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Journal ArticleDOI

Perspectivas da avaliação na Política Nacional de Humanização em Saúde: aspectos conceituais e metodológicos

01 Jul 2007-Ciencia & Saude Coletiva (ABRASCO - Associação Brasileira de Saúde Coletiva)-Vol. 12, Iss: 4, pp 999-1010
TL;DR: Reforcar tais especificidades e perspectivas de aproximacao, buscou-se nao somente registrar a amplitude e complexidade dos dispositivos e acoes propostos no âmbito do HumanizaSUS, como tambem fazer uma breve revisao of conceitos e componentes englobados na area of monitoramento e avaliacao.
Abstract: The purpose of this paper is to prompt discussions of the perspectives of the Evaluation of Brazil's National Health Humanization Policy being implemented by the Ministry of Health (PNH/HumanizaSUS). It strives to systemize some Health Evaluation benchmarks, distinguishing two key aspects of this evaluation: one examines methodologies for the definition of Humanization actions monitoring indicators; the other analyzes evaluatory surveys measuring the impacts of these actions. Both aspects were scored, highlighting specific characteristics that must be recognized in the approach and use of evaluation methodologies under the aegis of this Policy. In order to strengthen such specific characteristics and approach perspectives, it explores the extent and complexity of the tools and actions proposed in the field covered by this Policy, while also offering an brief review of the concepts and components encompassed by the Monitoring and Evaluation area.

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Journal ArticleDOI
TL;DR: Uma revisao integrativa da literatura foi realizada, que possibilitou identificar 186 estudos, sendo selecionadas 26 pesquisas que relacionavam as estrategias de implantacao dos dispositivos; impactos na gestao e formas de producao do cuidado e aspectos relacionais entre usuarios, trabalhadores e gestores.
Abstract: O objetivo deste estudo foi identificar aspectos da implantacao da Politica Nacional de Humanizacao - PNH na base de dados da Biblioteca Virtual em Saude – BIREME, no periodo de 2004 a 2012. Foi realizada uma revisao integrativa da literatura, que possibilitou identificar 186 estudos, sendo selecionadas 26 pesquisas que relacionavam as estrategias de implantacao dos dispositivos; impactos na gestao e formas de producao do cuidado e aspectos relacionais entre usuarios, trabalhadores e gestores. As diretrizes da PNH garantem a participacao dos usuarios e trabalhadores na gestao do cuidado; oferece uma serie de estrategias de enfrentamento aos problemas do setor saude e direciona as politicas de saude em consonância com os principios do Sistema Unico de Saude.

1 citations

Journal ArticleDOI
21 Dec 2016
TL;DR: In this article, the authors present the results of an estudo metodologico de validacao de indicadores de avaliacao em saude, desenvolvido em um complexo hospitalar e unidades de atencao primaria e especializada, na cidade de Uberaba, estado de Minas Gerais.
Abstract: Objetivou apresentar os resultados do estudo de validade de construto do Indice de Humanizacao dos Servicos de Saude. Estudo metodologico de validacao de indicadores de avaliacao em saude, desenvolvido em um complexo hospitalar e unidades de atencao primaria e especializada, na cidade de Uberaba, estado de Minas Gerais. Participaram 312 trabalhadores, 211 usuarios e 49 gestores, entre novembro de 2013 e marco de 2014. As medidas de adequacao da amostra indicaram ser possivel uma solucao fatorial. Foram nomeados 7 fatores na dimensao trabalho, 7 fatores na dimensao usuario e 3 fatores na dimensao gestao. O instrumento proposto atende aos requisitos psicometricos preconizados, podendo ser utilizado para avaliar a percepcao de trabalhadores, usuarios e gestores sobre aspectos da humanizacao dos servicos de saude.

1 citations

Journal ArticleDOI
01 Apr 2018
TL;DR: In this paper, a comparative analysis of a politica Nacional de Humanizacao (PNH) and the Estrategia de Saude da Familia (ESF) is presented.
Abstract: O modelo assistencial contemporâneo tem como foco principal o paciente em toda sua complexidade. A Estrategia de Saude da Familia (ESF) faz parte da Rede de Saude e preza pela visao holistica no trabalho coletivo e, assim, a Politica Nacional de Humanizacao (PNH) torna-se uma ferramenta de estruturacao do trabalho na Saude Publica. Neste sentido, o presente trabalho tem como objetivo identificar as principais mudancas que a PNH influenciou na ESF e na Rede de Saude, a fim de identificar as contribuicoes prestadas. Foi realizada Revisao Bibliografica de Literatura, por meio da analise de artigos da Biblioteca Virtual em Saude (BVS) e documentos oficiais do Portal do Ministerio da Saude. Para a busca na BVS foram utilizados os descritores “Estrategia de Saude da Familia”, “Politica Nacional de Humanizacao” e “Atencao Basica”. Foram selecionados 10 artigos pertinentes ao tema do estudo. Os resultados mostraram que sendo a PNH uma nova forma de se pensar em saude, oferece ferramentas capazes de auxiliar nas acoes e na tomada de decisao nos servicos de saude. Concluiu-se que a ESF e a Rede de Saude passam por uma continua transformacao e que a PNH contribuiu com ferramentas de trabalho, qualificando a atencao prestada ao usuario, bem como proporcionando reflexao etica, politica e compartilhada entre gestores, trabalhadores e usuarios.

1 citations

Journal ArticleDOI
TL;DR: O presente estudo teve como objetivo avaliar o processo de acolhimento no Servico de Oncologia do Hospital Universitario de Brasilia - HUB a partir da percepcao dos pacientes atendidos y necessario padronizacao e treinamento dos profissionais quanto ao fornecimento de informacoes.
Abstract: O acolhimento e uma diretriz prevista na Politica Nacional de Humanizacao do Sistema Unico de Saude – SUS, que consiste em uma ferramenta tecnologica de qualificacao de escuta, construcao de vinculo, garantia de acesso com responsabilizacao e resolutividade nos servicos. O presente estudo teve como objetivo avaliar o processo de acolhimento no Servico de Oncologia do Hospital Universitario de Brasilia - HUB a partir da percepcao dos pacientes atendidos. Trata-se de uma pesquisa descritiva exploratoria, em que foram entrevistados, por meio de questionario semiestruturado, 15 pacientes: 10 logo apos o termino do processo de acolhimento e cinco dias apos, durante o inicio do tratamento. Os dados obtidos demonstraram satisfacao com o acolhimento, motivada principalmente pela superacao de expectativas que os entrevistados tinham do servico publico com relacao a qualidade de atendimento e agilidade dos servicos. Foi percebido que o grupo entrevistado apos o acolhimento teve a percepcao mais focada no conteudo e aprendizagem de novas informacoes, enquanto que os entrevistados no inicio do tratamento demonstraram percepcoes focadas na emocao, principalmente com relacao ao vinculo com os profissionais. Percebeu-se tambem que o excesso de informacoes no acolhimento prejudica a apreensao do conteudo. Concluiu-se que e necessario padronizacao e treinamento dos profissionais quanto ao fornecimento de informacoes, otimizando a palestra e entrevistas, com atencao aos indicadores de resolutividade, vinculo, informacao e conhecimento dos profissionais de referencia.

1 citations

References
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Journal ArticleDOI
TL;DR: In this article, the authors discuss the relationship between quality of life and health by applying the discourses emerging in the health sector to other fields and other disciplines, which constitute social representation based on subjective parameters such as satisfaction of basic needs and of the needs created by the degree of economical and social development of a given society.
Abstract: This paper discusses the relationships between quality of life and health by applying the discourses emerging in the health sector to other fields and other disciplines. These relationships constitute social representation based on subjective parameters (well-being, happiness, love, pleasure, personal satisfaction), and on objective ones such as satisfaction of basic needs and of the needs created by the degree of economical and social development of a given society. The text presents the main instruments which have been constructed during the last years for measuring quality of life, as well as the debate they cause. It also debates the semantic field where the representations and actions in favour of quality of life - such as the concept of development, democracy, quality, way and conditions of life - develop. In relation to the field of health, this article discusses the tendency to restrict the concept of quality of life to the biomedical area, associated with an economic assessment. It shows the variety of instruments created for measuring quality of life in accordance with the concept. Health promotion is considered one of the most relevant strategies in this field in order to avoid medical reductionism and to develop an interdisciplinary dialogue. It is argued that this proposal, however, still needs to be refined and tested in sanitary practices.

964 citations

Journal ArticleDOI
TL;DR: It is argued that the answer to this question is essential for choosing an appropriate evaluation design, drawing upon examples from the fields of health and nutrition, and a framework is proposed for deciding upon appropriate evaluation designs.
Abstract: The question of why to evaluate a programme is seldom discussed in the literature. The present paper argues that the answer to this question is essential for choosing an appropriate evaluation design. The discussion is centered on summative evaluations of large-scale programme effectiveness, drawing upon examples from the fields of health and nutrition but the findings may be applicable to other subject areas. The main objective of an evaluation is to influence decisions. How complex and precise the evaluation must be depends on who the decision maker is and on what types of decisions will be taken as a consequence of the findings. Different decision makers demand not only different types of information but also vary in their requirements of how informative and precise the findings must be. Both complex and simple evaluations, however, should be equally rigorous in relating the design to the decisions. Based on the types of decisions that may be taken, a framework is proposed for deciding upon appropriate evaluation designs. Its first axis concerns the indicators of interest, whether these refer to provision or utilization of services, coverage or impact measures. The second axis refers to the type of inference to be made, whether this is a statement of adequacy, plausibility or probability. In addition to the above framework, other factors affect the choice of an evaluation design, including the efficacy of the intervention, the field of knowledge, timing and costs. Regarding the latter, decision makers should be made aware that evaluation costs increase rapidly with complexity so that often a compromise must be reached. Examples are given of how to use the two classification axes, as well as these additional factors, for helping decision makers and evaluators translate the need for evaluation--the why--into the appropriate design--the how.

739 citations

Journal ArticleDOI
TL;DR: In this article, a debate metodologico em processo at the Escola Nacional de Saude Publica, Brasil, sobre as duas formas de abordagem mais correntes nas investigacoes da area de saude was conducted.
Abstract: Este trabalho resume um debate metodologico em processo na Escola Nacional de Saude Publica, Brasil, sobre as duas formas de abordagem mais correntes nas investigacoes da area de saude: o metodo quantitativo e o metodo qualitativo. Os autores - uma antropologa sanitarista e um bioestatistico - demonstram, com argumentacoes teoricas e praticas, que esses metodos sao de natureza diferenciada, mas se complementam na compreensao da realidade social. Num mundo onde o que distingue o ser humano e a linguagem comunicativa, o acento deste debate recai sobre a possibilidade, o significado e os limites da linguagem matematica e da linguagem de uso comum na experiencia cotidiana.

589 citations

Journal ArticleDOI
TL;DR: The incorporation of evaluative procedures in health planning or health policy-making and administration is still limited in Brazil, particularly at the local level, and recent implementation of projects for the reorganization of the health services system raises the need for more appropriate strategies aimed at health care evaluation.
Abstract: This is a literature review of theoretical and methodological issues on health care evaluation of research and technical reports. Conceptual frameworks, approaches, subject matter, strategies, and study designs are identified and analyzed. Evaluative research designs are compared with epidemiological ones. A diverse terminology was encountered, and many methodological problems in the literature were examined. The incorporation of evaluative procedures in health planning or health policy-making and administration is still limited in Brazil, particularly at the local level. Recent implementation of projects for the reorganization of the health services system based on the administrative autonomy of Local Health Units raises the need for more appropriate strategies aimed at health care evaluation. Perspectives for the development of alternative strategies are indicated.

200 citations

Journal ArticleDOI
TL;DR: Nuclear criteria involved in the organization of all evaluation processes are identified, and articulated with the existing institutionalized evaluation practices in developed countries, that is, program evaluation, quality assessment and management and technology assessment.
Abstract: The field of program, services and technology evaluation in general, and in health care in particular, is going through an important growth and conceptual and methodological diversification. It is also the object of an increasing demand for its participation as an effective supportive instrument in the decision-making process, and a constant need in the dynamics of health systems and services. In this paper, based on literature review, nuclear criteria involved in the organization of all evaluation processes are identified, and articulated with the existing institutionalized evaluation practices in developed countries, that is, program evaluation, quality assessment and management and technology assessment. In conclusion, the incipient development of a methodological evaluation output in Brazil is analyzed.

192 citations