Avaliação do Nível de Maturidade da Gestão de Projetos: estudo de caso das Ações Públicas de Saúde Financiadas por Emendas Parlamentares do Estado do Rio Grande do Sul

Abstract

In the state of Rio Grande do Sul, the population's significant dependence on the Sistema Único de Saúde (SUS) for medical and hospital care is accompanied by challenges in health management, such as scarcity of financial resources, deficiencies in infrastructure and inequalities in distribution of services. To finance these needs, the current budget system allows public resources to be allocated through individual parliamentary amendments. However, the lack of a prior application plan and discussion about the best use of these resources can result in underutilization or misallocation of values. Based on this, it is essential to effectively manage public health projects, seeking to optimize results and social impacts in order to avoid wasting opportunities and resources. In this context, the objective of this dissertation was to evaluate the level of maturity in project management in the Municipal Health Departments that develop public health actions financed by parliamentary amendments in the state of Rio Grande do Sul. To achieve this, the research employed a mixed approach, considering the results of a questionnaire aimed at the actors involved and data from state-owned health indicators. The analysis of maturity levels made it possible to identify that SMSs are classified between very weak and regular maturity levels. Additionally, the possible relationship between the maturity levels found, the values presented in the health indicators of each municipality and the public health projects was verified. As a result, a moderate tendency to increase efficiency through the increasing level of maturity was observed. Finally, with the potential to contribute to the improvement of health services offered to the population of Rio Grande do Sul, there is a proposal for a project analysis and selection system designed to optimize the planning, execution, monitoring and evaluation of health projects financed by amendments parliamentarians in the state of Rio Grande do Sul.