Desempenho da atenção hospitalar no contexto do SUS: uma reflexão crítica sobre seu referencial teórico-prático
Data
2021
Autores
Beltrammi, Daniel Gomes Monteiro [UNIFESP]
Orientadores
Chioro dos Reis, Ademar Arthur [UNIFESP]
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Conhecer e compreender os conceitos que possam compor os referenciais teórico-práticos sobre o desempenho da atenção hospitalar no contexto do Sistema Único de Saúde (SUS). Discutir e validar os referenciais teórico-práticos que sejam mais adequados para formação de uma estrutura conceitual. Propor uma estrutura conceitual integrada, que possa contribuir para o aperfeiçoamento contínuo de modelos conceituais dedicados à análise do desempenho da atenção hospitalar no contexto do SUS. Métodos: A pesquisa realizada é de caráter qualitativo, tendo sido sendo desenvolvida por meio de uma revisão integrativa da literatura e de uma consulta a especialistas, combinadas sequencialmente em uma estratégia multimétodos. Resultados: O estudo identificou dezessete conceitos e seus elementos explicativos para o desempenho da atenção hospitalar e dos sistemas de saúde. Estes referenciais teórico-práticos foram analisados e validados por uma consulta a especialistas, quanto ao seu grau de relevância e importância para composição de uma estrutura conceitual, que os integrasse e colaborasse para ampliar e trazer maior clareza sobre o desempenho da atenção hospitalar no contexto do SUS. Diante da consecução dos esforços apresentados foi possível propor a formação de uma estrutura de conceitos integrados para o desempenho da atenção hospitalar no contexto do SUS, a ECIDAH-SUS. Considerações finais: A proposição de uma estrutura de conceitos integrados amplia e traz clareza para o conceito de desempenho da atenção hospitalar no contexto do SUS. Contribui para atenuar as insuficiências conceituais, que dificultam os esforços de aperfeiçoamento contínuo dos modelos conceituais dedicados à análise deste desempenho. Colabora também, para induzir compromissos com transformações sistêmicas duradouras, capazes de contribuir para o aprimoramento, não só da atenção hospitalar, mas também do SUS.
Objective: Know and understand the concepts that can make up the theoretical and practical references on the performance of hospital care in Brazil´s Unified Health System context. Discuss and validate the theoretical and practical references that are most appropriate for the formation of a conceptual framework. Propose an integrated conceptual framework that can contribute to the continuous improvement of conceptual models to the performance analyses of hospital care in Brazil’s Unified Health System context. Methods: The research carried out is qualitative in nature and was conducted through an integrative literature review and consultation with experts, sequentially combined in a multimethod strategy. Results: The study identified seventeen concepts and their explanatory elements for the performance of hospital care and health systems. These theoretical and practical references were analyzed and validated by a consultation with experts, as to their degree of relevance and importance for the composition of a conceptual framework, which would integrate and collaborate to expand and bring greater clarity about the performance of hospital care in Brazil’s Unified Health System context. Given the achievement of the efforts presented, it was possible to propose the formation of a structure of integrated concepts for the performance of hospital care in Brazil’s Unified Health System context. Final considerations: The proposition of a structure of integrated concepts expands and brings clarity to the concept of hospital care performance in Brazil´s Unified Health System. It contributes to mitigate conceptual insufficiencies that hamper efforts on continuous improvement of conceptual models dedicated to performance analyses. It also collaborates to induce commitments with lasting systemic changes, capable of contributing to the improvement, not only of hospital care, but also of the Brazil´s Unified Health System.
Objective: Know and understand the concepts that can make up the theoretical and practical references on the performance of hospital care in Brazil´s Unified Health System context. Discuss and validate the theoretical and practical references that are most appropriate for the formation of a conceptual framework. Propose an integrated conceptual framework that can contribute to the continuous improvement of conceptual models to the performance analyses of hospital care in Brazil’s Unified Health System context. Methods: The research carried out is qualitative in nature and was conducted through an integrative literature review and consultation with experts, sequentially combined in a multimethod strategy. Results: The study identified seventeen concepts and their explanatory elements for the performance of hospital care and health systems. These theoretical and practical references were analyzed and validated by a consultation with experts, as to their degree of relevance and importance for the composition of a conceptual framework, which would integrate and collaborate to expand and bring greater clarity about the performance of hospital care in Brazil’s Unified Health System context. Given the achievement of the efforts presented, it was possible to propose the formation of a structure of integrated concepts for the performance of hospital care in Brazil’s Unified Health System context. Final considerations: The proposition of a structure of integrated concepts expands and brings clarity to the concept of hospital care performance in Brazil´s Unified Health System. It contributes to mitigate conceptual insufficiencies that hamper efforts on continuous improvement of conceptual models dedicated to performance analyses. It also collaborates to induce commitments with lasting systemic changes, capable of contributing to the improvement, not only of hospital care, but also of the Brazil´s Unified Health System.
Descrição
Citação
BELTRAMMI, D G M. Desempenho da atenção hospitalar no contexto do SUS: uma reflexão crítica sobre seu referencial teórico-prático. São Paulo, 2021. 142 p. Tese (Doutorado em Saúde Coletiva) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2021 .