| |  | Contandriopoulos, André-Pierre | Avaliando a institucionalização da avaliação read moreAbstract: This article approaches the challenges posed by the need to conceive and implement a culture of evaluation. For this purpose it discusses the relations and differences between evaluative research, normative evaluation and decision-making. The analysis shows the capacity to institutionalize the evaluation as a tool for improving the health system to be self-contradictory, for presupposing that the information produced by an evaluation helps to rationalize the decision processes. It is affirmed that the degree to which the results of an evaluation are taken into consideration by decision-makers varies according to their credibility, theoretical foundation and pertinence. What can be observed is that the actors occupying different positions are unable to agree upon the pertinence of the results produced by the evaluation. For turning evaluation into a core-strategy for transforming the health system the author suggests to create the conditions for a truly critical judgment through implementation of strategies that favor professional qualification and instruction, debates, reflections and the opening of new horizons of intervention. Institutionalize the evaluation implies in the first place in questioning the capacity of this evaluation to produce the information and judgments the decision-makers need for improving the performance of the SUS. | 2006 |
| | | Campos, Carlos E. | Estratégias de avaliação e melhoria contínua da qualidade no contexto da Atenção Primária à Saúde read moreAbstract: Recent governmental initiatives allowed for quality assessment proposals to Primary Healthcare in Brazil. This is a new field but a priority in the current strengthening of Family Health strategy following a decade of expansion and consolidation. This article focuses on assessment and quality improvement strategies in the context of Primary Healthcare. | 2005 |
| | | Akerman, Marco | É possível avaliar um imperativo ético? read moreAbstract: Stakeholders and institutions involved in implementing public policies, of which health promotion is the main axis, have discussed the need to improve evaluation processes in order to appropriately understand the results of these actions. This issue has been approached with diverse emphasis - seeking elements that demonstrate the effectiveness of the actions, and developing participatory evaluation tools that address the philosophical principles of the health promotion . This article briefly presents the main current perspectives of health promotion assessment based primarily on the following references: a book published by WHO, in 2001, updates the state-of-the art in evaluation of health promotion; an initiative by PAHO implemented in the past years with an emphasis on participatory evaluation methodologies; and a project on evidence and effectiveness carried out by IUHPE, as of 2002. Finally, it addresses a set of values and principles that could guide health promotion assessment. Moreover, the paper discusses three critical variables related to developing a participatory evaluation process in a healthy city project.These perspectives demonstrate the importance of establishing a conceptual landmark for evaluation, and that health promotion assessment is not exempt from values and principles. | 2004 |
| | | Uchimura, Kátia Y. | Qualidade e subjetividade na avaliação de programas e serviços em saúde read moreAbstract: Este ensaio versa sobre a avaliação de programas e serviços de saúde, dando ênfase à subjetividade imanente ao processo de avaliar. Trata-se de uma construção teórica que focaliza os diversos sentidos da avaliação, a influência do paradigma positivista no campo da avaliação de programas e serviços de saúde, o caráter polissêmico do termo qualidade e sua estreita imbricação com a subjetividade. Em adição, procuramos indicar a importância dos estudos que incorporam as perspectivas dos atores sociais nos processos de avaliação, apontando a metodologia qualitativa de pesquisa social como sendo um profícuo instrumento. | 2002 |
| | | Novaes, Hillegonda M. | Avaliação de programas, serviços e tecnologias em saúde read moreAbstract: The field of program, services and technology evaluation in general, and in health care in particular, is going through an important growth and conceptual and methodological diversification. It is also the object of an increasing demand for its participation as an effective supportive instrument in the decision-making process, and a constant need in the dynamics of health systems and services. In this paper, based on literature review, nuclear criteria involved in the organization of all evaluation processes are identified, and articulated with the existing institutionalized evaluation practices in developed countries, that is, program evaluation, quality assessment and management and technology assessment. In conclusion, the incipient development of a methodological evaluation output in Brazil is analyzed. | 2000 |
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