Gestão da qualidade em serviços médico-hospitalares de pequeno e médio porte: pesquisa-ação e sistemática para implantação da acreditação hospitalar

Abstract

The brazilian s Public Health System is characterized, in general, by precarity from its procedure and its services. This situation can be observed in the high time of waiting by an appointment, in the lack of beds, in the lack of training and education of the professionals from the Healthy Sector. This setting results in accumulation of procedure s errors and, in consequence, in a fall in the Health services quality. This reality exists, in part, because of the deficiency in the public health care service s management system. Nowadays, there are efforts from the government and the health care institutions in order to implement Quality Management programs and a management s structured systematic. These efforts aim to promote the guarantee and the improvement of the health care services. This dissertation aims to carry out the adjustment of the management of a public Health Care institution of smallsized localized in the interior of Sao Paulo (Institution A) according to the NAO s (National Accreditation Organization) requirement for Full Accreditation level by means of an Action Research. Besides, it proposes an orientative systematic for implementation of the level Full Accreditation in health care institutions of the small or medium-sized. As a subsidy for the Action Research, a Case Research was carried out in six health care institutions. This thematic needs more studies and experiences. The professionals of Health Brazilian Sector don t understand the Accreditation s concepts. The Action Research to begin to the adjustment of Hospital School s management, but it didn t was concluded integrally due to the short time period. A systematic was proposed for Health Care Institutions of small or medium-sized to adjust the management according to the NAO s Full Accreditation level.