Um modelo de avaliação da oolítica nacional de humanização sob o prisma da eficiência: proposta a partir de estudo de caso no Hospital e Maternidade Dona Íris em Goiânia/GO

• Autor(a) principal: Amorim, Mirian Castro Portilho Dias
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/8557
• topic: Avaliação de políticas públicas de saúde; Humanização; Rede cegonha; Modelo tradicional; Modelo pluralista; Evaluation of health public policies; Humanization; Stork network; Traditional model; Pluralist model; ADMINISTRACAO::ADMINISTRACAO PUBLICA

The present research focused on answering the following problem question: what are the limitations found in the PNH evaluation model proposed by Santos-Filho (2014) as a starting point for local efficiency and specificities? Thus, the overall objective of the study was to elaborate for the Hospital and Maternity Dona Iris an evaluation model for the HNP, focusing on humanization in the context of the Stork Network, adding participatory elements and starting with the strategic axes of monitoring and evaluation proposed by Santos-Filho (2014), the principle of efficiency and local specificities. The methodology used can be classified as applied, descriptive, with a qualitative approach and with regard to procedures such as case study. Crossing the methodological path of pluralistic perspective, interviews were conducted with 40 pregnant women, 13 health professionals and 2 managers. The main results identified in the diagnosis were: the maternity does not carry out local assessments with a view to measuring the humanization in the context of the Stork Network; the demand for vacancies and services extrapolates the delivery capacity of maternity services, impacting on the quality of care and the humanization both for patients and for health professionals; the waiting time for care is the main negative aspect posed by pregnant women and good care is the main positive aspect mentioned; transparency, one of the values that make up the organizational identity of motherhood, has not been applied to content, since production and financial reports are outdated in electronic websites; and health professionals do not realize that humanization in HMDI applies to them. Based on the diagnosis, a proposal for an evaluation model for HNP was prepared in the context of the Stork Network containing a list of indicators, variables and keywords for each evaluation axis; a technical sheet for describing indicators; a script for interview with users and health professionals; and a list of criteria to be analyzed in the direct observation of the health professionals' performance. The study is limited because it is a case study in which its findings, in principle, can’t be generalized, requiring new studies in other maternities to assertively verify the possibility of replication of the model throughout the network. maternal and child health in the city of Goiânia.