Banca de QUALIFICAÇÃO: DANYLLO DO NASCIMENTO SILVA JUNIOR

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANYLLO DO NASCIMENTO SILVA JUNIOR
DATA : 30/04/2018
HORA: 08:00
LOCAL: DOD
TÍTULO:

QUALITY OF HOSPITAL CARE IN RIO GRANDE DO NORTE: EVALUATION OF USERS AND COMPANIONS

PALAVRAS-CHAVES:

Health evaluation; Quality of health care; Hospital care; Ambulatory care; Consumer behavior.

PÁGINAS: 80
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

The evaluation in the health area has gained more and more space in the national and international scenario, quality being one of the strategic elements on which the transformation and improvement of modern health systems is based. This research had the general objective of analyzing the perceptions of users and companions about the quality of hospital care in Rio Grande do Norte. To that end, the methodological course was guided by the following steps: (a) an integrative review was carried out, aiming to identify national and international perspectives related to the quality evaluation of hospital care; (b) a sectional study with the objective of identifying relationships among socio-demographic variables of users who answered the SUS Charter with characteristics of the hospital and outpatient services of the Unified Health System (SUS); (c) an analytical cross-sectional study to evaluate the SUS users' satisfaction regarding hospital and outpatient care, with reference to the physical structure, the health team's attendance and the quality of the treatment received; and (d) a qualitative study aimed at capturing and evaluating the perception of users and caregivers of public hospitals and contracted to SUS in Rio Grande do Norte. The results evidenced that most of the studies produced in Brazil and in the world about the subject had the user as a public, as well as American origin and quantitative approach. Of the total SUS SUS respondents, 62.3% were women, 62.4% were over 40 years old, 56.8% were in services in the interior, 70.3% in public services, the majority of the visits (68.7%) characterized as of medium complexity. The overall level of user satisfaction with services was above 80% in almost all regions of the state. The results also showed that there was no difference in the evaluation of services when compared to men and women; people over 60 tend to better evaluate health services; in all aspects the high complexity and services of the capital had better results (p≤0.001) and users evaluated more positively the service rendered by the private units agreed to the SUS than the public establishments. Regarding the qualitative findings, it was noticed that users and companions presented variations when comparing the types of hospitals, with fewer complaints to a university hospital before a state hospital of reference. It was also noticed that issues involving structural and material resources tend to have a greater negative impact on the perception of users. In general, this research revealed that the users were satisfied with the health services, however, peculiar aspects as indicated in the results of this study collaborate for the change in satisfaction level and reveal deficiencies in fundamental aspects for the guarantee of the organizational arrangements and the integrality of the care, essential to the process of realizing SUS.

MEMBROS DA BANCA:
Presidente - 1214923 - LUIZ ROBERTO AUGUSTO NORO
Interno - 1245215 - SEVERINA ALICE DA COSTA UCHOA
Externo à Instituição - ELLANY GURGEL COSME DO NASCIMENTO - UERN