Avaliação de desempenho das redes de atenção à saúde: uma proposta de indicadores

Abstract

This article is based on a descriptive study of applied nature to identify indicators for assessing performance on the network of health care (RAS) for public health problems selected under the context of the regionalization of the Brazilian Unified Health System (Sistema Unico de Saude). For selecting the disease and performance indicators, we held three workshops getting together interdisciplinary specialists and applying Nominal Group Technique. Specialists priorized uterine colon cancer and proposed ten indicators for evaluating the performance of sub-dimensions of the components of the operational structure of the RAS. We conclude that a set of feasible and validated performance indicators can compose a monitoring and evaluation system of RAS which can be used by health managers in the decision-making process. Future developments of this study are calculation and presentation of the indicators for comparison among health regions in Brazil and validation of the applied methodology.