Analysis of the evaluation of the FHP small cities

Detalhes bibliográficos
Autor(a) principal: Kluthcovsky, Fábio Aragão
Data de Publicação: 2007
Outros Autores: Kluthcovsky, Ana Cláudia Garabeli Cavalli
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/354
Resumo: The Family Health Program (FHP) plays an important role in the strengthening of basic care in the Brazilian public health system. Currently the FHP is spreading over the Brazilian cities and regions, being implemented with different intensity and in different forms, reflecting the diversity of the country itself. In 2005, the Ministry of Health (MH) proposed evaluating the Family Health Program by means of specific questionnaires. The aim of this descriptive reflective study is to conduct a critical analysis of the instrument proposed by the Ministry of Health for evaluating the FHP in the light of the specialized literature. The proposed quantitative evaluation methodology is limiting the comprehension of the different local contexts. Moreover, there is a lack of user-based evaluation as refers to the quality of the delivered services. Another important limitation is that the participation of the municipal administrations in the evaluation is optional. On the other hand, the proposal of the Ministry has the merit of representing a specific and systematized self-evaluation process for the FHP, integrating the opinion of different actors in a methodological approach traditionally accepted for evaluating the quality of health actions. The integration of the municipal administrations to the Evaluation and Monitoring Plan of the states has the advantage of involving the states in the harmonization of regional inequalities and in the solution of possible technical deficiencies and/or management difficulties on municipal level. The functionality and resolutivity of the evaluation methodology proposed by the Ministry of Health will certainly play an important role in the strategic decision-making of public managers and health teams.
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spelling Analysis of the evaluation of the FHP small citiesAnálise da avaliação do PSF em municípios de pequeno porte.Family Health ProgramEvaluation in HealthEvaluation in ProgramsPrograma Saúde da FamíliaAvaliação em SaúdeAvaliação de Programas.The Family Health Program (FHP) plays an important role in the strengthening of basic care in the Brazilian public health system. Currently the FHP is spreading over the Brazilian cities and regions, being implemented with different intensity and in different forms, reflecting the diversity of the country itself. In 2005, the Ministry of Health (MH) proposed evaluating the Family Health Program by means of specific questionnaires. The aim of this descriptive reflective study is to conduct a critical analysis of the instrument proposed by the Ministry of Health for evaluating the FHP in the light of the specialized literature. The proposed quantitative evaluation methodology is limiting the comprehension of the different local contexts. Moreover, there is a lack of user-based evaluation as refers to the quality of the delivered services. Another important limitation is that the participation of the municipal administrations in the evaluation is optional. On the other hand, the proposal of the Ministry has the merit of representing a specific and systematized self-evaluation process for the FHP, integrating the opinion of different actors in a methodological approach traditionally accepted for evaluating the quality of health actions. The integration of the municipal administrations to the Evaluation and Monitoring Plan of the states has the advantage of involving the states in the harmonization of regional inequalities and in the solution of possible technical deficiencies and/or management difficulties on municipal level. The functionality and resolutivity of the evaluation methodology proposed by the Ministry of Health will certainly play an important role in the strategic decision-making of public managers and health teams.No subsistema de saúde público brasileiro o fortalecimento da Atenção Básica teve particular contribuição do Programa Saúde da Família (PSF). Atualmente, o PSF se desenvolve em cenários heterogêneos nos municípios e regiões brasileiras, espelhando a diversidade nacional e a grande variação de intensidade e formas de implantação do programa. A partir de 2005, o Ministério da Saúde (MS) propôs a institucionalização da avaliação do PSF por meio de questionários específicos. Este estudo objetivou analisar de forma crítica o instrumento de avaliação do PSF, proposto pelo MS. Tratase de um estudo descritivo-reflexivo, com base na literatura especializada. A proposta de avaliação, com desenho metodológico quantitativo, limita a apreensão dos diferentes contextos municipais. Também se faz sentir a ausência da avaliação de usuários em relação à qualidade da atenção. Outro fato importante é que a avaliação poderá ser limitada por ser de livre adesão pelos gestores municipais. Por outro lado, a proposta do MS tem o mérito de ser um processo específico e sistematizado de auto-avaliação para o PSF, com integração de diferentes atores, em um referencial metodológico tradicional em qualidade de ações de saúde. A integração do gestor municipal ao Plano Estadual de Avaliação e Monitoramento tem o benefício de envolver estados na harmonização de desigualdades regionais, além de suprir eventuais deficiências técnicas e/ou dificuldades relativas à gestão da estratégia nos municípios. A praticidade e a resolutividade da avaliação do PSF proposta pelo MS certamente terão papel importante para uso do gestor e equipes no direcionamento da estratégia e tomada de decisões.Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2007-11-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original Articlesapplication/pdfapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/35410.5712/rbmfc3(10)354Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 No. 10 (2007); 116-124Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 Núm. 10 (2007); 116-124Revista Brasileira de Medicina de Família e Comunidade; v. 3 n. 10 (2007); 116-1242179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporenghttps://www.rbmfc.org.br/rbmfc/article/view/354/249https://www.rbmfc.org.br/rbmfc/article/view/354/250Copyright (c) 2007 Fábio Aragão Kluthcovsky, Ana Cláudia Garabeli Cavalli Kluthcovskyinfo:eu-repo/semantics/openAccessKluthcovsky, Fábio AragãoKluthcovsky, Ana Cláudia Garabeli Cavalli2020-05-21T21:17:21Zoai:ojs.rbmfc.org.br:article/354Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2020-05-21T21:17:21Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false
dc.title.none.fl_str_mv Analysis of the evaluation of the FHP small cities
Análise da avaliação do PSF em municípios de pequeno porte.
title Analysis of the evaluation of the FHP small cities
spellingShingle Analysis of the evaluation of the FHP small cities
Kluthcovsky, Fábio Aragão
Family Health Program
Evaluation in Health
Evaluation in Programs
Programa Saúde da Família
Avaliação em Saúde
Avaliação de Programas.
title_short Analysis of the evaluation of the FHP small cities
title_full Analysis of the evaluation of the FHP small cities
title_fullStr Analysis of the evaluation of the FHP small cities
title_full_unstemmed Analysis of the evaluation of the FHP small cities
title_sort Analysis of the evaluation of the FHP small cities
author Kluthcovsky, Fábio Aragão
author_facet Kluthcovsky, Fábio Aragão
Kluthcovsky, Ana Cláudia Garabeli Cavalli
author_role author
author2 Kluthcovsky, Ana Cláudia Garabeli Cavalli
author2_role author
dc.contributor.author.fl_str_mv Kluthcovsky, Fábio Aragão
Kluthcovsky, Ana Cláudia Garabeli Cavalli
dc.subject.por.fl_str_mv Family Health Program
Evaluation in Health
Evaluation in Programs
Programa Saúde da Família
Avaliação em Saúde
Avaliação de Programas.
topic Family Health Program
Evaluation in Health
Evaluation in Programs
Programa Saúde da Família
Avaliação em Saúde
Avaliação de Programas.
description The Family Health Program (FHP) plays an important role in the strengthening of basic care in the Brazilian public health system. Currently the FHP is spreading over the Brazilian cities and regions, being implemented with different intensity and in different forms, reflecting the diversity of the country itself. In 2005, the Ministry of Health (MH) proposed evaluating the Family Health Program by means of specific questionnaires. The aim of this descriptive reflective study is to conduct a critical analysis of the instrument proposed by the Ministry of Health for evaluating the FHP in the light of the specialized literature. The proposed quantitative evaluation methodology is limiting the comprehension of the different local contexts. Moreover, there is a lack of user-based evaluation as refers to the quality of the delivered services. Another important limitation is that the participation of the municipal administrations in the evaluation is optional. On the other hand, the proposal of the Ministry has the merit of representing a specific and systematized self-evaluation process for the FHP, integrating the opinion of different actors in a methodological approach traditionally accepted for evaluating the quality of health actions. The integration of the municipal administrations to the Evaluation and Monitoring Plan of the states has the advantage of involving the states in the harmonization of regional inequalities and in the solution of possible technical deficiencies and/or management difficulties on municipal level. The functionality and resolutivity of the evaluation methodology proposed by the Ministry of Health will certainly play an important role in the strategic decision-making of public managers and health teams.
publishDate 2007
dc.date.none.fl_str_mv 2007-11-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos Originais; Original Articles
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/354
10.5712/rbmfc3(10)354
url https://www.rbmfc.org.br/rbmfc/article/view/354
identifier_str_mv 10.5712/rbmfc3(10)354
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/354/249
https://www.rbmfc.org.br/rbmfc/article/view/354/250
dc.rights.driver.fl_str_mv Copyright (c) 2007 Fábio Aragão Kluthcovsky, Ana Cláudia Garabeli Cavalli Kluthcovsky
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2007 Fábio Aragão Kluthcovsky, Ana Cláudia Garabeli Cavalli Kluthcovsky
eu_rights_str_mv openAccess
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application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
dc.source.none.fl_str_mv Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 No. 10 (2007); 116-124
Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 Núm. 10 (2007); 116-124
Revista Brasileira de Medicina de Família e Comunidade; v. 3 n. 10 (2007); 116-124
2179-7994
1809-5909
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instname_str Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
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reponame_str Revista Brasileira de Medicina de Família e Comunidade (Online)
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