Quality dimensions in health evaluation: manager's conceptions
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32772 |
Resumo: | OBJECTIVE: To understand manager's perceptions and experiences in regards to qualitative evaluations in basic health care. METHODOLOGICAL PROCEDURES: A qualitative study, based on the critical interpretive approach, was performed in 2006, in the city of Fortaleza, Northeastern Brazil. The sample consisted of the group responsible for planning basic health care at the state level. In order to obtain the empirical data, the focus group technique was utilized. ANALYSIS OF RESULTS: Two central themes emerged concerning the perceptions about quality and the dimensions of quality employed in health evaluations, which were revealed in distinct ways. The concepts of quality evaluation and qualitative evaluation did not appear clearly understood, confusing qualitative evaluation with formal quality evaluations. Likewise, the inherent multidimensionality of quality was not recognized. Despite the criticism expressed by the participants regarding the improper quantification of certain dimensions, the necessary technical skills and understanding were not observed for the approach to include the distinct dimensions of quality in the evaluation process. CONCLUSIONS: The conceptions of managers responsible for the planning of basic health care at the state level revealed an important disassociation from the premises of qualitative evaluation, especially those evaluations oriented by the fourth generation approach. Therefore, the model adopted by these actors for the evaluation of program and service quality did not consider their multidimensionality. |
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Quality dimensions in health evaluation: manager's conceptions Dimensiones de la calidad en la evaluación en salud: concepciones de gestores Dimensões da qualidade na avaliação em saúde: concepções de gestores Gestão em SaúdeRecursos Humanos em SaúdeAvaliação de Serviços de SaúdeAdministração de Recursos HumanosPesquisa QualitativaGestión en SaludRecursos Humanos en SaludEvaluación de Servicios de SaludAdministración de PersonalInvestigación CualitativaHealth ManagementHealth ManpowerHealth Services EvaluationPersonnel ManagementQualitative Research OBJECTIVE: To understand manager's perceptions and experiences in regards to qualitative evaluations in basic health care. METHODOLOGICAL PROCEDURES: A qualitative study, based on the critical interpretive approach, was performed in 2006, in the city of Fortaleza, Northeastern Brazil. The sample consisted of the group responsible for planning basic health care at the state level. In order to obtain the empirical data, the focus group technique was utilized. ANALYSIS OF RESULTS: Two central themes emerged concerning the perceptions about quality and the dimensions of quality employed in health evaluations, which were revealed in distinct ways. The concepts of quality evaluation and qualitative evaluation did not appear clearly understood, confusing qualitative evaluation with formal quality evaluations. Likewise, the inherent multidimensionality of quality was not recognized. Despite the criticism expressed by the participants regarding the improper quantification of certain dimensions, the necessary technical skills and understanding were not observed for the approach to include the distinct dimensions of quality in the evaluation process. CONCLUSIONS: The conceptions of managers responsible for the planning of basic health care at the state level revealed an important disassociation from the premises of qualitative evaluation, especially those evaluations oriented by the fourth generation approach. Therefore, the model adopted by these actors for the evaluation of program and service quality did not consider their multidimensionality. OBJETIVO: Comprender concepciones y experiencias de gestores con relación a la evaluación cualitativa en la atención básica en salud. PROCEDIMIENTOS METODOLÓGICOS: Estudio cualitativo, fundamentado en la vertiente crítico-interpretativa, realizado en 2006 en la ciudad de Fortaleza, en noreste de Brasil. La muestra teórica fue compuesta por el grupo responsable por la planificación de la atención básica en nivel estatal. Para la obtención del material empírico, se utilizó la técnica de grupo focal. ANÁLISIS DE LOS RESULTADOS: Emergieron dos temas centrales: concepciones de calidad y dimensiones de la calidad en la praxis de la evaluación en salud, desdoblándose en aspectos distintos. Los conceptos calidad y evaluación cualitativa no se mostraron claramente demarcados, confundiéndose la evaluación cualitativa con la evaluación de la calidad formal. Del mismo modo, no se reconoce la multidimensionalidad inherente a la calidad. A pesar de las críticas de los participantes a la cuantificación indebida de ciertas dimensiones, no se observó claridad y dominio técnico con relación al abordaje a utilizar para abarcar las distintas dimensiones de la calidad en procesos evaluativos. CONCLUSIONES: Las concepciones de los gestores responsables por la planificación de la atención básica, en el espacio estudiado, revelan un importante distanciamiento de las premisas de la evaluación cualitativa, sobretodo en aquella orientada por el enfoque de cuarta generación. Por lo tanto, el modelo adoptado por esos actores en la evaluación de la calidad de los programas y servicios no contempla su multidimensionalidad. OBJETIVO: Compreender concepções e experiências de gestores em relação à avaliação qualitativa na atenção básica em saúde. PROCEDIMENTOS METODOLÓGICOS: Estudo qualitativo, fundamentado na vertente crítico-interpretativa, realizado em 2006 na cidade de Fortaleza, CE. A amostra teórica foi composta pelo grupo responsável pelo planejamento da atenção básica em nível estadual. Para a obtenção do material empírico, utilizou-se a técnica de grupo focal. ANÁLISE DOS RESULTADOS: Emergiram dois temas centrais: concepções de qualidade e dimensões da qualidade na práxis da avaliação em saúde, desdobrando-se em aspectos distintos. Os conceitos qualidade e avaliação qualitativa não se mostraram claramente demarcados, confundindo-se a avaliação qualitativa com a avaliação da qualidade formal. Do mesmo modo, não se reconhece a multidimensionalidade inerente à qualidade. A despeito de se revelarem nos depoimentos críticas à quantificação indevida de certas dimensões, não se observou clareza e domínio técnico quanto à abordagem a utilizar para abranger as distintas dimensões da qualidade em processos avaliativos. CONCLUSÕES: As concepções dos gestores responsáveis pelo planejamento da atenção básica, no espaço estudado, revelam um importante distanciamento das premissas da avaliação qualitativa, sobretudo aquela orientada pelo enfoque de quarta geração. Portanto, o modelo adotado por esses atores na avaliação da qualidade dos programas e serviços não contempla sua multidimensionalidade. Universidade de São Paulo. Faculdade de Saúde Pública2010-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3277210.1590/S0034-89102010000200012Revista de Saúde Pública; Vol. 44 No. 2 (2010); 318-324 Revista de Saúde Pública; Vol. 44 Núm. 2 (2010); 318-324 Revista de Saúde Pública; v. 44 n. 2 (2010); 318-324 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32772/35257https://www.revistas.usp.br/rsp/article/view/32772/35258Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessBosi, Maria Lúcia MagalhãesPontes, Ricardo José SoaresVasconcelos, Suziana Martins de2012-07-10T02:16:31Zoai:revistas.usp.br:article/32772Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:16:31Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Quality dimensions in health evaluation: manager's conceptions Dimensiones de la calidad en la evaluación en salud: concepciones de gestores Dimensões da qualidade na avaliação em saúde: concepções de gestores |
title |
Quality dimensions in health evaluation: manager's conceptions |
spellingShingle |
Quality dimensions in health evaluation: manager's conceptions Bosi, Maria Lúcia Magalhães Gestão em Saúde Recursos Humanos em Saúde Avaliação de Serviços de Saúde Administração de Recursos Humanos Pesquisa Qualitativa Gestión en Salud Recursos Humanos en Salud Evaluación de Servicios de Salud Administración de Personal Investigación Cualitativa Health Management Health Manpower Health Services Evaluation Personnel Management Qualitative Research |
title_short |
Quality dimensions in health evaluation: manager's conceptions |
title_full |
Quality dimensions in health evaluation: manager's conceptions |
title_fullStr |
Quality dimensions in health evaluation: manager's conceptions |
title_full_unstemmed |
Quality dimensions in health evaluation: manager's conceptions |
title_sort |
Quality dimensions in health evaluation: manager's conceptions |
author |
Bosi, Maria Lúcia Magalhães |
author_facet |
Bosi, Maria Lúcia Magalhães Pontes, Ricardo José Soares Vasconcelos, Suziana Martins de |
author_role |
author |
author2 |
Pontes, Ricardo José Soares Vasconcelos, Suziana Martins de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Bosi, Maria Lúcia Magalhães Pontes, Ricardo José Soares Vasconcelos, Suziana Martins de |
dc.subject.por.fl_str_mv |
Gestão em Saúde Recursos Humanos em Saúde Avaliação de Serviços de Saúde Administração de Recursos Humanos Pesquisa Qualitativa Gestión en Salud Recursos Humanos en Salud Evaluación de Servicios de Salud Administración de Personal Investigación Cualitativa Health Management Health Manpower Health Services Evaluation Personnel Management Qualitative Research |
topic |
Gestão em Saúde Recursos Humanos em Saúde Avaliação de Serviços de Saúde Administração de Recursos Humanos Pesquisa Qualitativa Gestión en Salud Recursos Humanos en Salud Evaluación de Servicios de Salud Administración de Personal Investigación Cualitativa Health Management Health Manpower Health Services Evaluation Personnel Management Qualitative Research |
description |
OBJECTIVE: To understand manager's perceptions and experiences in regards to qualitative evaluations in basic health care. METHODOLOGICAL PROCEDURES: A qualitative study, based on the critical interpretive approach, was performed in 2006, in the city of Fortaleza, Northeastern Brazil. The sample consisted of the group responsible for planning basic health care at the state level. In order to obtain the empirical data, the focus group technique was utilized. ANALYSIS OF RESULTS: Two central themes emerged concerning the perceptions about quality and the dimensions of quality employed in health evaluations, which were revealed in distinct ways. The concepts of quality evaluation and qualitative evaluation did not appear clearly understood, confusing qualitative evaluation with formal quality evaluations. Likewise, the inherent multidimensionality of quality was not recognized. Despite the criticism expressed by the participants regarding the improper quantification of certain dimensions, the necessary technical skills and understanding were not observed for the approach to include the distinct dimensions of quality in the evaluation process. CONCLUSIONS: The conceptions of managers responsible for the planning of basic health care at the state level revealed an important disassociation from the premises of qualitative evaluation, especially those evaluations oriented by the fourth generation approach. Therefore, the model adopted by these actors for the evaluation of program and service quality did not consider their multidimensionality. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-04-01 |
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://www.revistas.usp.br/rsp/article/view/32772 10.1590/S0034-89102010000200012 |
url |
https://www.revistas.usp.br/rsp/article/view/32772 |
identifier_str_mv |
10.1590/S0034-89102010000200012 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32772/35257 https://www.revistas.usp.br/rsp/article/view/32772/35258 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 44 No. 2 (2010); 318-324 Revista de Saúde Pública; Vol. 44 Núm. 2 (2010); 318-324 Revista de Saúde Pública; v. 44 n. 2 (2010); 318-324 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221790397530112 |