Nunes Priscila, Ditterich Rafael Gomes, Colussi Claudia Flemming, Godoi Heloisa, Mello Ana Lúcia Schaefer Ferreira de
Universidade Federal de Santa Catarina, Programa de Pós-graduação em Odontologia, Florianópolis, SC, Brazil.
Universidade Federal do Paraná, Setor de Ciências da Saúde, Departamento de Saúde Coletiva, Curitiba, PR, Brazil.
Epidemiol Serv Saude. 2025 Jun 16;34:e20240184. doi: 10.1590/S2237-96222025v34e20240184.en. eCollection 2025.
To evaluate municipal health service management performance regarding public oral health actions and services.
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.
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).
Health service manager performance was considered to be medium, with differences depending on the managers' role. Specific oral health actions had the poorest performance.
评估市政卫生服务在公共口腔卫生行动和服务方面的管理绩效。
2022年在巴西圣卡塔琳娜山脉地区的18个市进行横断面研究，对象为卫生秘书、初级保健和口腔卫生协调员；绩效通过自我评估，考虑三个维度（规划、监测与评估以及具体行动），并分为差（<2）、中（2 - 3）和好（>3）；根据管理职能进行分析，使用Kruskal - Wallis和Scheffé均值比较检验以及方差分析，显著性水平为5%。
总体绩效评估为中等，规划维度平均得分较高（2.51；95%置信区间[CI] 2.32；2.69）；具体行动维度绩效最差（2.28 95%CI 2.08；2.48）。与其他职能的协调员相比，卫生秘书的平均绩效得分更高（3.22；p值0.007）。
卫生服务管理者的绩效被认为是中等，因管理者角色不同而存在差异。具体的口腔卫生行动绩效最差。
