Niveles de competencias en auditoría de servicios de salud de los médicos del primer nivel de atención del distrito de Comas, 2018

Objetivo: Identificar el nivel de competencias en auditoría de servicios de salud de los médicos del primer nivel de atención del distrito de Comas en 2018. Materiales y métodos: Estudio de tipo analítico. De una población total de 110 médicos, intervinieron 32 individuos quienes accedieron a participar en el estudio. Se evaluaron las variables sociodemográficas y los cinco tipos de competencias en auditoria de servicios de salud: las cuatro primeras fueron graduadas como "Aprobado", "En proceso" y "Desaprobado", mientras que la quinta fue calificada en los niveles "Básico", "Intermedio" y "Avanzado". Los datos se procesaron con el software SPSS versión 24.00. Resultados: De la población evaluada, el 62,50 % fueron médicos asistenciales y 37,50 %, jefes de establecimientos. Predominaron los hombres (68,75 %) respecto a mujeres (31,25 %). El resultado global del nivel de competencia de auditoría de servicios de salud fue "Desaprobado" (50,00 %), "En proceso" (43,75 %) y "Aprobado" (6,25 %). Conclusiones: El 6,25 % de las personas evaluadas alcanzaron el nivel "Aprobado" en las competencias de auditoría de servicios de salud. Las variables "Años laborando" (Sig. = 0,011) y "Formación general" (Sig. = 0,031) tienen relación significativa con el desarrollo de las competencias en auditoría de servicios de salud.

Objective: To identify the levels of health services audit proficiency among primary health care physicians from Comas district in 2018. Materials and methods: An analytical study was conducted. Out of a population of 110 physicians, 32 accepted to participate in the study. Sociodemographic variables and five types of health services audit proficiency were assessed: the first four were graded as "pass," "in process" and "fail," while the fifth was scored as "basic," "intermediate" and "advanced." The data was processed using SPSS Statistics statistical software version 24.00. Results: Sixty-two point five zero percent (62.50 %) of the study population consisted of attending physicians, while 37.50 % were medical chief officers. Males (68.80 %) prevailed over females (31.30 %). The global result of the levels of health services audit proficiency was "fail" (50.00 %), "in process" (43.80 %) and "pass" (6.25 %). Conclusions: Six point two five percent (6.25 %) of the study population achieved the "pass" score in the health services audit proficiency. The variables "tenure" (Sig. = 0.011) and "general training" (Sig. = 0.031) were significantly related to the development of health services audit proficiency.

(Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management / (Des) conexões entre conselhos de saúde e auditoria: avanços e desafios na democratização da gestão pública em saúde

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government's Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

Resumo Introdução Consciente da importância de consolidar o controle social na qualificação de Gestão do SUS, é importante destacar que a auditoria deve implementar ações de cooperação com os conselhos municipais, estaduais e nacionais de saúde e com os gestores, nas três esferas de gestão. Objetivo Analisar a interação existente entre os Conselhos Municipais de Saúde e o serviço de auditoria do Sistema Único de Saúde (SUS) nas secretarias municipais. Método A pesquisa, com abordagem qualitativa, teve como participantes 20 conselheiros municipais de saúde que atuavam na maior região de saúde do Ceará, Brasil, composta por 24 municípios. Um questionário autoaplicável foi o instrumento utilizado para apreensão das informações que foram organizadas a partir da análise de conteúdo temática. Resultados Constatou-se a fraca interação entre o Conselho Municipal de Saúde e o setor de auditoria do SUS nos municípios. Conclusão Os conselheiros desconhecem suas competências e as funções do setor de auditoria municipal.