Banca de DEFESA: CLAUDIA MARIA BANDEIRA PELLEGRINI

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : CLAUDIA MARIA BANDEIRA PELLEGRINI
DATA : 08/07/2021
HORA: 16:00
LOCAL: Videoconfêrencia
TÍTULO:

Small hospitals: relevance of the implementation of public policy in Bahia

PALAVRAS-CHAVES:

Public Policies; Small Hospitals; Public Policy Evaluation Models.

PÁGINAS: 130
GRANDE ÁREA: Ciências Sociais Aplicadas
ÁREA: Administração
RESUMO:

The municipalization resulting from the decentralization process of SUS has made the municipality the main space for the implementation of different health policies. The Ministry of Health, aiming at strengthening small hospitals and understanding their performance as a strategic element for comprehensive health care, instituted the Small Hospital Policy (PNHPP). In order to promote the regionalization of health services, Bahia sought to expand its scope. Thus, in addition to the perception that such measures promote greater security for the population and easier access to health services, this study aimed to demonstrate the level of implementation of the State Policy of Small Hospitals (PEHPP) in eight municipalities of the state, considering the context experienced in the period 2014-2020. To carry out the research, it was used the analysis of documents and questionnaires applied with users of these services, in order to obtain the necessary elements to answer the research question, using the content analysis based on the categories of the evaluation model focused on the objectives of public policy. The results of the work point to an intermediate level of implementation of this policy, with emphasis on the back-up actions of the Family Health Strategy, care to emergencies with the guarantee of continuity of care through referral to units of greater complexity. It is also noteworthy that 75% of the evaluated municipalities are responsible for most of the hospitalizations of their population. The main weaknesses found refer mainly to the managers' lack of responsibility in the implementation of the policy, neglecting the environment, the supply of equipment and of adequate human resources. Similarly, it was found a great vulnerability in the guideline linked to the model of care to normal birth, a priority for the policy, as well as the total absence of acting as a back-up for regional reference hospitals, in the counter-reference of stabilized patients, whose relevance has been greater during the pandemic. In this context, knowledge of the degree of implementation of the PEHPP can determine inconsistencies in the process and the necessary corrections in the course of the program. Thus, with this purpose in mind, we have as a product of this work, the proposal of a matrix to evaluate the degree of implementation of this policy. This matrix was applied to the hospitals that were the object of this research, and may be replicated and expanded for the evaluation of other hospital units, both in Bahia and in other Brazilian states. The main limitation of this dissertation is the number of questionnaires answered, which was impacted by the pandemic context that made it difficult for the researcher to access users and municipal managers. In order to overcome these limitations, we suggest the development of new studies investigating a larger number of users, as well as including municipal managers from different levels, thus contributing to the improvement of the matrix proposed here.

MEMBROS DA BANCA:
Interna - 3088038 - ANA RITA SILVA SACRAMENTO
Presidente - 1913274 - DENISE RIBEIRO DE ALMEIDA
Externa à Instituição - LIDIA BOAVENTURA PIMENTA - UNEB