notas sobre a segunda avaliação externa do programa de treinamento em epidemiologia aplicada aos serviços do sistema único de saúde do brasil - episus: potencialidades do enfoque qualitativo-participativo notes on the second external evaluation of the training program in epidemiology applied to the services of brazil's national health system - episus: potentialities of the qualitative-participatory approach

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ID: 153412
2009
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Abstract
Este trabalho objetiva relatar o emprego do enfoque qualitativo-participativo, bem como discutir seus fundamentos e potencialidades, tomando como base a participação dos autores na segunda avaliação externa do Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde - EPISUS. Finalizada em outubro de 2007, em parceria com a Secretaria de Vigilância em Saúde e o Center for Diseases Control (CDC/Atlanta), a referida avaliação incorporou o enfoque da chamada quarta geração (fourth generation evaluation), no qual os avaliadores operam como mediadores, substituindo, assim, os fundamentos do enfoque tradicional antes utilizado. Para tanto, tornou-se necessária uma demarcação conceitual referente aos conceitos avaliação, qualitativo e participativo que orientariam o processo avaliativo focalizado. Quanto ao conceito avaliação, sua natureza conflui para as propostas de quarta geração e, portanto, transita de um caráter punitivo para um caráter construtivo. A dimensão participativa aponta para diferentes sentidos do que seja participar e, na experiência aqui relatada, adotou-se o sentido decisório, onde se busca reverter assimetrias de poder. O qualitativo é concebido na interface com a subjetividade, referindo-se a informações que não se submetem à quantificação. Tal modelo permitiu desvelar aspectos que, muitas vezes, se ocultam nos números e nas generalizações abstratas, tornando possível focalizar as relações que constituem o cotidiano dos programas e práticas em saúde, subsidiando, assim, sua transformação.
This paper aims to present the authors' experience concerning the use of the qualitative-participatory approach in the second external evaluation of the Training Program in Epidemiology Applied to the Services of the National Health System - EPISUS. Completed in October 2007, in partnership with the Health Surveillance Department and the Center for Diseases Control (CDC / Atlanta), this evaluation incorporated the so-called fourth generation evaluation approach, in which the evaluators operate as mediators, thus replacing the foundations of the traditional approach used so far. To achieve this objective, it was necessary to carry out a conceptual delimitation referring to the concepts of evaluation, qualitative and participatory, which would guide the focused evaluative process. As for evaluation, its nature converges to the proposals of the fourth generation; therefore, it moved from a punitive character to a constructive one. The participatory dimension assumes different senses and, in the experiment reported here, this term is adopted in the decision sense, which attempts to reverse power asymmetries. The qualitative dimension is defined in the interface with subjectivity, referring to information that is not subject to quantification. This model revealed aspects that are often hidden in numbers and in abstract generalizations, enabling to focus on relationships that constitute the daily routine of the health programs and practices, and giving support to their transformation.
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bosi2009sadenotas Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Maria Lúcia Magalhães Bosi;Ricardo José Soares Pontes
Journal carbon letters
Year 2009
DOI
10.1590/S0104-12902009000300018
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902009000300018
Keywords
methodology qualitative research program evaluation public healthpublic aspects of medicine

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