Avaliação dos serviços de saúde: avaliar o quê?
Autor(a) principal: | |
---|---|
Data de Publicação: | 1992 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403 |
Resumo: | This article acknowledges the limited influence of health services in the health/disease process as opposed to broader socio-economic factors. However, its aim is to offer a conceptual basis for those who are interested in evaluating the success (quality) of such services. The author maintains that there are two clearly distinct fields of health action, namely non-personal health services and clinical services (McKeown, 1979). In so saying, the author does not intend to reinstate the old dichotomy between prevention and cure, but to create a methodological distinction which could aid the evaluation process, since each level of action has its own indicators of success. The article also explores the concept of quality for clinical services as well as such services' tasks, and some criteria to devise indicators of quality are considered. The author concludes that the objectives of clinical services should be defined and explicitly stated. This choice determines the evaluation strategy. The author suggests that significant importance should be ascribed to users' interests in the evaluation process, and a case is made that much more emphasis should be given to the evaluation of care as opposed to the traditionally overvalued concept of cure. |
id |
FIOCRUZ-5_b7f5c49aeb235e8a2361b541f9803419 |
---|---|
oai_identifier_str |
oai:ojs.teste-cadernos.ensp.fiocruz.br:article/403 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
Avaliação dos serviços de saúde: avaliar o quê?AvaliaçãoQualidadeSatisfação do UsuárioThis article acknowledges the limited influence of health services in the health/disease process as opposed to broader socio-economic factors. However, its aim is to offer a conceptual basis for those who are interested in evaluating the success (quality) of such services. The author maintains that there are two clearly distinct fields of health action, namely non-personal health services and clinical services (McKeown, 1979). In so saying, the author does not intend to reinstate the old dichotomy between prevention and cure, but to create a methodological distinction which could aid the evaluation process, since each level of action has its own indicators of success. The article also explores the concept of quality for clinical services as well as such services' tasks, and some criteria to devise indicators of quality are considered. The author concludes that the objectives of clinical services should be defined and explicitly stated. This choice determines the evaluation strategy. The author suggests that significant importance should be ascribed to users' interests in the evaluation process, and a case is made that much more emphasis should be given to the evaluation of care as opposed to the traditionally overvalued concept of cure.Este artigo reconhece a limitada influência dos serviços de saúde no processo saúde-doença, em oposição a fatores sociais e econômicos mais amplos. Entretanto, o mesmo tem como objetivo oferecer uma base conceitual para aqueles interessados em avaliar o sucesso (qualidade) destes serviços. O artigo apresenta duas atuações distintas no campo da saúde que se diferenciam em suas funções: as ações de atendimento direto (serviços clínicos) e as ações indiretas ("advogar saúde"). Não é intenção dos autores reavivar a velha polêmica entre cura e prevenção, mas sim criar uma diferenciação metodológica que facilite o processo avaliativo, uma vez que cada nível de atuação teria o seu respectivo indicador de sucesso. Discutem-se o conceito de qualidade e as tarefas dos serviços diretos de atendimento (serviços clínicos), além de critérios a serem utilizados na elaboração de indicadores de qualidade. Conclui-se dizendo que os objetivos dos serviços diretos de atendimento (serviços clínicos) devem ser claramente explicitados e que a estratégia de avaliação será determinada por esta escolha. Os autores sugerem que os interesses dos usuários deveriam desempenhar um papel relevante no processo avaliativo e que a avaliação do cuidado como um todo deve receber maior ênfase, em oposição à tradicional ênfase atribuída à cura.Reports in Public HealthCadernos de Saúde Pública1992-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403Reports in Public Health; Vol. 8 No. 4 (1992): October/DecemberCadernos de Saúde Pública; v. 8 n. 4 (1992): Outubro/Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403/811https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403/812Akerman, MarcoNadanovsky, Pauloinfo:eu-repo/semantics/openAccess2024-03-06T15:25:51Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/403Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:00:35.920041Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Avaliação dos serviços de saúde: avaliar o quê? |
title |
Avaliação dos serviços de saúde: avaliar o quê? |
spellingShingle |
Avaliação dos serviços de saúde: avaliar o quê? Akerman, Marco Avaliação Qualidade Satisfação do Usuário |
title_short |
Avaliação dos serviços de saúde: avaliar o quê? |
title_full |
Avaliação dos serviços de saúde: avaliar o quê? |
title_fullStr |
Avaliação dos serviços de saúde: avaliar o quê? |
title_full_unstemmed |
Avaliação dos serviços de saúde: avaliar o quê? |
title_sort |
Avaliação dos serviços de saúde: avaliar o quê? |
author |
Akerman, Marco |
author_facet |
Akerman, Marco Nadanovsky, Paulo |
author_role |
author |
author2 |
Nadanovsky, Paulo |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Akerman, Marco Nadanovsky, Paulo |
dc.subject.por.fl_str_mv |
Avaliação Qualidade Satisfação do Usuário |
topic |
Avaliação Qualidade Satisfação do Usuário |
description |
This article acknowledges the limited influence of health services in the health/disease process as opposed to broader socio-economic factors. However, its aim is to offer a conceptual basis for those who are interested in evaluating the success (quality) of such services. The author maintains that there are two clearly distinct fields of health action, namely non-personal health services and clinical services (McKeown, 1979). In so saying, the author does not intend to reinstate the old dichotomy between prevention and cure, but to create a methodological distinction which could aid the evaluation process, since each level of action has its own indicators of success. The article also explores the concept of quality for clinical services as well as such services' tasks, and some criteria to devise indicators of quality are considered. The author concludes that the objectives of clinical services should be defined and explicitly stated. This choice determines the evaluation strategy. The author suggests that significant importance should be ascribed to users' interests in the evaluation process, and a case is made that much more emphasis should be given to the evaluation of care as opposed to the traditionally overvalued concept of cure. |
publishDate |
1992 |
dc.date.none.fl_str_mv |
1992-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403/811 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/403/812 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 8 No. 4 (1992): October/December Cadernos de Saúde Pública; v. 8 n. 4 (1992): Outubro/Dezembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1816705340280930304 |