Estruturação da Gestão e perfil profissional dos coordenadores de Saúde bucal na Secretaria Estadual da Saúde de São Paulo
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Data
2011
Autores
Martins, Patricia Nieri [UNIFESP]
Orientadores
Nascimento, Claudia Maria da Penha Oller do [UNIFESP]
Tipo
Dissertação de mestrado profissional
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Objetivo: analisar a estrutura organizacional da coordenacao de Saúde bucal e o perfil dos coordenadores de Saúde bucal na Secretaria Estadual da Saúde de São Paulo em 2009. Compreende tambem, fazer propostas em relacao a estrutura organizacional e para o estabelecimento do perfil dos coordenadores de Saúde bucal da instancia estadual em São Paulo. Metodologia: Trata-se de estudo descritivo de abordagem quali - quantitativa, cuja fonte de dados primarios e o questionario que foi organizado em quatro modulos: formacao do coordenador de Saúde bucal, situacao funcional do coordenador de Saúde bucal, atribuicoes do coordenador de Saúde bucal e organizacao do trabalho do coordenador de Saúde bucal. Para analisar o perfil dos coordenadores estaduais de Saúde bucal nesse projeto, foram considerados dentre outros, os seguintes elementos: tempo de formado a partir da conclusao da graduacao, conclusao de curso de Pós-graduação em Saúde publica/Saúde coletiva/Gestão em Saúde, tempo de experiencia na funcao de coordenador, exercicio de atividades clinicas nos servicos de odontologia da rede publica de Saúde e experiencia anterior como coordenador de Saúde bucal. A analise da estrutura organizacional da coordenacao estadual de Saúde bucal considerou a modalidade de contratacao do coordenador de Saúde bucal e sua jornada de trabalho, a forma de indicacao da contratacao, as atribuicoes dos coordenadores, existencia de apoio administrativo para realizacao das atividades rotineiras, sugestoes para melhorar o processo de trabalho. Resultados: todos os coordenadores concluiram a graduacao em odontologia entre as decadas de 1970 e 1990; 77% desses coordenadores fizeram curso de especializacao em Saúde publica/ Saúde coletiva/Gestão em Saúde; 84,5% deles ja tinham exercido atividades clinicas no servico publico odontologico, 38% tinham experiencia anterior em cargo de coordenacao de Saúde bucal e 31% acumulavam outras funcoes alem da coordenacao de Saúde bucal. Em relacao ao tempo de experiencia na funcao de coordenador, 46% tinham de 1 a 4 anos de exercicio na funcao e 23% tinham acima de 14 anos. Na SES/SP em 2009, 69% dos coordenadores de Saúde bucal cumpriam a jornada de 4 horas/dia, que e a jornada basica do cirurgiao dentista. Nenhum deles exercia jornada de 8 horas/dia. A indicacao dos profissionais para exercer a funcao de coordenador de Saúde bucal ocorreu por indicacao tecnica ou experiencia anterior em 67% dos casos. Em relacao a disponibilidade de um profissional de apoio para realizar as atividades administrativas consideradas rotineiras para desempenhar a funcao de coordenacao, 53,8% nao contavam com nenhuma ajuda. As sugestoes envolvendo melhorias do processo de trabalho foram diversificadas, incluindo o aumento da carga horaria de trabalho, melhoria salarial, dedicacao exclusiva a area tecnica de Saúde bucal, melhorar a comunicacao entre os Departamentos Regionais de Saúde e os municipios. Conclusoes: os resultados apontam para a existencia de um grupo de coordenadores de Saúde bucal na instancia estadual paulista em 2009, com perfil adequado para o desempenho da funcao. A Gestão da area tecnica de Saúde bucal da Secretaria Estadual da Saúde de São Paulo em 2009 estava pouco estruturada
Purpose: To analyze the organizational structure of the coordination of oral health and raise the profile of oral health coordinators in the secretary of state's health Sao Paulo, in 2009. It also includes making proposals in relation to organizational structure and to establish the profile of oral health coordinators instance in Sao Paulo state. Methodology: this is a descriptive study of quali-quantitative approach, the primary data source is the questionnaire which was organized into four modules: dental health coordinator training, functional situation of oral health coordinator, dental health coordinator assignments and work organization of oral health coordinator. To analyze the profile of dental health state coordinator in this project, were considered among others, the following elements: formed from the completion of graduation, completion of graduate course in public health/public health/health management, experience in the role of Coordinator, Office of clinical Dentistry services activities in public health and previous experience as a dental health coordinator. The analysis of the organizational structure of the State coordination of oral health found the modality of employment of dental health coordinator and your workday, the form of indication of hiring, assignments of coordination, administrative support for carrying out routine activities, suggestions for improving the working process. Results: all completed graduation in dentistry coordinators between 1970 and 1990; 77% of these coordinators has specialization course in public health/public health/health management; 84.5% of coordinators had already exercised clinical activities in public service dental, 38% had previous experience in charge of coordination of oral health professionals and 31% had acquired other functions besides the coordination of oral health. In relation to time experience in the role of Coordinator, 46% had 1 to 4 years of exercise the function and 23% had over 14 years. In SES/SP in 2009, 69% of dentists surgeons that exercised the function of coordinator of dental health day fulfilled 4:0/day, which is the basic journey of a surgeon dentist, and none of them was a journey of 8:0/day. An indication of professionals to perform the function of dental health coordinator in 67% of cases occurred, by technical indication or prior experience. In relation to the availability of a professional support to accomplish administrative routine activities considered to play the role of coordination, 53.8% lacked no help. Suggestions involving worker process improvements were varied, including the increase in working hours, salary, exclusive dedication to improvement technical area of oral health, improve communication between the regional Department of health and the municipalities. Conclusions: the results indicate the existence of a group of dental health coordinators in 2009 in paulista state instance with the appropriate profile for the performance of the function. It can be concluded that the management of dental health technical area of the State Secretariat of health of São Paulo in 2009, was loosely structured.
Purpose: To analyze the organizational structure of the coordination of oral health and raise the profile of oral health coordinators in the secretary of state's health Sao Paulo, in 2009. It also includes making proposals in relation to organizational structure and to establish the profile of oral health coordinators instance in Sao Paulo state. Methodology: this is a descriptive study of quali-quantitative approach, the primary data source is the questionnaire which was organized into four modules: dental health coordinator training, functional situation of oral health coordinator, dental health coordinator assignments and work organization of oral health coordinator. To analyze the profile of dental health state coordinator in this project, were considered among others, the following elements: formed from the completion of graduation, completion of graduate course in public health/public health/health management, experience in the role of Coordinator, Office of clinical Dentistry services activities in public health and previous experience as a dental health coordinator. The analysis of the organizational structure of the State coordination of oral health found the modality of employment of dental health coordinator and your workday, the form of indication of hiring, assignments of coordination, administrative support for carrying out routine activities, suggestions for improving the working process. Results: all completed graduation in dentistry coordinators between 1970 and 1990; 77% of these coordinators has specialization course in public health/public health/health management; 84.5% of coordinators had already exercised clinical activities in public service dental, 38% had previous experience in charge of coordination of oral health professionals and 31% had acquired other functions besides the coordination of oral health. In relation to time experience in the role of Coordinator, 46% had 1 to 4 years of exercise the function and 23% had over 14 years. In SES/SP in 2009, 69% of dentists surgeons that exercised the function of coordinator of dental health day fulfilled 4:0/day, which is the basic journey of a surgeon dentist, and none of them was a journey of 8:0/day. An indication of professionals to perform the function of dental health coordinator in 67% of cases occurred, by technical indication or prior experience. In relation to the availability of a professional support to accomplish administrative routine activities considered to play the role of coordination, 53.8% lacked no help. Suggestions involving worker process improvements were varied, including the increase in working hours, salary, exclusive dedication to improvement technical area of oral health, improve communication between the regional Department of health and the municipalities. Conclusions: the results indicate the existence of a group of dental health coordinators in 2009 in paulista state instance with the appropriate profile for the performance of the function. It can be concluded that the management of dental health technical area of the State Secretariat of health of São Paulo in 2009, was loosely structured.
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Citação
MARTINS, Patricia Nieri. Estruturação da Gestão e perfil profissional dos coordenadores de Saúde bucal na Secretaria Estadual da Saúde de São Paulo. Tese (Doutorado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2011.