SciELO - Scientific Electronic Library Online

vol.44 issue2Effects of macroeconomic conditions on health in BrazilExperiences of nurses in health care for female victims of sexual violence author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista de Saúde Pública

Print version ISSN 0034-8910


BOSI, Maria Lúcia Magalhães; PONTES, Ricardo José Soares  and  VASCONCELOS, Suziana Martins de. Quality dimensions in health evaluation: manager's conceptions. Rev. Saúde Pública [online]. 2010, vol.44, n.2, pp.318-324. ISSN 0034-8910.

OBJECTIVE: To understand manager's perceptions and experiences in regards to qualitative evaluations in basic health care. METHODOLOGICAL PROCEDURES: A qualitative study, based on the critical interpretive approach, was performed in 2006, in the city of Fortaleza, Northeastern Brazil. The sample consisted of the group responsible for planning basic health care at the state level. In order to obtain the empirical data, the focus group technique was utilized. ANALYSIS OF RESULTS: Two central themes emerged concerning the perceptions about quality and the dimensions of quality employed in health evaluations, which were revealed in distinct ways. The concepts of quality evaluation and qualitative evaluation did not appear clearly understood, confusing qualitative evaluation with formal quality evaluations. Likewise, the inherent multidimensionality of quality was not recognized. Despite the criticism expressed by the participants regarding the improper quantification of certain dimensions, the necessary technical skills and understanding were not observed for the approach to include the distinct dimensions of quality in the evaluation process. CONCLUSIONS: The conceptions of managers responsible for the planning of basic health care at the state level revealed an important disassociation from the premises of qualitative evaluation, especially those evaluations oriented by the fourth generation approach. Therefore, the model adopted by these actors for the evaluation of program and service quality did not consider their multidimensionality.

Keywords : Health Management; Health Manpower; Health Services Evaluation; Personnel Management; Qualitative Research.

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License