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Disruption of Learning Organization Principles in Dental Healthcare: Addressing Systemic and Organizational
Jolita Juknienė1,2, Birutė Mockevičienė2
1Panevezys College-State Higher Education Institution, Faculty of Biomedical Sciences, Panevezys, Lithuania.
Background:
The aim of this study is to investigate the disruption of learning organization principles within dental service organizations, focusing on the critical commitment to patient care and its impact on long-term staff retention.
Methods:
The qualitative study was conducted in October-November 2022 using semi-structured interviews. The data were anonymized, transcribed, and analyzed using qualitative content analysis. The research tools were based on learning organization principles aligned with the key elements of dental service quality.
Results:
The findings reveal that limited public resource allocation, bureaucratic inefficiencies, and challenges in retaining highly qualified professionals hinder public sector services, restricting access for economically disadvantaged populations. The transition of specialists to the private sector exacerbates existing disparities by contributing to increased service costs. Personal mastery-emphasizing continuous professional growth and empathetic care-emerges as a critical factor ensuring service quality but often lacks institutional support.
Conclusions:
To ensure that specialists develop a holistic mindset, it is essential to strengthen their competencies and understanding of organizational functioning during their studies, since strengthening educational structures-especially those that incorporate principles of organizational learning and systems thinking competencies-is crucial in preparing specialists to appropriately respond to complex situations and ensure high-quality patient care. The study highlights the necessity of a systems-thinking approach that integrates team dynamics, resource management, and regulatory frameworks to enhance service delivery. While private sector organizations benefit from cohesive teamwork and supportive management, public sector institutions face structural limitations that hinder effective collaboration and leadership. Addressing these systemic barriers is essential to creating equitable, high-quality dental healthcare accessible across socioeconomic groups.
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