Canesqui Ana Maria, Spinelli Maria Angélica do Santos
Departamento de Medicina Preventiva e Social, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brazil.
Cad Saude Publica. 2008 Apr;24(4):862-70. doi: 10.1590/s0102-311x2008000400017.
This article analysis some key aspects in the implementation of the Family Health Program (FHP): results; conditions; and institutional mechanisms; flow and regularity of funding; organizational structures; and human resources availability and training. The study was conducted in seven municipalities (counties) in the State of Mato Grosso, Brazil, and used secondary data as well as primary data from interviews with different stakeholders. The research design was evaluative, using a quantitative/qualitative analysis. The results showed: varying stages in the implementation process, different FHP models, and adaptation of organizational structures; high level of human resources availability, except for nurse assistants; availability of financial resources, with some difficulties in their flow; and other institutional factors that hinder or facilitate the micro-implementation process in the municipalities.
本文分析了家庭健康计划(FHP)实施过程中的一些关键方面:成果;条件;制度机制;资金流动与规律;组织结构;以及人力资源的可得性与培训情况。该研究在巴西马托格罗索州的七个市(县)开展,使用了二手数据以及来自对不同利益相关者访谈的一手数据。研究设计为评估性研究,采用定量/定性分析方法。结果显示:实施过程处于不同阶段,存在不同的家庭健康计划模式,以及组织结构的调整;人力资源可得性较高,但护理助理除外;有财政资源可用,不过资金流动存在一些困难;还有其他一些阻碍或促进各市微观实施过程的制度因素。