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Quality dimensions in health evaluation: manager's conceptions
Maria Lúcia Magalhães Bosi1, Ricardo José Soares Pontes, Suziana Martins de Vasconcelos
1Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil. malubosi@ufc.br
Revista De Saude Publica
|March 27, 2010
Summary
Managers in basic health care planning often misunderstand qualitative evaluations, confusing them with formal assessments. This study highlights a gap in recognizing the multidimensional nature of quality in health services.
Area of Science:
- Health Services Research
- Qualitative Health Research
Background:
- Effective quality evaluation is crucial in basic health care.
- Understanding manager perceptions is key to improving evaluation practices.
Purpose of the Study:
- To explore managers' perceptions and experiences with qualitative evaluations in basic health care.
- To identify discrepancies in understanding qualitative evaluation methodologies.
Main Methods:
- Qualitative study utilizing a critical interpretive approach.
- Focus group technique employed with state-level basic health care planners in Fortaleza, Brazil.
- Data collected in 2006.
Main Results:
- Managers demonstrated confusion between qualitative evaluation and formal quality assessments.
- The multidimensionality of quality in health services was not consistently recognized.
- Participants lacked the perceived technical skills for comprehensive qualitative evaluation despite criticizing over-quantification.
Conclusions:
- Significant disconnect exists between managers' understanding and the principles of qualitative evaluation, particularly fourth-generation approaches.
- Current evaluation models used by managers fail to incorporate the multidimensional aspects of program and service quality.
- There is a need for enhanced training on qualitative evaluation methods for health care managers.
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