Avaliação da atenção primária à saúde e a incorporação da tecnologia da informação para a melhoria da qualidade da avaliação
Despite the ascendancy of evaluations in Primary Health Care, with possibilities for the development of meta-evaluations, as well as the increase in investments and access to Information Technologies, with an increase in its applicability in evaluation processes, mainly for the collection of data...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/48590 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Despite the ascendancy of evaluations in Primary Health Care, with possibilities for the
development of meta-evaluations, as well as the increase in investments and access to
Information Technologies, with an increase in its applicability in evaluation processes, mainly
for the collection of data and dissemination of results, so far, are incipient meta-evaluative
studies that show the consequences of the relationships established between technologies and
evaluators in the quality of the assessment. Using the Scoping Review, the Case Study, and the
conceptual structure of sociomateriality, this thesis sought to contribute to this field of research
and evaluative practices, evaluating the incorporation of Information Technology in the
evaluation of Primary Health Care in Brazil considering international quality standards. The
scoping review was developed following the Joanna Briggs Institute manual to map the uses of
the meta-evaluation of evaluative studies carried out in Primary Health Care. 23 studies,
published between 1999 and 2018, predominantly carried out in Brazil, were included. There
was more emphasis on summative meta-evaluations, with a focus on health programs and on
the management of Primary Care, which used as evaluative standards those recommended by
the Joint Committee on Standards for Educational Evaluation. The Case Study had a qualitative
approach. 07 technicians from the coordination of the Ministry of Health and 47 researchers
from Education and Research Institutions participated, with a total sample of 54 participants.
Data collection took place between July 2018 and July 2019, using interviews, focus groups,
and document analysis. Data were categorized by quality standards using the Atlas ti software
followed by Bardin's content analysis. For the case study on data collection, the results showed
that the technology made it possible to assess the national territory; contributed to the operationalization of an assessment with a large thematic scope; provided resources for field
activity management; minimized errors, streamlined and homogenized the collection; ensured
the completeness of the necessary information with a minimum of inconsistency, allowing the
achievement of useful and valid results for the certification of teams, health policies and
research. In addition, factors such as difficulty in handling, inoperability of the system, and lack
of investment in equipment and human resources can represent possible restrictions for the
efficiency of the application of technology in the assessment. As for the study on the
dissemination of results, advances were found in data visualization and the implementation of
open data initiatives, enabling its availability to professionals, policymakers and universities.
Challenges related to reporting delivery time, access restriction, reference to lack of interest,
and digital skills influenced the achievement of the objectives expected by the evaluation
proponent. It is considered that the incorporation of Information Technology has the potential
to reach quality standards, providing opportunities for the implementation of more effective
assessments, with the production of better results, acting constructively in the process of
improving the performance of health and management teams, inducing the redefinition of its
priority work processes, to improve and strengthen Primary Health Care. |
|---|