Um modelo de avaliação da oolítica nacional de humanização sob o prisma da eficiência: proposta a partir de estudo de caso no Hospital e Maternidade Dona Íris em Goiânia/GO
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2018-05-18
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Universidade Federal de Goiás
Resumo
The present research focused on answering the following problem question: what are the
limitations found in the PNH evaluation model proposed by Santos-Filho (2014) as a starting
point for local efficiency and specificities? Thus, the overall objective of the study was to
elaborate for the Hospital and Maternity Dona Iris an evaluation model for the HNP, focusing
on humanization in the context of the Stork Network, adding
participatory elements and starting with the strategic axes of monitoring and evaluation
proposed by Santos-Filho (2014), the principle of efficiency and local specificities. The
methodology used can be classified as applied, descriptive, with a qualitative approach and
with regard to procedures such as case study. Crossing the methodological path of pluralistic
perspective, interviews were conducted with 40 pregnant women, 13
health professionals and 2 managers. The main results identified in the diagnosis were: the
maternity does not carry out local assessments with a view to measuring the humanization in
the context of the Stork Network; the demand for vacancies and services extrapolates the
delivery capacity of maternity services, impacting on the quality of care and the humanization
both for patients and for health professionals; the
waiting time for care is the main negative aspect posed by pregnant women and good care is
the main positive aspect mentioned; transparency, one of the values that make up the
organizational identity of motherhood, has not been applied to content, since production and
financial reports are outdated in electronic websites; and health professionals do not realize
that humanization in HMDI applies to them. Based on the diagnosis, a proposal for an
evaluation model for HNP was prepared in the context of
the Stork Network containing a list of indicators, variables and keywords for each evaluation
axis; a technical sheet for describing indicators; a script for interview with users and health
professionals; and a list of criteria to be analyzed in the direct observation of the health
professionals' performance. The study is limited because it is a case study in which its
findings, in principle, can’t be generalized, requiring new
studies in other maternities to assertively verify the possibility of replication of the model
throughout the network. maternal and child health in the city of Goiânia.
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AMORIM, Mirian. Um modelo de avaliação da oolítica nacional de humanização sob o prisma da eficiência: proposta a partir de estudo de caso no Hospital e Maternidade Dona Íris em Goiânia/GO. 2018. 216 f. Dissertação (Mestrado em Administração Pública em Rede Nacional) - Universidade Federal de Goiás, Aparecida de Goiânia, 2018.