Gestão das Unidades de Saúde de Atenção Básica em Itapetininga

Abstract

The Brazilian Public Health System has undergone several transformations over the years, requiring the development of studies on models and management tools, with the aim of qualifying managers to face the problems and challenges inherent to health care. The objective of the present study was to diagnose the management models present in the Primary Health Care Units in the city of Itapetininga and to propose interventions, associated with identifying whether the coordinators use the management models / tools recommended in the literature and their impacts. It is a qualitative, exploratory and descriptive research using the focus group for data collection. The focus group was composed of 10 coordinators, and it was possible to highlight the application of three management models: Health Care Networks, people management and quality management; and eighteen management tools, the most used being the employee involvement system, Balanced ScoreCard, Ishikawa Diagram and Total Quality Management. A revision of the Management Manual for Basic Health Units and a workshop with the entire nursing team was carried out with the Itapetininga Health’s Secretary, which, through dynamics, provoked reflection on aspects of planning, organization, leadership and control. There is a need to develop new actions, aiming to disseminate the models and management tools available