RESUMO
In Brazil, in recent years, as a result of the increasing participation of county authorities in health care, a need for tools which would contribute to the better preparation of local administrators, complementary to the activities of a more academic nature, has been recognized. One of the possible alternatives is the exploitation of experiences, regarded as successful, in local health care planning and administration, by using them as material for "case studies" in activities with selected groups of health care administrators thus, stimulating the identification of those elements which contributed to the favorable results attained, and their interactions, in the quest for analogies which would facilitate the identification of new perspectives for their own situations. In this article an experience of a "case studies" development, in response to a demand from UNICEF, based on 8 counties in from the North and Northeast, which were successful in using a "focus approach" in their organization of data and their utilisation in a seminar with 21 local managers from both regions, is presented. During the seminar the local health managers attained greater knowledge of the strategies implemented and identified feasible intervention alternatives. The methodological proposition of teaching on the basis of case studies, using a conceptual strategy of grouping experiences according to specific dimensions enabled local health managers to learn from their practical experiences.
Assuntos
Administradores de Instituições de Saúde/educação , Administração de Serviços de Saúde , Capacitação em Serviço/métodos , Brasil , Currículo , Humanos , Técnicas de PlanejamentoRESUMO
A case study assessed health care activities in a primary health care facility to help develop methodologies of care work assessment and of the proposal of leading categories for the said processes, based on the work process. This study was developed at the Centro de Saúde Escola of the Faculdade de Medicina of the Universidade de São Paulo, using as empirical material the assessment of the care activities aimed at the emergency care and programmed care of 'chronic' patients (patients suffering from hypertension and diabetes). The analysis of these assessments which considered different moments of the work process (working objects, activity of agents, analysis of the working means and result of the work) suggest the need of creating analytical categories that will make workable the understanding of this process, inserting each moment to the work as a whole. The analytical categories proposed are: 1) workability as a means of making effective the proposed actions; 2) strategic effectiveness as a measure of the scope of the results that have been observed among patients and/or the population and that can be the result of the actions performed.