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重视基层医疗保健专业人员计划(PROVAB)的可评估性:管理挑战

Evaluability of the Program to Value Primary Healthcare Professionals (PROVAB): management challenges.

作者信息

Oliveira Catia Martins, Cruz Marly Marques da, Kanso Solange, Reis Ana Cristina, Lima Antônio, Torres Raquel Maria Cardoso, Gonçalves Aline Leal, Carvalho Silvia Cristina de, Grabois Victor

机构信息

Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,

出版信息

Cien Saude Colet. 2015 Oct;20(10):2999-3010. doi: 10.1590/1413-812320152010.13322014.

DOI:10.1590/1413-812320152010.13322014
PMID:26465843
Abstract

The objective of this article is to present the results of a study on the evaluability of the Program to Value Primary Healthcare Professionals (PROVAB in the Portuguese) that was created by the Brazilian Ministry of Health in 2011. The Program is part of the Manage Healthcare Work and Educationstrategy which seeks to invest in a number of measures aimed at improving and valuing the work carried out by primary healthcare teams. The research, which used qualitative methods, was carried out between February and November 2013 and involved five stages: (a) analysis of documents; (b) identification of potential users; (c) strategic analysis; (d) modelling of the intervention; (e) sharing of lessons learned. Data collection took place in three iterative phases: document analysis, key informant interviews and a workshop. The activities of the program were grouped into three areas: functional and working conditions, teaching/learning and management. The results showed that the program can be evaluated, since it was possible to specify its feasibility by means of a logical model. The potential and priority areas were mapped for future evaluations, whose central focus is to address the problem of unequal distribution of Brazilian health professionals.

摘要

本文的目的是展示一项关于初级医疗保健专业人员价值评估计划(葡萄牙语为PROVAB)评估性研究的结果,该计划由巴西卫生部于2011年设立。该计划是“管理医疗工作与教育”战略的一部分,该战略旨在投资一系列措施,以改善和重视初级医疗保健团队所开展的工作。这项采用定性方法的研究于2013年2月至11月进行,涉及五个阶段:(a)文件分析;(b)确定潜在用户;(c)战略分析;(d)干预措施建模;(e)分享经验教训。数据收集分三个迭代阶段进行:文件分析、关键信息人访谈和一次研讨会。该计划的活动分为三个领域:职能与工作条件、教学/学习和管理。结果表明该计划可以进行评估,因为通过逻辑模型能够明确其可行性。为未来评估确定了潜在和优先领域,其核心重点是解决巴西卫生专业人员分布不均的问题。

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Implementation research: towards universal health coverage with more doctors in Brazil.实施研究:在巴西增加医生数量以实现全民健康覆盖。
Bull World Health Organ. 2017 Feb 1;95(2):103-112. doi: 10.2471/BLT.16.178236.