From the theory to the formulation of a National Policy of Evaluation in Health: reopening the debate
From the theory to the formulation of a National Policy of Evaluation in Health: reopening the debate
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DOI：
10.1590/s1413-81232006000300002
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发表时间：
2006-09-01
期刊：
影响因子：
--
通讯作者：
Felisberto, Eronildo
中科院分区：
文献类型：
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作者：
Felisberto, Eronildo
本文从公共管理的角度出发，通过在初级保健的日常工作中引入评估文化作为卫生保健政策的指导要素，对评估制度化的意义进行了理论和操作上的反思。讨论的方向是对先前强调健康和初级保健评估制度化的辩论的文献进行总结修订。本文捍卫的原则是，只有当评估产生的知识和信息能够产生制度和专业的改进时，评估才会产生价值。此外，它还处理需要广泛的工具，包括政治体制决策、财政资源、技术机制和人力资源资格的组织战略，适应初级保健管理权力下放进程和巴西统一保健系统的其他指示和原则所产生的具体需要。
This article proposes a theoretical and operational reflection about the significance of institutionalizing evaluation from the perspective of public management, by introducing a culture of evaluation in the routine of primary care as guiding element for a health care policy. The discussion is oriented by a summary revision of the literature contextualizing 2 previous debates that emphasized the Institutionalization of Evaluation in Health and Primary Care. The article defends the principle that evaluation only aggregates value when the knowledge and information it produced come to generate institutional and professional improvement. Furthermore, it approaches the need for a broad range of tools including political-institutional decision-making, financial resources, technical mechanisms and organizational strategies for the qualification of human resources, adapted to the specific needs arising from the decentralization process of the primary health care management and other directives and principles of the Unified Health System in Brazil.