Avaliação do Sistema Único de Saúde (SUS): um estudo fundamentado na percepção de diferentes atores em um município do sul de Minas Gerais

Abstract

This study was realized with the objective to analyze how different actors of a city in southern of Minas Gerais evaluate the National Health System. It also intends to identify the perception of services users from a hospital organization, regarding the National Health System; to identify the perception of the actors who supervise, implement and legislate the public health policies in the city; and to discuss the relevant criteria or aspects considered by different actors involved in relation to assessment of the National Health System from the city in study. A descriptive qualitative research was conducted through a nonprobability sample for convenience. The actors chosen were: Promoter, a City Councilman, the Secretary of the Health Department, the Doctor and Coordinator from Family Health Program, Doctor of the Hospital; the Administrative Manager of the Hospital, Coordinator of the Hospital Reception and Hospitality and Users of a Hospital, located in a city in the south of Minas Gerais, MG. For data collection a non-structured interview was used and the data were analyzed through content analysis. The results showed three analytical categories: i) the notion of the National Health System to the different actors, ii) the organization of the National Health System, emphasizing the issue of decentralization and financing; iii) the evaluation of the National Health System. In evaluating the National Health System from actors that work in different bodies which formulate, legislate and oversee health policies and also for those providing and using the National Health System in the city, the results of this study demonstrate the importance of evaluating the National Health System, from the context and local circumstances of those who are involved with the system, in order to provide information to assist in the development and/or redesign of public health policies in Brazil.