Felisberto Eronildo, Freese Eduardo, Bezerra Luciana Caroline Albuquerque, Alves Cinthia Kalyne de Almeida, Samico Isabella
Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brasil.
Cad Saude Publica. 2010 Jun;26(6):1079-95. doi: 10.1590/s0102-311x2010000600003.
This study analyzes the sustainability of Brazil's National Policy for the Evaluation of Primary Health Care, based on the identification and categorization of representative critical events in the institutionalization process. This was an evaluative study of two analytical units: Federal Management of Primary Health Care and State Health Secretariats, using multiple case studies with data collected through interviews and institutional documents, using the critical incidents technique. Events that were temporally classified as specific to implementation, sustainability, and mixed were categorized analytically as pertaining to memory, adaptation, values, and rules. Federal management and one of the State Health Secretariats showed medium-level sustainability, while the other State Secretariat showed strong sustainability. The results indicate that the events were concurrent and suggest a weighting process, since the adaptation of activities, adequacy, and stabilization of resources displayed a strong influence on the others. Innovations and the development of technical capability are considered the most important results for sustainability.
本研究基于对制度化过程中具有代表性的关键事件的识别和分类,分析了巴西初级卫生保健评估国家政策的可持续性。这是一项针对两个分析单位的评估研究:初级卫生保健联邦管理部门和州卫生秘书处,采用多案例研究方法,通过访谈和机构文件收集数据,并运用关键事件技术。在时间上被归类为特定于实施、可持续性和混合类别的事件,在分析上被归类为与记忆、适应、价值观和规则相关。联邦管理部门和其中一个州卫生秘书处显示出中等水平的可持续性,而另一个州秘书处则显示出较强的可持续性。结果表明,这些事件是同时发生的,并建议进行加权处理,因为活动的调整、资源的充足性和稳定性对其他方面有很大影响。创新和技术能力的发展被认为是可持续性的最重要成果。