Ferraro Andréa Helena Argolo, Costa Ediná Alves, Vieira-da-Silva Lígia Maria
Secretaria da Saúde do Estado da Bahia, Salvador, Brasil.
Cad Saude Publica. 2009 Oct;25(10):2201-17. doi: 10.1590/s0102-311x2009001000011.
No consensus has been reached concerning the definition of criteria and standards for evaluating the decentralization of actions by municipal health surveillance systems. With the aim of developing and validating an objective image for municipal health surveillance that would correspond to an appropriate system for the population's health care needs, a logical framework was elaborated, from which a matrix containing dimensions and criteria for management and practices was obtained. The framework was submitted to an expert group for validation at a consensus conference. Of the 54 criteria, there was consensus for 59.3%, while 53 items (98%) were considered important, thus validating the matrix. In view of the provisory nature of the consensuses, the resulting instrument, which can be used either in its entirety or in part, enables modification and adaptation. The authors discuss the potential of the evaluation strategy adopted here, which allows various possibilities for redefining the criteria and renewing the consensus.
关于评估市级卫生监测系统行动分权的标准和规范的定义，尚未达成共识。为了开发并验证一个与满足民众医疗保健需求的适当系统相对应的市级卫生监测客观形象，精心构建了一个逻辑框架，从中得出了一个包含管理和实践维度及标准的矩阵。该框架在一次共识会议上提交给一个专家小组进行验证。在54项标准中，59.3%达成了共识，而53项（98%）被认为很重要，从而验证了该矩阵。鉴于这些共识的临时性，所得出的工具可全部或部分使用，能够进行修改和调整。作者讨论了此处采用的评估策略的潜力，该策略为重新定义标准和更新共识提供了各种可能性。
