Monitoring of Health Surveillance Management Performance: analysis of uses and influence

ABSTRACT Health Organizations have showed increasing interest in monitoring and evaluation. In order for these processes to comply performance qualification, it is necessary to analyze its value. The experience of Monitoring the Health Surveillance Management Performance (MDGVS) proposed by the State Health Department of Pernambuco was applied. The goal was to analyze factors that hinder and facilitate the use and influence by adopting the dimensions credibility, pertinence, theoretical framework and institutional capacity. It’s an exploratory study whose data were collected by means of semi-structured interviews with 21 key informants, as well as by means of the review of documents. The average and the standard deviation for each analysis category were calculated, showing a good monitoring incorporation and its contribution to organizational learning. The process presented legitimacy, being integrated into the HS political agenda. On the other hand, there was an emphasis on weaknesses, difficulties of integration, and external dissemination of results.

摘要：卫生机构对监测与评估工作的关注度与日俱增。为使此类流程符合绩效认定要求，需对其价值开展分析。本研究采用了伯南布哥州卫生厅提出的健康监测管理绩效监测项目（Monitoring the Health Surveillance Management Performance，MDGVS）的实践经验。研究旨在采用可信度、相关性、理论框架与制度能力四个维度，分析阻碍与促进该工具应用及发挥影响的因素。本研究为探索性研究，数据通过对21名关键信息受访者的半结构化访谈以及文献梳理两种方式收集。研究对各分析类别计算了均值与标准差，结果显示该监测体系得到了良好的融入，并对组织学习起到了积极推动作用。该监测流程具备合法性，已被纳入卫生监测（Health Surveillance，HS）政策议程。但另一方面，研究也着重指出了其存在的短板：整合难度较高、成果的外部传播存在障碍。