Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Administração Pública e Gestão Social |
Texto Completo: | https://periodicos.ufv.br/apgs/article/view/15276 |
Resumo: | Research objective: To Identify and analyze possible differences between what the internal auditor of the SUS/BA Audit believes to be his attribution and what the actors that integrate the structure of the Governance and Management System of Sesab expect the internal audit to perform, regarding the purpose of the audit and the Auditor's responsibility. Theoretical framework: Two theories give theoretical support to this study, while the agency theory explains the reason for the audit, the Legitimacy Theory explains how the audit is used and recognized. Methodology: It was an exploratory study, with a qualitative approach, carried out in the SUS/BA Audit, and data obtained based on the literature, documentary research, and semi-structured interviews, analyzed through content analysis and information triangulation. Results: The results showed gaps in expectations between the perception of the two interviewed groups, corroborating the explored literature. Originality: This study differs from the others in that it transposes to the Audit of the SUS/BA a phenomenon of the audit of the private sector, which lacks exploration in the public sector; and by the qualitative approach, despite the empirical evidence using a quantitative approach. Theoretical and practical contributions: The expectation gap phenomenon supported by the theory of legitimacy was ratified. The theoretical implication is also shown in the qualitative approach, which allowed identifying not only the existence of gaps but also what they are and why they exist. In practical terms, with the disclosure of the differences, the Audit of the SUS/BA will be able to institutionally approach the actors of Governance and Management and promote training to deal with the expectations of the auditors, their attributions, and responsibilities. Keywords: Government Audit, SUS Audit, Expectation Gap, Public Governance. |
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Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in BahiaBrecha de Expectativas en la Auditoría en Salud Pública un Estudio en el Contexto de las Atribuciones y Responsabilidades de los Profesionales de Auditoría del SUS en BahiaExpectation Gap na Auditoria em Saúde Pública: um Estudo no Contexto das Atribuições e Responsabilidades dos Profissionais da Auditoria do SUS da BahiaResearch objective: To Identify and analyze possible differences between what the internal auditor of the SUS/BA Audit believes to be his attribution and what the actors that integrate the structure of the Governance and Management System of Sesab expect the internal audit to perform, regarding the purpose of the audit and the Auditor's responsibility. Theoretical framework: Two theories give theoretical support to this study, while the agency theory explains the reason for the audit, the Legitimacy Theory explains how the audit is used and recognized. Methodology: It was an exploratory study, with a qualitative approach, carried out in the SUS/BA Audit, and data obtained based on the literature, documentary research, and semi-structured interviews, analyzed through content analysis and information triangulation. Results: The results showed gaps in expectations between the perception of the two interviewed groups, corroborating the explored literature. Originality: This study differs from the others in that it transposes to the Audit of the SUS/BA a phenomenon of the audit of the private sector, which lacks exploration in the public sector; and by the qualitative approach, despite the empirical evidence using a quantitative approach. Theoretical and practical contributions: The expectation gap phenomenon supported by the theory of legitimacy was ratified. The theoretical implication is also shown in the qualitative approach, which allowed identifying not only the existence of gaps but also what they are and why they exist. In practical terms, with the disclosure of the differences, the Audit of the SUS/BA will be able to institutionally approach the actors of Governance and Management and promote training to deal with the expectations of the auditors, their attributions, and responsibilities. Keywords: Government Audit, SUS Audit, Expectation Gap, Public Governance.Objetivo de la investigación: Identificar y analizar las posibles diferencias entre lo que el auditor interno de la Auditoría SUS/BA cree que es su atribución y lo que los actores que integran la estructura del Sistema de Gobernanza y Gestión de la Sesab esperan que la auditoría interna realice, en cuanto a el propósito de la auditoría y la responsabilidad del Auditor. Marco teórico: Dos teorías dan sustento teórico a este estudio, mientras que la teoría de la agencia explica el motivo de la auditoría, la teoría de la legitimidad explica cómo se utiliza y reconoce la auditoría. Metodología: Fue un estudio exploratorio, con enfoque cualitativo, realizado en la Auditoría SUS/BA y datos obtenidos a partir de la literatura, investigación documental y entrevistas semiestructuradas, analizados a través del análisis de contenido, seguido de triangulación de informaciones. Resultados: Los resultados mostraron brechas en las expectativas entre la percepción de los dos grupos entrevistados, corroborando la literatura explorada. Originalidad: Este estudio se diferencia de los demás en que transpone a la Auditoría del SUS/BA un fenómeno de la auditoría del sector privado, que carece de exploración en el sector público; y por el enfoque cualitativo, a pesar de la evidencia empírica utilizando un enfoque cuantitativo. Aportes teóricos y prácticos: Se ratificó el fenómeno de la brecha de expectativas sustentado en la teoría de la legitimidad. La implicación teórica también se muestra en el enfoque cualitativo, que permitió identificar no solo la existencia de brechas sino también cuáles son y por qué existen. En términos prácticos, con la divulgación de las diferencias, la Auditoría del SUS/BA podrá acercarse institucionalmente a los actores de la Gobernanza y la Gestión y promover la formación para atender las expectativas de los auditores, sus atribuciones y responsabilidades. Palabras clave: Auditoría del Gobierno, Auditoría SUS, Brecha de Expectativas, Gobernanza Pública.Objetivo da pesquisa: Identificar e analisar as possíveis diferenças entre o que o auditor interno da Auditoria do SUS/BA acredita ser sua atribuição e o que os atores que integram a estrutura do Sistema de Governança e Gestão da Sesab esperam que a auditoria interna realize, em relação ao propósito da auditoria e à responsabilidade do Auditor. Enquadramento Teórico: Duas teorias dão suporte teórico a esse estudo, enquanto a teoria da agência explica o porquê da auditoria, a teoria da legitimidade explica como a auditoria é utilizada e reconhecida. Metodologia: Tratou-se de estudo de natureza exploratória, com abordagem qualitativa, realizada na Auditoria do SUS/BA com dados obtidos com fundamento na literatura, pesquisa documental e entrevistas semiestruturadas, avaliados mediante análise de conteúdo e triangulação de informações. Resultados: Os resultados apontaram lacunas de expectativas entre a percepção dos dois grupos entrevistados, corroborando com a literatura explorada. Originalidade: O estudo se diferencia dos demais por transpor para a Auditoria do SUS/BA um fenômeno de interesse da auditoria do setor privado, carente de exploração no setor público; e pela abordagem qualitativa, a despeito das evidências empíricas utilizarem abordagem quantitativa. Contribuições teóricas e práticas: Ratificou-se o fenômeno expectation gap sustentado pela teoria da legitimidade. A implicação teórica também se mostra na abordagem qualitativa, que permitiu identificar não somente a existência das lacunas como, também, quais são e por que existem. Em termos práticos, com a revelação das diferenças, a Auditoria do SUS/BA poderá se aproximar institucionalmente dos atores da Governança e Gestão e promover capacitações para tratar das expectativas dos auditores, suas atribuições e responsabilidades. Palavras-chave: Auditoria Governamental, Auditoria do SUS, Expectation Gap, Governança Pública.Universidade Federal de Viçosa2024-04-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.ufv.br/apgs/article/view/1527610.21118/apgs.v16i2.15276Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Administração Pública e Gestão Social; Abril-junho 2024: 16(2)Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2)2175-5787reponame:Administração Pública e Gestão Socialinstname:Universidade Federal de Viçosa (UFV)instacron:UFVporenghttps://periodicos.ufv.br/apgs/article/view/15276/9641https://periodicos.ufv.br/apgs/article/view/15276/9642https://periodicos.ufv.br/apgs/article/view/15276/9648http://creativecommons.org/licenses/by-nc-nd/3.0/deed.pt_BRinfo:eu-repo/semantics/openAccessSantos, Daniela Silva dosRibeiro, Elizabeth MatosPinheiro, Francisco Marton GleusonAlbuquerque, Katia Silene Lopes de Souza2024-04-26T02:03:15Zoai:ojs.periodicos.ufv.br:article/15276Revistahttps://periodicos.ufv.br/apgsPUBhttps://periodicos.ufv.br/apgs/oaiapgs.ufv@gmail.com||wescleysxavier@yahoo.com.br2175-57872175-5787opendoar:2024-04-26T02:03:15Administração Pública e Gestão Social - Universidade Federal de Viçosa (UFV)false |
dc.title.none.fl_str_mv |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia Brecha de Expectativas en la Auditoría en Salud Pública un Estudio en el Contexto de las Atribuciones y Responsabilidades de los Profesionales de Auditoría del SUS en Bahia Expectation Gap na Auditoria em Saúde Pública: um Estudo no Contexto das Atribuições e Responsabilidades dos Profissionais da Auditoria do SUS da Bahia |
title |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
spellingShingle |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia Santos, Daniela Silva dos |
title_short |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
title_full |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
title_fullStr |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
title_full_unstemmed |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
title_sort |
Expectation Gap in Public Health Audit a Study in the Context of the Attributions and Responsibilities of SUS Audit Professionals in Bahia |
author |
Santos, Daniela Silva dos |
author_facet |
Santos, Daniela Silva dos Ribeiro, Elizabeth Matos Pinheiro, Francisco Marton Gleuson Albuquerque, Katia Silene Lopes de Souza |
author_role |
author |
author2 |
Ribeiro, Elizabeth Matos Pinheiro, Francisco Marton Gleuson Albuquerque, Katia Silene Lopes de Souza |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Daniela Silva dos Ribeiro, Elizabeth Matos Pinheiro, Francisco Marton Gleuson Albuquerque, Katia Silene Lopes de Souza |
description |
Research objective: To Identify and analyze possible differences between what the internal auditor of the SUS/BA Audit believes to be his attribution and what the actors that integrate the structure of the Governance and Management System of Sesab expect the internal audit to perform, regarding the purpose of the audit and the Auditor's responsibility. Theoretical framework: Two theories give theoretical support to this study, while the agency theory explains the reason for the audit, the Legitimacy Theory explains how the audit is used and recognized. Methodology: It was an exploratory study, with a qualitative approach, carried out in the SUS/BA Audit, and data obtained based on the literature, documentary research, and semi-structured interviews, analyzed through content analysis and information triangulation. Results: The results showed gaps in expectations between the perception of the two interviewed groups, corroborating the explored literature. Originality: This study differs from the others in that it transposes to the Audit of the SUS/BA a phenomenon of the audit of the private sector, which lacks exploration in the public sector; and by the qualitative approach, despite the empirical evidence using a quantitative approach. Theoretical and practical contributions: The expectation gap phenomenon supported by the theory of legitimacy was ratified. The theoretical implication is also shown in the qualitative approach, which allowed identifying not only the existence of gaps but also what they are and why they exist. In practical terms, with the disclosure of the differences, the Audit of the SUS/BA will be able to institutionally approach the actors of Governance and Management and promote training to deal with the expectations of the auditors, their attributions, and responsibilities. Keywords: Government Audit, SUS Audit, Expectation Gap, Public Governance. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-25 |
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://periodicos.ufv.br/apgs/article/view/15276 10.21118/apgs.v16i2.15276 |
url |
https://periodicos.ufv.br/apgs/article/view/15276 |
identifier_str_mv |
10.21118/apgs.v16i2.15276 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://periodicos.ufv.br/apgs/article/view/15276/9641 https://periodicos.ufv.br/apgs/article/view/15276/9642 https://periodicos.ufv.br/apgs/article/view/15276/9648 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/3.0/deed.pt_BR info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/3.0/deed.pt_BR |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Viçosa |
publisher.none.fl_str_mv |
Universidade Federal de Viçosa |
dc.source.none.fl_str_mv |
Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Administração Pública e Gestão Social; Abril-junho 2024: 16(2) Revista de Administração Pública e Gestão Social; Abril-junho 2024: 16(2) 2175-5787 reponame:Administração Pública e Gestão Social instname:Universidade Federal de Viçosa (UFV) instacron:UFV |
instname_str |
Universidade Federal de Viçosa (UFV) |
instacron_str |
UFV |
institution |
UFV |
reponame_str |
Administração Pública e Gestão Social |
collection |
Administração Pública e Gestão Social |
repository.name.fl_str_mv |
Administração Pública e Gestão Social - Universidade Federal de Viçosa (UFV) |
repository.mail.fl_str_mv |
apgs.ufv@gmail.com||wescleysxavier@yahoo.com.br |
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1800211102477320192 |