Avaliação em saúde aplicada aos Centros Especializados em Reabilitação: proposição e validação por consenso de um modelo lógico

Abstract

Introduction: Specialized Rehabilitation Centers (CER) are health services, qualified by the Ministry of Health, and responsible for specialized care for people with disabilities. Objective: Analyze the work process and the organizational issues of CER, propose and validate by consensus a logical model for evaluating the service. Method: Methodologic study developed in three stages: 1) Documentary study of laws and ordinances related to the health service and Care Network for People with Desabilities (RCPD); 2) Conducting focus groups, with a census study of CER in the state of Rio Grande do Norte, to assess and understand the organization of the work process in the daily service; 3) Systematization of the collected information, proposition and validation of the logical evaluation model. This study included managers and professionals from all CER that make up the state’s RCPD. Results: The model encompassed five central categories of the work process and organizational issues: demands, resources (inputs, financial and workforce), processes, products and results, as well as mission, values and external factors. Conclusion: The proposed logical model was valid for graphic representation of the work process and organizational issues of CER. It became evident that the functioning of the services is aligned with the norms, however organizational gaps need to be addressed in order to improve the resoluteness of the service's actions and the articulation with other points in the network.