O uso de uma avaliação por gestores da atenção primária em saúde: um estudo de caso no Sul do Brasil

Abstract

This article reports on a meta-evaluation, focused on utilization, in a state in southern Brazil

Evaluation of the implementation of the directly observed treatment strategy for tuberculosis in a large city

“…This shows that political organization in the implementation of the DOTS strategy is impaired and weakened by its implementation. A mobilized community partners with health workers can be organized in support of a cause and build their own strategies of actions to strengthen public health policies, through the inclusion in the formal social control agencies (13) . The lack of data on sub-dimension social and individual vulnerability indicates that this is a secondary subject.…”

“…In inter-programmatic actions there is deficit of PTC integration with other areas, especially social services, with a percentage of consultations less than 50% of expected, reflecting the lack of interdisciplinary, which has recognized value in TB control (15) . As for the managerial aspects of the PTC, the monitoring deficiencies and assessment of the main indicators of TB affects the own assessment for decision-making, as in services is essential to use the monitoring indicators in daily life (7,13) . Although the results indicate that professionals participated in updating activities, and work for at least one year in the program, there is no reflection in the implementation of the DOTS strategy, as one would expect a gain in quality of actions (13) .…”

Avaliação em Saúde nos serviços de Atenção Primária no Brasil: uma revisão integrativa da literatura

“…Há um longo percurso para se alcançar a institucionalização da avaliação em um sistema organizacional, que requer colaboração das instâncias, conquista de espaço político, autonomia dos recursos necessários e fortalecimento da capacidade avaliativa dos envolvidos. 3 A necessidade de melhorar os processos de tomada de decisão está cada vez maior, desse modo, institucionalizar a avaliação pode ser uma alternativa ao sistema de saúde. A avaliação permite monitorar a capacidade dos serviços em responder às necessidades em saúde; acompanhar os efeitos das intervenções; identificar problemas e instrumentalizar equipes de saúde, gestores e comunidades.…”

Processos e desafios da interação entre pesquisa e política na perspectiva dos pesquisadores

“…Several authors point out that interaction with managers and health professionals can be effective insofar as researchers build strategic partnerships to promote access to adequate and quality research results; to recognize that results can inform them at different levels of intervention and offer elements to confirm, improve or transform their practice [23][24][25] . However, managers and health professionals are not "passive" users of the research 9,23 .…”