O projeto AMQ (Avaliação para Melhoria da Qualidade) como instrumento degestão para a mudança do processo de trabalho

Abstract

This is a descriptive, retrospective, comparative approach with quantitative and qualitative, and data were extracted from two assessments occurred in the years 2008 and 2010, based on the instruments IV and V of the project evaluation for quality improvement (AMQ) created in 2005 by the Ministry of Health which aims to assess the Primary Health Care (PHC) in Brazilian cities and boost their growth. It is a methodology for self-management or internal management processes of continuous quality improvement, which assesses the structure, processes and outcomes as guidelines and has the self-assessment, free membership by managers, lack of rewards or penalties related to income and the information privacy. For the implementation of an affirmative answer to the questionnaires assessed parameter considered a breakthrough in quality standards, which vary from elementary to advanced, in several large groups of evaluation. Observed in these two years significant progress on issues related to work organization (25% to 52% of affirmative answers), host (from 62.5% to 93.75% of positive answers) and health surveillance (for 42.85% to 85.71% affirmative responses). In return the items to promote health and social control has not changed significantly, with a small percentage of positive responses, which shows the need to invest in these items. The priority groups children, adolescents, women, men, adults and elderly can be said that there was an increase in the coverage of the shares of baby care and immunization among children under five years, but the group of adolescents has not been impacted by the interventions. As for adults there was the need to enhance the action of health surveillance, conducting an active search for women with abnormal tests and capture the men to conduct health assessment. The ages of the elderly also suffered little impact, but has been under discussion in the Unit relating to care and increasing demand for services. In an overall assessment, taking into account the two notebooks assessed (IV and V) it was concluded that during the two years the service has advanced in some respects, whether or not derived from the previous assessment and intervention from its headquarters. Through this we can see that it becomes necessary to draw up a new headquarters and implementing actions that provide improvements. The AMQ also appears as an important management tool institutionalized and systematic wa1services, being subject to monitoring by all levels of management and even the general population that needed to be agreed and incorporated into the routine of the cities, providing a methodology continuous assessment and planning of actions to improve care at PHC.