AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT

Detalhes bibliográficos
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
Resumo: 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.
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spelling AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENTAUDITORÍA EN SERVICIOS AMBULATORIOS DE FISIOTERAPIA DEL SUS: PROPUESTA DE INSTRUMENTOAUDITORIA EM SERVIÇOS AMBULATORIAIS DE FISIOTERAPIA DO SUS: PROPOSTA DE INSTRUMENTOProtocolos; Auditoria Médica; Sistema Único de Saúde; Fisioterapia; Serviços de SaúdeProtocolos. 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.Este estudio como objetivo validar y presentar una propuesta de instrumento de auditoría para servicios ambulatorios de fisioterapia del SUS. Se trata de un estudio metodológico con abordaje descriptivo, donde a partir de una revisión de literatura se elaboró ”‹”‹un instrumento seis dimensiones y 79 criterios de averiguación distribuidos entre ellas. Se validó el instrumento en dos etapas: la primera a través del ciclo Delphi con 16 auditores del SUS y la segunda en estudio piloto realizado en dos servicios públicos de fisioterapia. Compone el instrumento, las siguientes dimensiones: adecuación normativa; estructura física; recursos materiales; gestión de personas; organización / funcionamiento y gestión de resultados; con criterios y puntuación distribuidos que totalizan 79 puntos, pudiendo su aplicación del instrumento ser realizada de forma extensiva o intensiva. Se propuso una clasificación del grado de conformidad, que varía de incipiente a avanzado, considerando la puntuación total y subescores del instrumento. Que la propuesta del presente instrumento auxilie en la sistematización de las auditorías de servicios de fisioterapia del SUS, permitiendo análisis comparativos del grado de conformidad entre los servicios y que subsidien recomendaciones, medidas preventivas, correctivas y punitivas (cuando sea necesario), que reflejen sobre la calidad de la atención, la seguridad y la satisfacción de los usuarios.Este trabalho apresenta uma proposta de instrumento de auditoria para serviços ambulatoriais de fisioterapia do SUS. Trata-se de um estudo exploratório descritivo, a partir de revisão nacional de artigos, teses, dissertações e documentos técnico-normativos do Ministério da Saúde e Conselho Federal de Fisioterapia e Terapia Ocupacional, publicados entre 1986 e 2014. Validou-se o instrumento em duas etapas: um em rodada única e eletrônica, com 16 auditores do SUS e outra, em estudo piloto realizado em dois serviços públicos de fisioterapia. O instrumento é apresentado nas seguintes dimensões: adequação normativa; estrutura física; recursos materiais; gestão de pessoas; organização/funcionamento e gestão de resultados; com critérios e pontuação distribuídos que totalizam 79 pontos, podendo a aplicação do instrumento ser realizada de forma extensiva ou intensiva. Propõe-se uma classificação do grau de conformidade, que varia de incipiente a avançado, considerando o escore total e subescores do instrumento. Espera-se que a proposta do presente instrumento auxilie na sistematização das auditorias de serviços de fisioterapia do SUS, permitindo análises comparativas do grau de conformidade entre os serviços e que subsidiem recomendações, medidas preventivas, corretivas e punitivas (quando necessário), que reflitam sobre a qualidade da atenção, segurança e satisfação dos usuários.Universidade de Brasilia2019-08-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.unb.br/index.php/rgs/article/view/20290ELECTRONIC JOURNAL MANAGEMENT AND HEALTH; Vol. 9 No. 3 (2018): Setembro - Dezembro; 365-378Revista Gestão & Saúde; v. 9 n. 3 (2018): Setembro - Dezembro; 365-3781982-478510.18673/http://dx.doi.org/10.18673/gs.v9i3reponame:Revista Gestão & Saúde (Brasília)instname:Universidade de Brasília (UnB)instacron:UNBporhttps://periodicos.unb.br/index.php/rgs/article/view/20290/18740Copyright (c) 2018 Revista Eletronica Gestão & Saúdeinfo:eu-repo/semantics/openAccessSantos Aleluia, Ítalo RicardoBahia, JulianaJúnior, Jaílson de Souza S.Santos, Fabiane CostaSantana, MarcusSousa, RafaelPaixão, SuzaneSantos, Hugo Moura dos2019-11-08T18:20:29Zoai:ojs.pkp.sfu.ca:article/20290Revistahttp://periodicos.unb.br/index.php/rgs/index/PUBhttps://periodicos.unb.br/index.php/rgs/oaigestaoesaude@unb.br||1982-47851982-4785opendoar:2019-11-08T18:20:29Revista Gestão & Saúde (Brasília) - Universidade de Brasília (UnB)false
dc.title.none.fl_str_mv AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
AUDITORÍA EN SERVICIOS AMBULATORIOS DE FISIOTERAPIA DEL SUS: PROPUESTA DE INSTRUMENTO
AUDITORIA EM SERVIÇOS AMBULATORIAIS DE FISIOTERAPIA DO SUS: PROPOSTA DE INSTRUMENTO
title AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
spellingShingle AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
Santos Aleluia, Ítalo Ricardo
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.
title_short AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
title_full AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
title_fullStr AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
title_full_unstemmed AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
title_sort AUDIT IN AMBULATORIAL SERVICES OF SUS PHYSIOTHERAPY: PROPOSAL OF INSTRUMENT
author Santos Aleluia, Ítalo Ricardo
author_facet Santos Aleluia, Ítalo Ricardo
Bahia, Juliana
Júnior, Jaílson de Souza S.
Santos, Fabiane Costa
Santana, Marcus
Sousa, Rafael
Paixão, Suzane
Santos, Hugo Moura dos
author_role author
author2 Bahia, Juliana
Júnior, Jaílson de Souza S.
Santos, Fabiane Costa
Santana, Marcus
Sousa, Rafael
Paixão, Suzane
Santos, Hugo Moura dos
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Santos Aleluia, Ítalo Ricardo
Bahia, Juliana
Júnior, Jaílson de Souza S.
Santos, Fabiane Costa
Santana, Marcus
Sousa, Rafael
Paixão, Suzane
Santos, Hugo Moura dos
dc.subject.por.fl_str_mv 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.
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.
description 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.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-12
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.unb.br/index.php/rgs/article/view/20290
url https://periodicos.unb.br/index.php/rgs/article/view/20290
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.unb.br/index.php/rgs/article/view/20290/18740
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista Eletronica Gestão & Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista Eletronica Gestão & Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de Brasilia
publisher.none.fl_str_mv Universidade de Brasilia
dc.source.none.fl_str_mv ELECTRONIC JOURNAL MANAGEMENT AND HEALTH; Vol. 9 No. 3 (2018): Setembro - Dezembro; 365-378
Revista Gestão & Saúde; v. 9 n. 3 (2018): Setembro - Dezembro; 365-378
1982-4785
10.18673/http://dx.doi.org/10.18673/gs.v9i3
reponame:Revista Gestão & Saúde (Brasília)
instname:Universidade de Brasília (UnB)
instacron:UNB
instname_str Universidade de Brasília (UnB)
instacron_str UNB
institution UNB
reponame_str Revista Gestão & Saúde (Brasília)
collection Revista Gestão & Saúde (Brasília)
repository.name.fl_str_mv Revista Gestão & Saúde (Brasília) - Universidade de Brasília (UnB)
repository.mail.fl_str_mv gestaoesaude@unb.br||
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