ArticleEpidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil2025
Organizational readiness for change and work process of oral health teams in Primary Health Care: an exploratory study in the initial implementation phase of MonitoraSB, Minas Gerais, Brazil, 2024.
Article in Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo investigate association between individual characteristics and organizational readiness for change and the work process of oral health teams.
methodsThis was an exploratory study conducted during the alignment phase of the implementation of MonitoraSB, a proposal for monitoring oral health services in Primary Health Care, conducted in 13 cities in Minas Gerais state, which covered 86 oral health teams. The work process of these teams was evaluated as an outcome related to health services through a self-assessment questionnaire. Determinants of implementation (individual characteristics and organizational readiness for change) were assessed based on the Consolidated Framework for Implementation Research. Relative frequencies were obtained for categorical variables and median and interquartile range for readiness scores. Latent class analysis grouped the teams according to the work process. Associations were investigated using the chi-square test.
resultsA total of 74 teams with 163 professionals participated. The teams were classified as having "elementary work processes" (49.6%) or "consolidated work processes" (50.4%) and presented high organizational readiness scores (median: 51; interquartile range: 11). The highest percentage of teams with consolidated work processes was found in those comprised of professionals with temporary contracts (66.1%), compared to teams with permanent employees (44.7%) (p-value 0.011), and in those having professionals who presented high effectiveness (60.8%) compared to those with low effectiveness (44.7%) (p-value 0.049).
conclusionTeams with greater organizational readiness and less stable employment relationships presented more consolidated work processes more frequently. Organizational readiness should be taken into consideration with the aim of favoring implementation of monitoring initiatives, such as MonitoraSB.
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