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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01 Jan 2009
TL;DR: In this paper, a coleta dos dados ocorreu por meio de entrevista estruturada, with 18 participantes, in which the authors analyzed aspectos referentes a elementos e caracteristicas that define humanizacao, bem como questoes facilitadoras e dificultadoras presentes no processo.
Abstract: Trata-se de estudo descritivo de abordagem qualitativa cujo objetivo foi compreender como os profissionais da enfermagem (enfermeiros e tecnicos) percebem a politica de humanizacao no cenario de uma UTI e sua importância nesse processo. Foi desenvolvido em uma instituicao privada no municipio de Porto Alegre/RS, com 18 participantes. A coleta dos dados ocorreu por meio de entrevista estruturada. Da analise emergiram aspectos referentes a elementos e caracteristicas que definem a humanizacao, bem como questoes facilitadoras e dificultadoras presentes no processo. Conclui-se que a empatia, o respeito e a valorizacao constituem elementos fundamentais e que o profissional de enfermagem acredita fazer a diferenca no processo de humanizar, com vistas a melhorar as praticas de cuidado baseadas na etica, no dialogo e na autonomia do paciente, de sua familia e da propria equipe.
28 citations
TL;DR: In this article, a metodo utilizado na avaliacao de praticas de cuidado ao parto e nascimento em maternidades da Rede Cegonha is described.
Abstract: Resumo Este artigo descreve o metodo utilizado na avaliacao de praticas de cuidado ao parto e nascimento em maternidades da Rede Cegonha. Apresenta os criterios de selecao das maternidades, as diretrizes avaliadas, seus dispositivos e itens de verificacao, o metodo utilizado para coleta das informacoes e o tratamento dos dados para obtencao dos resultados. Dialoga a respeito das diretrizes escolhidas e da estrategia de devolutiva dos resultados aos gestores e servicos, e discute seu potencial para fomentar processos de qualificacao da gestao e atencao obstetrica e neonatal. Trata-se de estudo das praticas de atencao ao parto e nascimento de 606 maternidades selecionadas para o segundo ciclo avaliativo da Rede Cegonha. Os caminhos metodologicos primaram pela construcao de corresponsabilidade tripartite para com o processo e os resultados da avaliacao, com enfase na sua utilidade para os tomadores de decisao e instituicoes hospitalares envolvidas.
27 citations
TL;DR: The experience of the training course for health professionals of a public health outpatient unit is discussed, based on the prospect of humanized treatment, seeking the implementation of a sanitary model committed to the formal values contained in the SUS ideals.
Abstract: Bearing in mind that the Brazilian Unified Health System (SUS) is a social process in construction, and as health professionals are important individuals in this process, the role of permanent education as an important instrument to ensure humanized care is highlighted. The scope of this paper is to discuss the experience of the training course for health professionals of a public health outpatient unit, based on the prospect of humanized treatment, seeking the implementation of a sanitary model committed to the formal values contained in the SUS ideals. The teaching-learning methodology used is based on problem-solving, derived from the processing of a problem situation taken from the experience of teachers. The professionals identified that the standard established in the way of thinking and acting in health is unsatisfactory to meet the challenges faced in the sector. The strategies used contributed to systematize the content through reflection on the theoretical benchmarks submitted, by eliciting reflective and critical thought, which are fundamental aspects for broadening and increasing the process of empowerment of professionals. The course stimulated group action, placing the discussion on the humanization of health actions on the agenda.
25 citations
TL;DR: There is a need for re-orientation of the teaching and learning process of nursing at the institution studied and a vertical relationship between nursing faculty and students and the nursing practice in the UHS/FHP.
Abstract: Objective: To describe the teaching and learning process of a pedagogical model to educate nurses for the Brazilian universal health care system / family health program (UHS/FHP) in use at a higher education institution in the north of Brazil. Methods: Focus groups and individualized semi-structured interviews with 6 senior nursing students were used to collect the data. The education theory of Paulo Freire and the UHS/FHP literature guided this hermeneutic study. Results: There was a vertical relationship between nursing faculty and students, a lack of autonomy among nursing students, a lack of power for articulation among nursing students, and a lack of articulation of nursing faculty regarding the relationship between the teaching and learning process and the nursing practice in the UHS/FHP. Conclusion: There is a need for re-orientation of the teaching and learning process of nursing at the institution studied.
21 citations
TL;DR: O avancos verificados nao trouxeram os resultados esperados para o municipio, indicando a existencia of fragilidades ou lacunas de conhecimento that comprometeram os esforcos dispensados no desenvolvimento de acoes do programa.
Abstract: O objetivo deste estudo foi avaliar a descentralizacao das acoes do controle da tuberculose do nivel secundario para o nivel primario do sistema de saude de Dourados-MS, realizado atraves da implantacao do Programa Nacional de Controle da Tuberculose (PNCT), no periodo de 2003 a 2006. A pesquisa constituiu-se em avaliacao normativa com a utilizacao de dados secundarios para obter o conhecimento do contexto e dos resultados das acoes desenvolvidas. Foram utilizadas como categorias de analise: estrutura, processo e resultados. Ao analisar o processo de descentralizacao foi possivel observar mudancas na atencao proporcionada aos usuarios, nao somente pela melhoria no acesso, mas, principalmente, pela postura dos profissionais de saude evidenciada atraves de aumento significativo na busca dos sintomaticos respiratorios, na coleta de escarro para a baciloscopia e na deteccao dos baciliferos entre o total dos casos pulmonares encontrados. Todavia, os avancos verificados nao trouxeram os resultados esperados para o municipio, indicando a existencia de fragilidades ou lacunas de conhecimento que comprometeram os esforcos dispensados no desenvolvimento de acoes do programa.
21 citations
Cites background from "Perspectivas da avaliação na Políti..."
...O processo corresponde à fase de execução propriamente dita, e o resultado corresponde à fase de obtenção dos efeitos das ações e atividades realizadas sobre a saúde dos indivíduos e da população (Donabedian, 1988; Mallet, 2005; Santos-Filho, 2007)....
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964 citations
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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.
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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.
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200 citations
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192 citations