AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT

• Autor(a) principal: Santos Aleluia, Ítalo Ricardo
• Data de Publicação: 2019
• Outros Autores: Bahia, Juliana, Júnior, Jaílson de Souza S., Santos, Fabiane Costa, Santana, Marcus, Sousa, Rafael, Paixão, Suzane, Santos, Hugo Moura dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Gestão & Saúde (Brasília)
• Texto Completo: https://periodicos.unb.br/index.php/rgs/article/view/20290
• topic: Protocolos; Auditoria Médica; Sistema Único de Saúde; Fisioterapia; Serviços de Saúde; Protocolos. Auditoria Médica. Sistema Único de Salud. Fisioterapia. Servicios de Salud.; Protocol. Medical Audit. SUS. Unified Health System. Physical Therapy Specialty. Health Services.

This study aimed to validate and present a proposal for an audit instrument for outpatient physiotherapy services of SUS. It is a methodological study with a descriptive approach, where from a literature review a six-dimensional instrument and 79 criteria of inquiry distributed among them were elaborated. The instrument was validated two steps: one in a single electronic round, with 16 SUS auditors and the other in a pilot study conducted in two public physiotherapy services. The instrument was validated in two stages: the first through the Delphi cycle with 16 SUS auditors and the second in a pilot study conducted in two public physiotherapy services. Composed of the instrument, the following dimensions: normative adequacy; physical structure; material resources; people management; organization / operation and management of results; with distributed criteria and punctuation that total 79 points, and its application of the instrument can be carried out extensively or intensively. It was proposed a classification of the degree of conformity, which varied from incipient to advanced, considering the total score and subscores of the instrument. That the proposal of this instrument assist in the systematization of the audits of physiotherapy services of the SUS, allowing comparative analyzes of the degree of conformity between the services and that subsidize recommendations, preventive, corrective and punitive measures (when necessary), which reflect on the quality of attention, safety and user satisfaction.