0130/2019 - Desafios à Gestão do Desempenho: Análise lógica de uma Política de Avaliação na Vigilância em Saúde. Challenges to Performance Management: Logic analysis of a Evaluation Policy in Health Surveillance.
Reconhecer as contribuições da área de avaliação no suporte ao desempenho das políticas de saúde, é admiti-la de forma contínua e permanente no contexto da gestão. Isso requer um conjunto de procedimentos, para além das práticas de monitoramento e avaliação, denominado gestão do desempenho. O objetivo desse estudo foi analisar a lógica da Política de Avaliação da Vigilância em Saúde (VS) de Pernambuco, comparando-a com a Política canadense correspondente. Para tal, foi realizado um estudo qualitativo, análise lógica da teoria do programa, utilizando-se como ferramenta o desenho do modelo lógico da gestão do desempenho, e sua respectiva matriz de análise e julgamento com os critérios a serem avaliados. Na VS, foram entrevistados 9 informantes-chave e analisados documentos; o modelo canadense foi analisado com base em um documento produzido por Lahey (2010). As duas políticas estudadas são convergentes, possuindo os elementos necessários à gestão do desempenho. Porém, enquanto a avaliação teve destaque no modelo canadense, o monitoramento constituiu-se o eixo condutor da institucionalização das práticas avaliativas na VS. Algumas lições aprendidas no modelo canadense podem ser recomendadas, como o desenvolvimento de um plano de avaliação, pautado no nível estratégico e decisor da VS.
Palavras-chave:
Avaliação em Saúde; Avaliação de Desempenho; Vigilância em Saúde.
Abstract:
Recognizing the contributions of the evaluation area in supporting the performance of health policies, is to admit it in a continuous and permanent way in the context of management. This requires a set of procedures that goes beyond monitoring and evaluation practices. It’s called performance management. The goal of this study was to analyse the logic of the Health Surveillance Evaluation Policy (HS) of Pernambuco, comparing it with the corresponding Canadian policy. For this purpose, a qualitative study, logic analysis of the program theory, was carried out, using as a tool the design of the logical model of performance management, and its respective matrix of analysis and judgment with the criteria to be evaluated. In the HS, 9 key informants were interviewed and documents were analyzed; the Canadian model was analyzed based on a paper written by Lahey (2010). Both policies analyzed by this study are convergent, and both have the necessary elements for performance management. But while the evaluation featured largely in the Canadian model, monitoring was the driving force behind the institutionalization of evaluative practices in HS. Some lessons learned in the Canadian model can be recommended, such as the development of an evaluation plan, based on the strategic and decision-making level of HS.
Keywords:
Health Evaluation; Performance Evaluation; Health Surveillance.
Challenges to Performance Management: Logic analysis of a Evaluation Policy in Health Surveillance.
Resumo (abstract):
Recognizing the contributions of the evaluation area in supporting the performance of health policies, is to admit it in a continuous and permanent way in the context of management. This requires a set of procedures that goes beyond monitoring and evaluation practices. It’s called performance management. The goal of this study was to analyse the logic of the Health Surveillance Evaluation Policy (HS) of Pernambuco, comparing it with the corresponding Canadian policy. For this purpose, a qualitative study, logic analysis of the program theory, was carried out, using as a tool the design of the logical model of performance management, and its respective matrix of analysis and judgment with the criteria to be evaluated. In the HS, 9 key informants were interviewed and documents were analyzed; the Canadian model was analyzed based on a paper written by Lahey (2010). Both policies analyzed by this study are convergent, and both have the necessary elements for performance management. But while the evaluation featured largely in the Canadian model, monitoring was the driving force behind the institutionalization of evaluative practices in HS. Some lessons learned in the Canadian model can be recommended, such as the development of an evaluation plan, based on the strategic and decision-making level of HS.
Palavras-chave (keywords):
Health Evaluation; Performance Evaluation; Health Surveillance.
Bezerra, L.C.A, Felisberto, E., Costa, J.M.B da, ALVES, C.K.A., Hartz, Z. Desafios à Gestão do Desempenho: Análise lógica de uma Política de Avaliação na Vigilância em Saúde.. Cien Saude Colet [periódico na internet] (2019/mai). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desafios-a-gestao-do-desempenho-analise-logica-de-uma-politica-de-avaliacao-na-vigilancia-em-saude/17204?id=17204
