Desenvolvimento de instrumento de apoio à gestão regional de saúde

Abstract

The SUS guidelines recommend the use of epidemiology to establishing priorities and allocation of financial resources. In 2011 it was created Regions of Health, advocates the management based on goals, indicators and results. The availability of an articulated set of information is necessary for managers to fulfill the responsibility of planning in SUS management. The 4th CRS consists of two regions of health: Entre Rios with 11 municipalities and Verdes Campos with 21 municipalities. The objectives of this study were to analyze health indicators and create a tool to improve the knowledge of the municipal health situation by facilitating the planning and evaluation of health management. In 2013, through a survey of development, a tool called "Indicators for Regional Health Management" (IGRES) was built on Excel®. It was analyzed 51 indicators in seven categories - IDSUS, mortality, resource, demographic, socioeconomic, coverage and morbidity and risk factors - of which 40 were included in the IGRES. The project was approved by the Ethics Committee of the Faculty of Medicine - UFPEL. In each municipality profile, IGRES provides the population age structure, one selection of population denominators, one list of the five leading causes of death and the five main reasons for hospitalization. Charts allow the comparison of each indicator among the municipalities inside each Health Region. All the indicators can be updated every year, according to the results available in information systems from DATASUS. There are too many health indicators in all áreas, mosto f them do not have the attributes that can be incorporated in the planning of health regions and support the SUS management. We propose to review the different information systems, their limitations and potential, incorporating the need to interconnect them. Ideally, the tool developed here could be used and qualified into routine of planners and health administrators. Far from being the solution to all problems, we believed that the tool could trigger a process of health education with potencial to be extended to other levels of the health system.