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[基层医疗管理者的评估应用:巴西南部的一个案例研究]

[Use of evaluation by primary healthcare managers: a case study in southern Brazil].

作者信息

Nickel Daniela Alba, Natal Sonia, Hartz Zulmira Maria de Araújo, Calvo Maria Cristina Marino

机构信息

Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, Brazil.

Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Portugal.

出版信息

Cad Saude Publica. 2014 Dec;30(12):2619-30. doi: 10.1590/0102-311X00022314.

Abstract

This article reports on a meta-evaluation, focused on utilization, in a state in southern Brazil. This was a single case study with primary data collection using semi-structured interviews with health department administrators and staff. Content analysis used categories defined in the evaluation matrix: political and organizational context and implementation of evaluation. The political and organizational context revealed weaknesses in the items on experience, evaluation team, and time and space for reflection. Technical autonomy was verified in the State and in one municipality. In the implementation of evaluation, evaluative quality met the established criteria, but there was no prior definition of the uses and users of evaluation. One report referred to use for planning actions and political use. The study concluded that evaluation produced important information for stakeholders, with the political and organizational context as the principal limiting factor for use.

摘要

本文报道了巴西南部一个州的一项以利用为重点的元评估。这是一项单案例研究,通过与卫生部门管理人员和工作人员进行半结构化访谈收集原始数据。内容分析采用了评估矩阵中定义的类别:政治和组织背景以及评估的实施。政治和组织背景揭示了在经验、评估团队以及反思的时间和空间等项目上存在的弱点。在该州和一个市验证了技术自主性。在评估实施过程中,评估质量符合既定标准,但对评估的用途和使用者没有事先定义。一份报告提到用于规划行动和政治用途。研究得出结论,评估为利益相关者提供了重要信息,政治和组织背景是使用的主要限制因素。

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