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Evaluation and improvement of participatory management model: educational challenge for the Unified Health System

Grant number: 16/15007-9
Support type:Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
Duration: December 01, 2016 - August 31, 2019
Field of knowledge:Health Sciences - Nursing
Cooperation agreement: CNPq - PPSUS
Principal Investigator:Andrea Bernardes
Grantee:Andrea Bernardes
Home Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
Partner institutions: Departamento Regional de Saúde XIII - Ribeirão Preto
Assoc. researchers:Carmen Silvia Gabriel ; Fernanda Ludmilla Rossi Rocha ; Greta G. Cummings ; Rosangela Andrade Aukar de Camargo
Associated scholarship(s):18/10162-1 - Evaluation and improvement of the participatory management model: educational challenge for the Unified Health System, BP.TT


The implementation of participatory and democratic practices, which involves the construction of consensus, is also being stimulated when thinking about the institutional micropolice. Several Brazilian public health institutions have experienced this new management model and have succeeded in relation to the qualification of care. The study aims to analyze the management models used in the cities of the Regional Health Department XIII (DRS XIII), considering its measurement from the organizational culture. As a theoretical framework was adopted the approach of Bolman and Deal (2008) who shows that leadership and management are equally essential for an organization. The authors developed four classifications or frames - structure, human resources, policy and symbols - each of which is equally important for the institution. It is quantitative study to be held in two phases. In the first phase, a descriptive study will be developed in order to perform a diagnostic evaluation of the organizational structure adopted in the different municipalities, and also to identify the needs of learning of managers and workers about the assumptions of the participatory management model. In this case, it will be used the first part of the "Quality Improvement Implementation Survey II", developed by Dr. Stephen M. Shortell. In the second phase will be developed a quasi-experimental study, type single group, pre and post-test, in order to train managers and workers who are part of the DRS XIII on the participatory management model. The results of this research related to the implementation of innovative management models, should allow changes in the professional practice of the interdisciplinary team. The adoption of participatory management should lead to increased quality in health services, benefiting professionals, patients, family and community. (AU)