Um método construtivista para a avaliação em saúde

Abstract

Este texto realiza uma investigação sobre métodos potencialmente mais adequados para a avaliação de serviços e programas a partir das questões apresentadas pela política de desinstitucionalização em saúde e pelas limitações da avaliação ortodoxa. Percorremos diferentes concepções de avaliação de programas e serviços e identificamos na proposta de avaliadores de quarta geração (Guba & Lincoln, 1989) potencial capaz de superar alguns destes impasses e questões. Finalmente propomos a aproximação do Método Paidéia (Campos, 2000-a) à abordagem de Avaliação de Quarta Geração, procurando estabelecer coerência entre avaliação e sistema de gestão participativa.

Perspectiva das mulheres na avaliação do Programa de Humanização do Pré-Natal e Nascimento

“…12,14,15 Participant evaluations 1,7 presuppose the presence of all those involved from the stage in which the planning of the design of the evaluation occurs to that in which its conclusions are discussed so that the evaluation itself also becomes an opportunity for learning. 2,13 The Program for the Humanization of Antenatal Care and Childbirth -PHPN (Ministry of Health, Brazil) a was created in order to perfect the Programa de Assistência Integral à Saúde da Mulher (PAISM) Women's Integral Health Care Program.…”

Caminhos possíveis para a avaliação das práticas da Vigilância em Saúde

“…The evaluative research should include different visions and values, facilitate and broaden the use of evaluation resources, consider the inevitable political character of research in general and of evaluation in particular, and enable those involved with the evaluated program or service 6 . In addition, it aims to produce knowledge that can guide decisions about feasibility, availability of time and resources to be applied in certain areas or sectors 10 .…”

“…Other references were sought in this investigation in an attempt to understand evaluation as a formative process, where opinions of the subjects of practices are taken into account and can also be incorporated as management of surveillance work 6,7 .…”

“…Some authors have addressed the study of evaluative processes that, if guided by the inclusion and participation of the various stakeholders involved, become devices for institutional change 6,10 . Furtado 6 argues it is necessary to include the different conceptions from the viewpoint of the groups involved with a program or service, since common sense and traditional evaluation do not cover all aspects of the complex initiatives that address social and health problems.…”

“…Furtado 6 argues it is necessary to include the different conceptions from the viewpoint of the groups involved with a program or service, since common sense and traditional evaluation do not cover all aspects of the complex initiatives that address social and health problems.…”