HUMANIZATION AND PERCEPTION OF EFFECTIVENESS OF BRAZILIAN HEALTHCARE SYSTEM

IF 0.2 Q4 PUBLIC ADMINISTRATION Administracao Publica e Gestao Social Pub Date : 2022-04-07 DOI:10.21118/apgs.v14i2.12317
Sérgio Augusto Pereira Bastos, Claudia Pontes Ferreira
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Abstract

Research objective: Identify the factors of humanization that influence the perception of the effectiveness of healthcare services in Brazil by users (patients, companions, and family members) and professionals (doctors, assistants, and any others, directly or indirectly, linked with the provision of services) in the area. Theoretical framework: Six guidelines of the National Humanization Policy (NHP) gave potential rise to constructs that are analyzed under the theoretical lens of the Autopoiesis Theory. Methodology: Data is treated quantitatively from a survey of perceptions with a non-probabilistic sample. Exploratory factor analysis determined eight factors of humanization. Results: The evidence indicated that the factors Professional Attention, Relational Attention, Expanded Clinic, and Valuing Workers' Technical Skills are positively related to the effectiveness of Brazilian healthcare services. Besides, there are differences in the perceptions of users and professionals concerning the effectiveness of humanization in healthcare services. Originality: Based on public policy guidelines, through unprecedented quantitative research, the factors that form the construct of humanization in health services are highlighted. Theoretical and practical contributions: The results contribute to humanization in healthcare services, especially in scenarios of the stress of the health system, which claims for substantive actions in the healthcare services social, technical, and political dimensions.
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巴西医疗保健系统的人性化和有效性感知
研究目标:确定人性化因素,这些因素会影响该地区用户(患者、陪伴者和家庭成员)和专业人员(医生、助理以及与服务提供直接或间接相关的任何其他人)对巴西医疗保健服务有效性的看法。理论框架:在自创生理论的理论视角下,国家人性化政策(NHP)的六项指导方针提供了潜在的结构分析。方法:数据从非概率样本的感知调查中进行定量处理。探索性因素分析确定了人性化的八个因素。结果:证据表明,专业关注、关系关注、扩大诊所和重视工人的技术技能与巴西卫生保健服务的有效性呈正相关。此外,用户和专业人员对医疗服务人性化有效性的看法也存在差异。独创性:基于公共政策指导,通过前所未有的定量研究,突出了构成卫生服务人性化结构的因素。理论和实践贡献:研究结果有助于医疗服务的人性化,特别是在卫生系统压力的情况下,这要求在医疗服务的社会、技术和政治层面采取实质性行动。
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Administracao Publica e Gestao Social
Administracao Publica e Gestao Social PUBLIC ADMINISTRATION-
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