This essay focuses on the evaluation of health programs and services, emphasizing the subjectivity emerging from the evaluation process. The text is a theoretical construction that targets the various meanings of evaluation, the influence of the positivist paradigm on the field of health program and service evaluation, the polysemous nature of the term "quality", and its close overlapping with subjectivity. In addition, the authors highlight the importance of studies that incorporate the perspectives of social actors into the evaluation processes, recommending qualitative social research methodology as a productive instrument.

Palavras-chaveTranstornos alimentares, anorexia nervosa, bulimia nervosa, imagem corporal. resumo objetivo: Caracterizar práticas alimentares e possíveis fatores de risco associados a transtornos do comportamento alimentar entre estudantes de Educação Física em uma universidade pública do município do Rio de Janeiro. método: Estudo seccional, elegendo-se como população-alvo um segmento de risco para o surgimento de transtornos alimentares. Foram aplicados os questionários Bulimic Investigatory Test Edinburgh (BITE), Eating Attitudes Test (EAT-26), Body Shape Questionnaire (BSQ) e uma variável que considera os dois instrumentos associados. resultados: Detectou-se resultado positivo em 6,9% (IC95%: 3,6-11,7%) no EAT-26. No BITE, para sintomas elevados e gravidade intensa, foram encontradas prevalências de 5% (IC95%: 2,4-9,5%) e 2,5% (IC95%: 0,7-6,3%), respectivamente. Constatou-se que 26,29% das estudantes apresentavam comportamento alimentar anormal. Conclusão: Os resultados deste estudo indicam que se deve atentar para comportamentos alimentares de risco nesse grupo, justificando-se um olhar diferenciado em relação a esses futuros educadores.

The paper presents a theoretical exercise regarding health care evaluation in an effort to define several concepts. The multi-dimensional aspects of quality in health are emphasized in addition to the differences between quality evaluation and qualitative evaluation. The implications of not distinguishing between these two concepts are also discussed. Health care is analyzed as a material expression of interpersonal relations in this field and as an object of evaluation, highlighting its intricate relation with integrality and humanization. It is affirmed that quality evaluation and qualitative evaluation are not interchangeable labels, but rather political choices connected to health policies that can not be juxtaposed. Therefore, understanding this distinction is necessary for constructing evaluation proposals that surpass traditional and exclusionary perspectives.

objective: To characterize eating habits and possible risk factors associated with eating disorders among psychology students, a segment at risk for eating disorders. method: This is a cross-sectional study. The questionnaires Bulimic Investigatory Test Edinburgh (BITE), Eating Attitudes Test (EAT-26), Body Shape Questionnaire (BSQ) and a variety that considers related issues were applied. Statistical Package for the Social Sciences (SPSS) 11.0 was utilized in analysis. The study population was composed of 175 female students, with a mean age of 21.2 (DP ± 3.6 years). results: A positive result was detected on the EAT-26 for 6.9% of the cases (CI95%: 3.6-11.7%). The prevalence of increased symptoms and intense gravity, according to the BITE questionnaire was 5% (CI95%: 2.4-9.5%) and 2.5% (CI95%: 0.7-6.3%), respectively. According to the findings, 26.29% of the students presented abnormal eating behavior. The population with moderate/severe BSQ scores presented dissatisfaction with corporal weight. conclusion: The results indicate that attention must be given to eating behavior risks within this group. A differentiated gaze is justified with respect to these future professionals, whose practice is jeopardized in cases in which they are themselves the bearers of installed symptoms or precursory behavior. rEsumo Objetivo: Caracterizar práticas alimentares e possíveis fatores de risco associados a transtornos do comportamento alimentar entre estudantes de Psicologia, segmento de risco para o surgimento de transtornos alimentares. Método: Estudo seccional utilizando-se os questionários Bulimic Investigatory Test Edinburgh (BITE), Eating Attitudes Test (EAT-26) e Body Shape Questionnaire (BSQ), utilizando-se, ainda, uma variável que considera os dois primeiros instrumentos associados, sendo a análise feita através do Statistical Package for the Social Sciences (SPSS) 11.0. Foram analisadas 175 estudantes do sexo feminino, com uma média de idade de 21,2 (DP ± 3,6 anos).Resultados: Detectou-se resultado positivo em 6,9% (IC95%: 3,[6][7][8][9][10][11]7%) no para sintomas elevados e gravidade intensa, foram encontradas prevalências de 5% (IC95%: 2,[4][5][6][7][8][9]5%) e 2,5% (IC95%: 0,3%)

RESUMO Transtornos do comportamento alimentar (TCA) tendem a ocorrer entre mulheres jovens, colocando universitárias como grupo de risco. Este estudo visa identificar comportamentos alimentares e ima