Avaliação responsiva e construtivista de um hospital de ensino do Estado do Ceará

Abstract

According to the Article 200, section III of the Federal Constitution of 1988 in the field of training of professionals for the health sector, it is up to the Single Health System ordination of training of human resources. In this scenario, the Teaching Hospitals emerge as health equipment relevant to the training of professionals for the sector, since configure practice field for curricular activities of health area courses, and be responsible for the training of health professionals who will work on the network primary health care and public and private hospitals. Therefore, in order to meet the performance achieved by the State of Ceará Teaching Hospital in process management, education, research and health care after a contract with the NHS, proposed to evaluate, from the perspective of stakeholders, the performance a Ceará State Teaching Hospital after contracting with the National Health System as a Teaching Hospital, on track "Strategic actions in the area of assistance", "Management, Education and Research" and "Allocation Model of Financial Resources" and to examine the claims, concerns and issues raised by stakeholders for each of these three areas and compare these claims, concerns and issues among stakeholder groups. To this end, we conducted an evaluative, descriptive and exploratory research, qualitative approach, based on the model of Fourth Generation Evaluation of Guba and Lincoln (1989). Set in a study of private philanthropic hospital located in the state of Ceará, data collection followed seven steps of 12 proposed by the dialectic hermeneutical circle of Guba and Lincoln (1989) and had the 33 participating subjects involved in the researched hospital. The data analysis method used was the method of constant comparison, initially proposed by Glaser and Strauss (1967) within the framework of Grounded Theory. The study met the ethical principles of research involving human subjects, receiving favorable opinion of the Ethics Committee of the State University Acaraú Valley in number of CAAE 37096214.9.0000.5053. The vicariant buildings of stakeholders favored the emergence of focal codes that were organized in tables as normative axes of the teaching hospital and the organizers of the Fourth Generation Evaluation of Guba and Lincoln (1989). Thus, this assessment allowed us to conclude that the Restructuring Program of Teaching Hospitals in Brazil (BRAZIL, 2004) favored at the hospital researched, advancing on the three axes of the normative teaching hospitals, with the emergence of concerns and questions. Thus, further research is needed on the subject in order to improve the evaluation model used in this study and respond to emerging issues related to the performance of teaching hospitals after a contract with the NHS and the impact of the Teaching Hospitals Restructuring Program the normative and functional conformation of these.