Sustainability analysis of an evaluation policy: the case of primary health care in Brazil

Cadernos de saúde pública
Eronildo FelisbertoIsabella Samico

Abstract

This study analyzes the sustainability of Brazil's National Policy for the Evaluation of Primary Health Care, based on the identification and categorization of representative critical events in the institutionalization process. This was an evaluative study of two analytical units: Federal Management of Primary Health Care and State Health Secretariats, using multiple case studies with data collected through interviews and institutional documents, using the critical incidents technique. Events that were temporally classified as specific to implementation, sustainability, and mixed were categorized analytically as pertaining to memory, adaptation, values, and rules. Federal management and one of the State Health Secretariats showed medium-level sustainability, while the other State Secretariat showed strong sustainability. The results indicate that the events were concurrent and suggest a weighting process, since the adaptation of activities, adequacy, and stabilization of resources displayed a strong influence on the others. Innovations and the development of technical capability are considered the most important results for sustainability.

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Citations

Nov 14, 2012·Cadernos de saúde pública·Ana Cláudia FigueiróEduarda Angela Pessoa Cesse
Aug 11, 2016·Revista de saúde pública·Cristiane Andrea Locatelli de Almeida, Oswaldo Yoshimi Tanaka
Apr 27, 2012·Ciência & saúde coletiva·Josimari Telino de LacerdaAngela Maria Blatt Ortiga
Apr 27, 2012·Ciência & saúde coletiva·Edson Mamoru TamakiAlcides Silva de Miranda
Jun 9, 2016·Ciência & saúde coletiva·Gisele Balbino Araujo Rodrigues de SáMaria de Fátima Marinho de Souza
Jun 5, 2014·Cadernos de saúde pública·Daniela Alba NickelZulmira Maria de Araújo Hartz
Oct 10, 2019·Revista gaúcha de enfermagem·Denise Elvira Pires de PiresThayse Aparecida Palhano de Melo
Dec 10, 2020·Ciência & saúde coletiva·Luciana Caroline Albuquerque BezerraZulmira Hartz

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