In a context where the institutionalization process of basic attention evaluation requires the participation of those involved, doubts are raised concerning the possibility of exemption of internal evaluators in the face of failure elements identified in daily work and the object of evaluation. A perspective is adopted relative to healthcare that the object of evaluation is not detached from the evaluator and is inserted in a symbolic network justifying interest and ensuing an action interpretation. When including monitoring and research related to services routine, a relatively unbiased analysis results from the recognition that neutrality is an illusion, or, the ability of accepting the possibilities of preconceiving the facts permitting, through a systematic practical exercise, to admit reality as it is, and not as one would hope for. Therefore, the more a criticism and self-criticism balance between objective and subjective conditions is reached the more reality one unravels.
Evaluation; Institutionalization