Avaliação do complexo regulador do sistema público municipal de serviços de saúde / Evaluation of the regulator complex of the municipal public system of health services

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

This study aimed to evaluate the publicity of the implementation of the Regulator Complex (CR) of the Municipal Public System of Health Services for the care network of Ribeirão Preto, SP, Brazil. The health evaluation provided the theoretical framework and the specific objectives were: evaluate the CR scope according to the coverage dimension in 2004, 2005 and 2006; evaluate the CR effect in terms of social effectiveness. This is a normative evaluation and an evaluative research with a quantitative qualitative approach. The scenario was the CR in RP/SP in its functional and organizational space of regulatory actions operation of the care system implemented in the Municipal Secretary of Health. The primary sources produced with workers of different professional categories who acted in the CR management and in its operational level were collected through structured interview according to the following thematic axis: implementation of the CR, its function as operational tool for the primary care and the relation between the proposed intervention and the results accomplished. The secondary sources were: CR official documents, Minutes of the Municipal Council of Health; local newspapers, outpatient and hospital DATASUS Information System. For the organization of the analysis indexes, a specific data sheet was elaborated, with data related to the coverage indexes: Primary Consultation index; Specialized Consultation Index, Low and Medium Complexity Hospitalizations Index; High Complexity Hospitalization Index. The thematic analysis was used for the primary data which was coordinated with the indexes produced. The study showed that: the CR caused alterations on the organizational accessibility and equity in the health network, both in the outpatient and the hospital care; highlighted the need of creating a comprehensive care network and presented the power of the strategy as a proficient evaluation and management tool. The CR implementation changed significantly the subjectswork process. The evaluation also pointed that despite the little time of implementation, the CR strategy has potential to benefit the SUS sustainability, though investment, publicity and improvement are necessary.

ASSUNTO(S)

regulator complex health evaluation rede de cuidados continuados de saúde complexo regulador delivery of health care health services accessibility eqüidade em saúde health regulation and fiscalization equity in health regulação e fiscalização em saúde avaliação em saúde assistência integral à saúde acesso aos serviços de saúde comprehensive health care

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