Núcleo São Paulo da Fundação Getúlio Vargas Management, Instituto de Desenvolvimento Educacional, Fundação Getúlio Vargas, São Paulo, SP, Brasil.
Rev Saude Publica. 2013 Feb;47(1):158-63; discussion 163. doi: 10.1590/s0034-89102013000100020.
To identify factors producing new trends in basic health care unit management and changes in management models.
This was a prospective study with ten health care unit managers and ten specialists in the field of Health in São Paulo, Southeastern Brazil, in 2010. The Delphi methodology was adopted. There were four stages of data collection, three quantitative and the fourth qualitative. The first three rounds dealt with changing trends in management models, manager profiles and required competencies, and the Mann-Whitney test was used in the analysis. The fourth round took the form of a panel of those involved, using thematic analysis.
The main factors which are driving change in basic health care units were identified, as were changes in management models. There was consensus that this process is influenced by the difficulties in managing teams and by politics. The managers were found to be up-to-date with trends in the wider context, with the arrival of social health organizations, but they are not yet anticipating these within the institutions.
Not only the content, but the professional development aspect of training courses in this area should be reviewed. Selection and recruitment, training and assessment of these professionals should be guided by these competencies aligned to the health service mission, vision, values and management models.
确定产生基层医疗单位管理新趋势的因素和管理模式的变化。
这是巴西东南部圣保罗市的十名卫生保健单位管理人员和十名卫生领域专家于 2010 年进行的一项前瞻性研究。采用德尔菲法。共进行了四轮数据收集，其中前三轮涉及管理模式、管理人员特征和所需能力的变化趋势，分析采用曼-惠特尼检验。第四轮采用专题分析的形式对利益相关者小组进行了讨论。
确定了推动基层医疗单位变革的主要因素和管理模式的变化。人们普遍认为，管理团队的困难和政治因素影响了这一进程。管理人员对更广泛背景下的社会卫生组织的趋势有一定的了解，但他们还没有在机构内部对此进行预测。
不仅要审查这一领域培训课程的内容，还要审查其专业发展方面。这些专业人员的选拔和招聘、培训和评估应根据与卫生服务使命、愿景、价值观和管理模式相一致的能力来进行指导。
