu Dental health services Health care evaluation mechanisms Interprofessional relations Serviços de saúde bucal Mecanismos de avaliação da assistência à saúde Relações interprofissionais |
title_short |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
title_full |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
title_fullStr |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
title_full_unstemmed |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
title_sort |
Role of management and human resource factors on matrix support in secondary oral health care in Brazil |
author |
Mauro Henrique Nogueira Guimarães de Abreu |
author_facet |
Mauro Henrique Nogueira Guimarães de Abreu João Henrique Lara do Amaral Lívia Guimarães Zina Mara Vasconcelos Rafaela da Silveira Pinto Marcos Azeredo Furquim Werneck |
author_role |
author |
author2 |
João Henrique Lara do Amaral Lívia Guimarães Zina Mara Vasconcelos Rafaela da Silveira Pinto Marcos Azeredo Furquim Werneck |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mauro Henrique Nogueira Guimarães de Abreu João Henrique Lara do Amaral Lívia Guimarães Zina Mara Vasconcelos Rafaela da Silveira Pinto Marcos Azeredo Furquim Werneck |
dc.subject.por.fl_str_mv |
Dental health services Health care evaluation mechanisms Interprofessional relations |
topic |
Dental health services Health care evaluation mechanisms Interprofessional relations Serviços de saúde bucal Mecanismos de avaliação da assistência à saúde Relações interprofissionais |
dc.subject.other.pt_BR.fl_str_mv |
Serviços de saúde bucal Mecanismos de avaliação da assistência à saúde Relações interprofissionais |
description |
Objectives: To investigate the association between health management and human resource factors on matrix support (MS) in a nationally representative sample of Dental Specialty Centres (DSCs) in Brazil. Methods: This survey included 1042 DSCs (Response rate = 94.99%) in the second cycle of the National Program for the Improvement of the Quality and Access to the Dental Specialty Centres (PMAQ-CEO, in Portuguese) in 2018. Previously trained interviewers extracted information on MS, health management and human resources of the DSC by using a structured instrument. An MS score was created by adding the number of positive answers to the 10 MS questions. Negative binomial regression models were used to estimate the unadjusted and adjusted rate ratios (RR) and corresponding 95% confidence interval (CI). Results: Of all the DSCs (n = 1042), 116 (11.1%) performed all 10 MS procedures. Those DSCs with a manager who had a higher education degree in the area of Public Health or Public Management (RR = 1.01, 95% CI, 1.01–1.02) and with human resources that received incentives, bonuses or financial awards for performance related to the PMAQ-CEO result (RR = 1.01 95% CI 1.01–1.02) are more likely to perform MS, when compared to the reference categories. The DSCs that are more likely to perform MS include those that developed actions as a result of periodic planning and evaluation with confirmatory documentation (RR = 1.06, 95% CI; 1.01–1.10); those that received support for planning and organizing the work scheme (RR = 1.03, 95% CI; 1.01–1.05); those that monitored and analysed the goals set for each specialty offered at the DSC, with (RR = 1.06, 95% CI; 1.01–1.10) or without confirmatory documentation (RR = 1.06, 95%CI; 1.02–1.11); those whose team periodically performed self-assessment processes, using the Ministry of Health's formal self-assessment (AMAQ in Portuguese) (RR = 1.04, 95% CI; 1.02–1.05); those who followed clinical guidelines (with confirmatory documentation) regarding the referral of patients from primary care to the DSC (RR = 1.02, 95% CI; 1.01–1.04). On the contrary, DSCs that did not use the results achieved in previous PMAQ cycles in the organization of the DSC's team work scheme proved to be less likely to perform MS (RR = 0.98, 95% CI; 0.96–0.99). Conclusions: Matrix support is associated with human resources and management factors in secondary oral health care in Brazil. Continuing professional development and some management characteristics are important for secondary dental care quality and could be considered in health policy initiatives. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2023-08-22T20:23:05Z |
dc.date.available.fl_str_mv |
2023-08-22T20:23:05Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/58090 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1111/cdoe.12712 |
dc.identifier.issn.pt_BR.fl_str_mv |
1600-0528 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-8794-5725 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0003-1842-2300 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0002-6169-7708 https://orcid.org/0000-0002-4160-018X |
url |
https://doi.org/10.1111/cdoe.12712 http://hdl.handle.net/1843/58090 https://orcid.org/0000-0001-8794-5725 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0003-1842-2300 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0002-6169-7708 https://orcid.org/0000-0002-4160-018X |
identifier_str_mv |
1600-0528 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Community Dentistry and Oral Epidemiology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Repositório Institucional da UFMG |
collection |
Repositório Institucional da UFMG |
bitstream.url.fl_str_mv |
https://repositorio.ufmg.br/bitstream/1843/58090/1/License.txt https://repositorio.ufmg.br/bitstream/1843/58090/2/Role%20of%20management%20and%20human%20resource%20factors%20on%20matrix%20support%20in%20secondary%20oral%20health%20care%20in%20Brazil.pdf |
bitstream.checksum.fl_str_mv |
fa505098d172de0bc8864fc1287ffe22 a03384db2961da5e3454b0c49d77a41c |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
|
_version_ |
1801676680288272384 |