{"id":"https://openalex.org/W7203715409","doi":"https://doi.org/10.21203/rs.3.rs-10360823/v1","title":"Organizational readiness for implementing a vaccine flow protocol in the Primary Health Care of a Brazilian municipality","display_name":"Organizational readiness for implementing a vaccine flow protocol in the Primary Health Care of a Brazilian municipality","publication_year":2026,"publication_date":"2026-08-18","ids":{"openalex":"https://openalex.org/W7203715409","doi":"https://doi.org/10.21203/rs.3.rs-10360823/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-10360823/v1","doi":"https://doi.org/10.21203/rs.3.rs-10360823/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10360823/v1","pdf_url":"https://www.researchsquare.com/article/rs-10360823/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-10360823/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117713439","display_name":"Bruna Nunes Queiroz","orcid":"https://orcid.org/0009-0003-9360-8049","observed_orcids":["https://orcid.org/0009-0003-9360-8049"]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Bruna Nunes Queiroz","raw_affiliation_strings":["Universidade Federal do Esp\u00edrito Santo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Federal do Esp\u00edrito Santo","institution_ids":["https://openalex.org/I51235708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118115739","display_name":"Ranyele Gomes Silvares DOS SANTOS","orcid":"https://orcid.org/0009-0004-3329-9640","observed_orcids":["https://orcid.org/0009-0004-3329-9640"]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ranyele Gomes Silvares Santos","raw_affiliation_strings":["Federal University of Esp\u00edrito Santo (UFES)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Esp\u00edrito Santo (UFES)","institution_ids":["https://openalex.org/I51235708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122240756","display_name":"Ana Clara Coppo Ventorin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Clara Coppo Ventorin","raw_affiliation_strings":["Federal University of Esp\u00edrito Santo (UFES)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Esp\u00edrito Santo (UFES)","institution_ids":["https://openalex.org/I51235708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071243354","display_name":"Simone Mendes Carvalho","orcid":"https://orcid.org/0000-0001-8821-9725","observed_orcids":["https://orcid.org/0000-0001-8821-9725"]},"institutions":[{"id":"https://openalex.org/I83648350","display_name":"Universidade Federal do Estado do Rio de Janeiro","ror":"https://ror.org/04tec8z30","country_code":"BR","type":"education","lineage":["https://openalex.org/I83648350"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Simone Mendes Carvalho","raw_affiliation_strings":["Federal University of the State of Rio de Janeiro (UNIRIO)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of the State of Rio de Janeiro (UNIRIO)","institution_ids":["https://openalex.org/I83648350"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038341092","display_name":"Welington Serra Lazarini","orcid":"https://orcid.org/0000-0003-2798-7223","observed_orcids":["https://orcid.org/0000-0003-2798-7223"]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Welington Serra Lazarini","raw_affiliation_strings":["Universidade Federal do Esp\u00edrito Santo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Federal do Esp\u00edrito Santo","institution_ids":["https://openalex.org/I51235708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014943799","display_name":"Marta Pereira Coelho","orcid":"https://orcid.org/0000-0002-2046-6954","observed_orcids":["https://orcid.org/0000-0002-2046-6954"]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marta Pereira Coelho","raw_affiliation_strings":["Universidade Federal do Esp\u00edrito Santo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Federal do Esp\u00edrito Santo","institution_ids":["https://openalex.org/I51235708"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059350178","display_name":"Adriana Nunes Moraes Partelli","orcid":"https://orcid.org/0000-0001-9978-2994","observed_orcids":["https://orcid.org/0000-0001-9978-2994"]},"institutions":[{"id":"https://openalex.org/I51235708","display_name":"Universidade Federal do Esp\u00edrito Santo","ror":"https://ror.org/05sxf4h28","country_code":"BR","type":"education","lineage":["https://openalex.org/I51235708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Adriana Nunes Moraes Partelli","raw_affiliation_strings":["Universidade Federal do Esp\u00edrito Santo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Federal do Esp\u00edrito Santo","institution_ids":["https://openalex.org/I51235708"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5117713439"],"corresponding_institution_ids":["https://openalex.org/I51235708"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9286999702453613,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9286999702453613,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.06210000067949295,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/organizational-preparedness","display_name":"organizational preparedness","score":0.9200000166893005},{"id":"https://openalex.org/keywords/vaccination-coverage","display_name":"vaccination coverage","score":0.7300000190734863},{"id":"https://openalex.org/keywords/primary-care-providers","display_name":"primary care providers","score":0.843999981880188},{"id":"https://openalex.org/keywords/commitment-to-change","display_name":"commitment to change","score":0.6019999980926514},{"id":"https://openalex.org/keywords/immunization-services","display_name":"immunization services","score":0.6029999852180481},{"id":"https://openalex.org/keywords/pregnant-women-vaccination","display_name":"pregnant women vaccination","score":0.7279999852180481},{"id":"https://openalex.org/keywords/children-under-2-years","display_name":"children under 2 years","score":0.6380000114440918},{"id":"https://openalex.org/keywords/health-service-reorganization","display_name":"health service reorganization","score":0.574999988079071},{"id":"https://openalex.org/keywords/espirito-santo","display_name":"Esp\u00edrito Santo","score":0.796999990940094}],"concepts":[{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.5357000231742859},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5253999829292297},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.5040000081062317},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4812000095844269},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.4684000015258789},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4578999876976013},{"id":"https://openalex.org/C2780801004","wikidata":"https://www.wikidata.org/wiki/Q1415366","display_name":"Immunization","level":3,"score":0.421099990606308},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.4120999872684479},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.40059998631477356},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.38350000977516174},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37279999256134033},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.35429999232292175},{"id":"https://openalex.org/C3018868096","wikidata":"https://www.wikidata.org/wiki/Q2693233","display_name":"Internal consistency","level":3,"score":0.3303000032901764},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.32580000162124634},{"id":"https://openalex.org/C122637931","wikidata":"https://www.wikidata.org/wiki/Q118084","display_name":"Unit (ring theory)","level":2,"score":0.3249000012874603},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.32420000433921814},{"id":"https://openalex.org/C2776436953","wikidata":"https://www.wikidata.org/wiki/Q5163215","display_name":"Consistency (knowledge bases)","level":2,"score":0.3199000060558319},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3174000084400177},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3046000003814697},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.30379998683929443},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.29490000009536743},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.29179999232292175},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.2849999964237213},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.28189998865127563},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.2718000113964081},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.26030001044273376},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.25760000944137573},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.25690001249313354},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.2522999942302704}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-10360823/v1","doi":"https://doi.org/10.21203/rs.3.rs-10360823/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10360823/v1","pdf_url":"https://www.researchsquare.com/article/rs-10360823/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-10360823/v1","doi":"https://doi.org/10.21203/rs.3.rs-10360823/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10360823/v1","pdf_url":"https://www.researchsquare.com/article/rs-10360823/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"},{"id":"https://openalex.org/F4320323682","display_name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa e Inova\u00e7\u00e3o do Esp\u00edrito Santo","ror":"https://ror.org/03cen2c33"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203715409.pdf","grobid_xml":"https://content.openalex.org/works/W7203715409.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2170135023","https://openalex.org/W2948736612","https://openalex.org/W3047142307","https://openalex.org/W3091823890","https://openalex.org/W3093951335","https://openalex.org/W3110783376","https://openalex.org/W3153962535","https://openalex.org/W3160085601","https://openalex.org/W4220704580","https://openalex.org/W4226169760","https://openalex.org/W4307846395","https://openalex.org/W4386935218","https://openalex.org/W4401792983","https://openalex.org/W4416253606"],"related_works":["https://openalex.org/W7120429819","https://openalex.org/W4406562526","https://openalex.org/W4411815960","https://openalex.org/W4410419084","https://openalex.org/W7214136270","https://openalex.org/W3110783376","https://openalex.org/W6885967588","https://openalex.org/W7119295128","https://openalex.org/W4395702826","https://openalex.org/W7211989304"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2,40,134,194,212,237],"fall":[3],"in":[4,8,36,66,74,91,164,198,260,281,314,328],"vaccination":[5,28,46,69,101,326],"coverage":[6,47,327],"observed":[7],"Brazil":[9],"poses":[10],"an":[11],"urgent":[12],"need":[13],"for":[14,43,89,99,159,312,341],"strategies":[15],"to":[16,63,93,119,176,187,202,235,257,277,283,293,299,307],"reorganize":[17],"health":[18,145,150,222,253,309,342],"services":[19],"with":[20,138,224],"a":[21,61,72,105,215,230,321,329,338],"focus":[22],"on":[23,229],"increasing":[24,44,325],"this":[25],"coverage,":[26],"since":[27],"represents":[29,337],"one":[30],"of":[31,48,56,71,77,96,113,206,218,227,317,320,332],"the":[32,45,68,75,94,97,100,111,117,130,155,165,181,189,192,204,209,245,252,262,267,300,304,315,318],"most":[33],"effective":[34,289],"interventions":[35],"infectious":[37],"diseases":[38],"prevention.":[39],"flow":[41],"protocol":[42,98,322],"pregnant":[49],"women":[50],"and":[51,116,149,174,180,200,258,271,288,296,336,347],"children":[52],"under":[53],"two":[54,170],"years":[55],"age":[57],"was":[58,136],"developed":[59],"as":[60],"strategy":[62],"be":[64],"implemented":[65],"all":[67],"rooms":[70],"municipality":[73],"north":[76],"Esp\u00edrito":[78,333],"Santo,":[79,334],"Brazil.":[80],"This":[81,302],"study":[82,306],"assessed":[83,110],"Primary":[84,122],"Health":[85,123],"Care":[86,124],"professionals\u2019":[87,310],"readiness":[88,118,207,220,311],"change":[90,120,279,313],"relation":[92],"implementation":[95,270,319,343],"service.":[102],"Methods":[103],"Using":[104],"quantitative":[106],"cross-sectional":[107],"design,":[108],"we":[109],"length":[112],"time":[114],"working":[115],"among":[121,208,221],"professionals,":[125,140,223],"following":[126],"training":[127],"offered":[128],"by":[129,266],"municipal":[131],"immunization":[132],"coordinator.":[133],"research":[135],"conducted":[137],"168":[139],"including":[141],"physicians,":[142],"receptionists,":[143],"community":[144],"workers,":[146],"vaccinators,":[147],"nurses":[148],"unit":[151],"coordinators.":[152],"Participants":[153],"answered":[154],"questionnaire":[156],"Organizational":[157],"Readiness":[158],"Implementing":[160],"Change":[161],"(ORIC-Br),":[162],"validated":[163],"Brazilian":[166],"context,":[167],"which":[168],"assesses":[169],"domains:":[171],"collective":[172],"effectiveness":[173],"commitment":[175],"change.":[177],"Descriptive":[178],"statistics":[179],"software":[182],"Stata":[183],"v17.0":[184],"were":[185,196],"used":[186],"analyze":[188],"data":[190],"from":[191,233,291],"ORIC-Br.":[193],"results":[195,213],"presented":[197],"tables":[199],"graphs":[201],"illustrate":[203],"levels":[205],"participants.":[210],"Results":[211],"showed":[214],"high":[216,247],"level":[217],"organizational":[219,278],"average":[225],"scores":[226],"48.97":[228],"scale":[231],"ranging":[232],"11":[234],"55.":[236],"internal":[238],"consistency":[239],"analysis,":[240],"using":[241],"Cronbach\u2019s":[242],"alpha,":[243],"confirmed":[244],"tool\u2019s":[246],"reliability":[248],"(0.94).":[249],"Conclusion":[250],"Although":[251],"professionals":[254],"display":[255],"determination":[256],"confidence":[259],"executing":[261],"changes":[263],"brought":[264],"about":[265],"protocol,":[268],"their":[269],"sustainability":[272],"transcend":[273],"individual":[274,284],"capacity.":[275],"Commitment":[276],"requires,":[280],"addition":[282],"effort,":[285],"structural":[286],"guarantees":[287],"support":[290],"managers":[292],"overcome":[294],"barriers":[295],"setbacks":[297],"inherent":[298],"process.":[301],"is":[303],"first":[305],"demonstrate":[308],"context":[316],"aimed":[323],"at":[324,345],"remote":[330],"region":[331],"Brazil,":[335],"relevant":[339],"reference":[340],"studies":[344],"national":[346],"international":[348],"level.":[349]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-19T00:00:00"}
