[Interrupting ineffective preventive procedures to un-burden citizens and businesses]

Many preventive services do not apply EBP interventions, but continue to employ resources in activities clearly ineffective. This happens even though there is full knowledge of the futility of certain practices. It follows a fall of responsiveness in the relationship with the user, which does not understand the misalignment between what we do and what should be done. It is therefore necessary to realign the work plans to the real problems of health, not just the provision of the law passed by the times. To achieve this goal hygienists must be more leaders and innovators than manager oriented to the achievement of merely quantitative production targets. In this scenario should be paid great attention to the cultural change of operators who must not have a behavior not consonant to the new way of working.