|
Planning (16pts)
|
|
6
|
37.5
|
| The Hearing Rehabilitation Plan is described in the state health plan and is applied as a management tool; (8pts) |
a) The Hearing Rehabilitation Plan is described in the state health plan and is applied as a management tool; (8pts)
b) The Plan is not described in any of the documents analyzed, but it is applied as a management tool at the technical level of the department and service managers; (6pts)
c) The Hearing Rehabilitation Plan is described in the state health plan, but does not apply as a management tool; (4pts)
d) d) The plan is not described in any of the documents and does not apply as a management tool at any level of the health department; (2pts) |
4 |
50 |
| Participation of users, workers, providers and managers in planning; (8 pts) |
a) Participation of users, workers, providers and managers in planning; (8 pts)
b) Planning is devised by the State Health Department’s technical staff and endorsed by the Health Council; (6pts)
c) Participation is limited to service providers and the State Health Department‘s technical staff; (4pts)
d) The planning is devised only by the State Health Department’s technical staff; (2pts)
|
2 |
25 |
|
Evaluation (24pts)
|
|
10
|
41.6
|
| There are evaluation and monitoring processes for the network and services in place, which take into account the structure, processes, and results of the actions; (8pts) |
a) There are evaluation and monitoring processes for the network and services in place, which take into account the structure, processes, and results of the actions; (8pts)
b) Evaluation practices are performed by the services themselves, regardless of the State Health Department’s’s management; (6pts)
c) Service supervision in practice; (4pts)
d) Evaluation is not performed; (2pts) |
4 |
50 |
| Existence of studies evaluating the efficiency and quality of the state network; (8pts) |
a) There are cost-effectiveness and quality assessment processes for actions with the incorporation of programmatic activities; (8pts)
b) The hearing healthcare services regularly monitor the users alongside primary care in order to verify treatment adherence and identify the unmet demand; (6pts)
c) The hearing healthcare services regularly monitor the users detached from primary care in order to verify treatment adherence (4pts)
d) The services are organized only according to the SUS table; (2pts)
|
2 |
25 |
| Use and improvement of information system to monitor actions for hearing impairment (8pts); |
a) Use and improvement of information system to monitor hearing impairment; (8pts)
b) A system proposed by a unit provider for the self- assessment is in place; (6pts)
c) Services use information systems only for production recording purposes; (4pts)
d) No use of health information systems; (2pts) |
4 |
50 |
|
Regulation of Services (16pts)
|
|
10
|
62.5
|
| Procedures are regulated by a public regulation center; (8pts) |
a) All procedures are regulated by a public regulation center; (8pts)
b) Only the high complex procedures are regulated; (6pts)
c) Double access to services of medium and high complexity: by regulation and spontaneous demand; (4pts)
d) There is no regulation in place for hearing health services; (2pts) |
4 |
50 |
| Existence of a technical control and auditing group provided with a speech-language therapist and that regularly operates in the network; (8pts) |
a) Existence of a technical control and auditing group provided with a speech-language therapist and that regularly operates in the network; (8pts)
b) There is a technical control and auditing group that regularly operates in the network, but without a speech-language therapist; (6pts)
c) Control and audit are performed occasionally; (4pts)
d) Control and auditing are not performed at all; (2pts) |
6 |
75 |
|
Technical and operational capacity of the services (8pts)
|
|
4
|
50
|
| All of the high and medium complexity services claim to meet the minimum requirements of Ordinance no. 587/2004 with regard to human resources, facilities, and equipment; (8pts) |
a) All of the high and medium complexity services meet the minimum requirements of Ordinance no. 587/2004 with regard to human resources, facilities, and equipment; (8pts)
b) 75% of the high and medium complexity services meet the minimum requirements of Ordinance no. 587/2004 with regard to human resources, facilities, and equipment; (6pts)
c) 50% of the high and medium complexity services meet the minimum requirements of Ordinance no. 587/2004 with regard to human resources, facilities, and equipment; (4pts)
d) 25% of the high and medium complexity services meet the minimum requirements of Ordinance no. 587/2004 with regard to human resources, facilities, and equipment; (2pts) |
4 |
50 |
|
Social control and popular participation (8pts)
|
|
2
|
25
|
| Existence of a mechanism such as a managing council for hearing health that includes users and workers; (8pts) |
a) There is a mechanism such as a managing council in place for hearing health that includes users and workers; (4pts)
b) The services have promoted mechanisms to allow for the participation of users and workers; (4pts)
c) There is no incentive to popular participation and social control; (2pts)
d) Criterion A + Criterion B; (8 pts) |
2 |
25 |
|
System Organization Level
|
|
|
|
|
Hearing health care regionalization (26pts)
|
|
8
|
30.7
|
| Existence of speech-language therapists in the basic care network acting towards promotion, prevention, identification, and monitoring of cases; (10pts) |
a) Existence of speech-language therapists in the basic care network acting towards promotion, prevention, identification, and monitoring of cases; (6pts)
b) The State Health Department, together with the medium and high complexity service, offers training for HFS to prevent, identify and monitor cases of hearing impairment; (4pts)
c) The basic care flows are disseminated across municipalities; (4pts)
d) There are no actions in place involving basic care in hearing health; (2pts)
e) Criteria (A + B) or Criteria (A + C); (10pts) |
2 |
25 |
| The State Health Department, alongside the medium and high complexity service, trains FHS to prevent, identify, and monitor cases of hearing impairment; (8pts) |
a) Technical-pedagogical actions aimed at basic care teams are devised to prevent, identify and monitor cases of hearing impairment; (8pts)
b) Technical-pedagogical actions aimed at basic care teams are devised to prevent, identify cases of hearing impairment; (6pts)
c) Regional forums operate in raising awareness of family health teams on the subject; (4pts)
d) There are no technical-pedagogical actions related to the subject; (2pts) |
4 |
40 |
| Distribution and implantation of services are based on epidemiological data and the historical series of health care services; (8pts) |
a) Distribution and implantation of services are based on epidemiological data and the historical series of health care services in the regions serviced; (8pts)
b) Distribution and implantation of services are based on epidemiological data of health care services in the regions serviced; (6pts)
c) Distribution and implantation of services are based on the historical series of health care services in the regions serviced; (6pts)
d) Distribution of services is based on self-reported hearing loss estimates (like the Census); (4pts)
e) Distribution of services is based on ease of deployment and opportunity; (2pts)
|
2 |
25 |
|
Structuring of lines of care (8pts)
|
|
4
|
50
|
| Structuring of a hearing care line for hearing impairment with actions planned at all the levels of care based on a therapeutic project with risk and priority rating; |
a) Structuring of a hearing care line for hearing impairment with actions planned at all the levels of care based on a therapeutic project with risk and priority rating; (8pts)
b) It develops actions at all levels; however, it does not clearly constitute a line of care; (6pts)
c) Existence of ambulatory logic by spontaneous demand based on the hegemonic medical model; (4pts)
d) Absence of established and publicized flows for the reference services; (2pts) |
4 |
50 |
|
Adequacy of supply to the needs (8pts)
|
|
2
|
25
|
| Availability of procedures is based on epidemiological data and the historical series of health care services; (8pts) |
a) Availability of the procedures is based on epidemiological data and the historical series of care of the regions serviced; (8pts)
b) Availability of procedures is based on epidemiological data of the regions serviced; (6pts)
c) Availability of procedures is based on the historical series of health care services provided to the regions; (6pts)
d) Procedures are offered without clear parameters for distribution in the state network; (2pts)
|
2 |
25 |
|
Political Context Level
|
|
|
|
|
Government Project (16pts)
|
|
8
|
50
|
| Government Purpose. A proposal for inter-sectoral action aimed at people with hearing impairment is in place and involves sectors such as education and social assistance; (8pts) |
a) Hearing Health Care is explicit in the government plan; (4pts)
b) The government plan is coherent with the actions for hearing health care; (4pts)
c) There are no proposals beyond federal ordinances; (2pts)
d) Criterion A + Criterion B. (8pts) |
4 |
50 |
| The State grants resources for innovative proposals in addition to the ones granted by the Ministry of Health; (8pts) |
a) The State grants resources for innovative proposals in addition to the ones granted by the Ministry of Health; (8pts)
b) The State grants resources to complement the actions predicted by the ordinances in addition to the ones granted by the Ministry of Health; (6pts)
c) The State grants resources in addition to the ones granted by the Ministry of Health; (4pts)
|
4 |
50 |
|
Governability (8pts)
|
|
4
|
50
|
| Autonomy of the Health Department to enforce the policy according to the pacts with the actors involved; (8pts) |
a) Autonomy of the Health Department to enforce the policy according to the pacts with the actors involved; (8pts)
b) Enforcement and distribution of the policy’s resources in the state is based on opportunity and ease; (4pts)
c) Distribution of resources is strictly based on federal ordinances; (4pts)
|
4 |
50 |
|
Ability to govern (16pts)
|
|
6
|
37.5
|
| A technical group is appointed to manage hearing health care with the participation of speech-language therapists; (8pts) |
a) A technical group is appointed to manage hearing health care; (4pts)
b) A speech-language therapist takes part in the technical management group; (4pts)
c) Management of hearing health care related to technical areas not specifically aimed at persons with disabilities; (2pts)
d) Criterion A + Criterion B; (8pts) |
4 |
50 |
| Management team trained in collective health; (8pts) |
a) Management team with professionals trained in collective health; (8pts)
b) Management team with professionals trained in the area of human rights / social service; (6pts)
c) Management team with career professionals in public management; (4pts)
d) Management team with professionals trained in the area of rehabilitation; (2pts). |
2 |
25 |
|
TOTAL
|
|
64
|
41
|
Analysis of the national hearing health care policy implementation in a Brazilian State
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