{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:53:14Z","timestamp":1740171194262,"version":"3.37.3"},"reference-count":55,"publisher":"FapUNIFESP (SciELO)","issue":"spe5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sa\u00fade debate"],"abstract":"<jats:p>RESUMO A cria\u00e7\u00e3o do Sistema \u00danico de Sa\u00fade (SUS) no Brasil, em 1988, representou avan\u00e7os na organiza\u00e7\u00e3o sist\u00eamica e descentraliza\u00e7\u00e3o da gest\u00e3o \u00fanica; entretanto, passados 30 anos a governan\u00e7a de resultados parece fr\u00e1gil. A nova gest\u00e3o p\u00fablica tem exigido esfor\u00e7os de monitoramento de resultados, controladoria e responsabiliza\u00e7\u00e3o dos gastos (accountability). Este estudo explora a transla\u00e7\u00e3o de conhecimentos de uma amostra de gestores e profissionais (stakeholders), para valida\u00e7\u00e3o de um painel de indicadores do SUS. A aplica\u00e7\u00e3o dos instrumentos de capta\u00e7\u00e3o e valida\u00e7\u00e3o das percep\u00e7\u00f5es obteve resultados das tr\u00eas fases iniciais (n=108) que consolidaram um instrumento aplicado para valida\u00e7\u00e3o de campo (n=112), cuja an\u00e1lise descritiva validou cinco dimens\u00f5es e 24 indicadores-chave para gest\u00e3o de resultados em organiza\u00e7\u00f5es de sa\u00fade. A an\u00e1lise inferencial gerou um modelo final que garantiu confiabilidade e validade das cinco dimens\u00f5es (macrodom\u00ednios), mas apenas de 17 indicadores (dom\u00ednios) de desempenho propostos pelos decisores a partir de seus conhecimentos pr\u00e9vios.<\/jats:p>","DOI":"10.1590\/0103-11042019s519","type":"journal-article","created":{"date-parts":[[2020,6,20]],"date-time":"2020-06-20T13:10:15Z","timestamp":1592658615000},"page":"232-247","source":"Crossref","is-referenced-by-count":0,"title":["Valida\u00e7\u00e3o colaborativa de macrodimens\u00f5es e indicadores-chave para avalia\u00e7\u00e3o de performance de servi\u00e7os de sa\u00fade no Brasil"],"prefix":"10.1590","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4959-9424","authenticated-orcid":false,"given":"Galba Freire","family":"Moita","sequence":"first","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Nova de Lisboa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9328-8415","authenticated-orcid":false,"given":"V\u00edtor Manuel dos Reis","family":"Raposo","sequence":"additional","affiliation":[{"name":"Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1266-5168","authenticated-orcid":false,"given":"Allan Claudius Queiroz","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"year":"1988","series-title":"Constitui\u00e7\u00e3o da Rep\u00fablica Federativa do Brasil de 1988","key":"ref1"},{"year":"1990","series-title":"Disp\u00f5e sobre as condi\u00e7\u00f5es para a promo\u00e7\u00e3o, prote\u00e7\u00e3o e recupera\u00e7\u00e3o da sa\u00fade, a organiza\u00e7\u00e3o e o funcionamento dos servi\u00e7os correspondentes e d\u00e1 outras provid\u00eancias","key":"ref2"},{"year":"1990","series-title":"Disp\u00f5e sobre a participa\u00e7\u00e3o da comunidade na gest\u00e3o do Sistema \u00danico de Sa\u00fade (SUS) e sobre as transfer\u00eancias intergovernamentais de recursos financeiros na \u00e1rea da sa\u00fade e d\u00e1 outras provid\u00eancias","key":"ref3"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1590\/S0102-311X1990000100006","article-title":"Avalia\u00e7\u00e3o da Qualidade dos Servi\u00e7os de Sa\u00fade: Notas Bibliogr\u00e1ficas","volume":"6","author":"Reis EJFB","year":"1990","journal-title":"Cad. 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Med."},{"key":"ref7","article-title":"El Control de los Sistemas de Atencion M\u00e9dica Conceptualizacion y Mec\u00e1nica Operativa","author":"Perez AEB","year":"1983","journal-title":"Medicina y Sociedade"},{"year":"2004","series-title":"Evaluation Roots: Tracing Theorist\u00b4s Views and Influences","author":"Alkin MC","key":"ref8"},{"year":"2010","series-title":"Avalia\u00e7\u00e3o em sa\u00fade: bases conceituais e operacionais","author":"Samico I","key":"ref9"},{"year":"2004","series-title":"Avalia\u00e7\u00e3o de programas: Concep\u00e7\u00e3o e pr\u00e1ticas","author":"Worthen BR","key":"ref10"},{"key":"ref11","series-title":"Explorations in Quality Assessment and Monitoring","first-page":"77","volume-title":"Basic approaches to assessment: structure, process and outcome","author":"Donabedian A","year":"1980","edition":"1"},{"issue":"5","key":"ref12","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1097\/00005650-198505000-00030","article-title":"Efficacy, effectiveness, variations and quality: boundary-crossing research","volume":"23","author":"Brook RH","year":"1985","journal-title":"Med Care"},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1590\/S0102-311X2002000600009","article-title":"Qualidade e subjetividade na avalia\u00e7\u00e3o de programas e servi\u00e7os em sa\u00fade","volume":"18","author":"Uchimura KY","year":"2002","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"issue":"3","key":"ref14","first-page":"14","article-title":"Percepcion de la comunidad acerca de la calidad de los servicios de salud p\u00fablicos en los distritos Norte e Ichilo, Bol\u00edvia","volume":"11","author":"Gattinara BC","year":"1995","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"issue":"3","key":"ref15","first-page":"9","article-title":"A qualidade da sa\u00fade","author":"Vuori H","year":"1991","journal-title":"Divulga\u00e7\u00e3o em sa\u00fade para debate"},{"issue":"101","key":"ref16","first-page":"368","article-title":"Avalia\u00e7\u00e3o de qualidade de servi\u00e7os de sa\u00fade","volume":"38","author":"Acurcio FA","year":"1991","journal-title":"Sa\u00fade debate"},{"issue":"4","key":"ref17","first-page":"5","article-title":"Evaluation of Health Services - What to Evaluate?","volume":"8","author":"Akerman M","year":"1992","journal-title":"Cad. 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Health Systems: Improving Performance","key":"ref23"},{"year":"2001","series-title":"Health Data 2001","key":"ref24"},{"year":"2001","series-title":"Health at a Glance","key":"ref25"},{"year":"2009","series-title":"Handbook on Planning, Monitoring and Evaluation for Development Results","key":"ref26"},{"issue":"3","key":"ref27","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1590\/S1413-81232004000300021","article-title":"Uma metodologia de avalia\u00e7\u00e3o do desempenho do sistema de sa\u00fade brasileiro","volume":"9","author":"Viacava F","year":"2004","journal-title":"Ci\u00eanc. Sa\u00fade Colet."},{"issue":"4","key":"ref28","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1590\/S1413-81232012000400014","article-title":"Avalia\u00e7\u00e3o de Desempenho de Sistemas de Sa\u00fade: um modelo de an\u00e1lise","volume":"17","author":"Viacava F","year":"2012","journal-title":"Ci\u00eanc. Sa\u00fade Colet."},{"year":"2011","series-title":"Avalia\u00e7\u00e3o de quarta gera\u00e7\u00e3o","author":"Guba EG","key":"ref29"},{"issue":"1","key":"ref30","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1080\/14719030410001675722","article-title":"What to do when stakeholders matter: Stakeholder identification and analysis techniques","volume":"6","author":"Bryson J","year":"2004","journal-title":"Public Management Review"},{"issue":"1","key":"ref31","first-page":"7","article-title":"Engaging fringe stakeholders for competitive imagination","volume":"18","author":"Hart S","year":"2004","journal-title":"Academy of Management Executive"},{"year":"2002","series-title":"Glossary of Key Terms in Evaluation and Results-Based Management","key":"ref32"},{"year":"2009","series-title":"The Road to Results Designing and Conducting Effective Development Evaluations","author":"Morra Imas LG","key":"ref33"},{"issue":"esp","key":"ref34","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1590\/0103-11042017s23","article-title":"Ludwik Fleck (1896-1961) e transla\u00e7\u00e3o do conhecimento: considera\u00e7\u00f5es sobre a genealogia de um conceito","volume":"41","author":"Barbosa L","year":"2017","journal-title":"Sa\u00fade debate"},{"year":"2004","series-title":"Knowledge Translation Strategy 2004-2009: Innovation in Action","key":"ref35"},{"year":"2006","series-title":"Bridging the \"Know-Do\" Gap: Meeting on Knowledge Translation in Global Health","key":"ref36"},{"year":"2010","series-title":"Avalia\u00e7\u00e3o por triangula\u00e7\u00e3o de m\u00e9todos - Abordagem de programas sociais","author":"Minayo MCS","key":"ref37"},{"key":"ref38","series-title":"Conceitos, abordagens e estrat\u00e9gias para a avalia\u00e7\u00e3o em sa\u00fade. Avalia\u00e7\u00e3o em sa\u00fade","first-page":"15","author":"Vieira-Da-Silva LM","year":"2005"},{"key":"ref39","series-title":"Confer\u00eancia de consenso sobre a imagem-objetivo da descentraliza\u00e7\u00e3o da aten\u00e7\u00e3o \u00e0 sa\u00fade no Brasil","volume-title":"Avalia\u00e7\u00e3o em Sa\u00fade: dos modelos te\u00f3ricos \u00e0 pr\u00e1tica na avalia\u00e7\u00e3o de programas e sistemas de sa\u00fade","author":"Souza LEPF","year":"2005"},{"key":"ref40","series-title":"An\u00e1lise multivariada de dados","author":"Hair JR JF","year":"2009","edition":"6. ed."},{"key":"ref41","series-title":"Latent Variables Analysis: Applications for Developmental Research","first-page":"399","volume-title":"Corrections to test statistics and standard errors in covariance structure analysis","author":"Satorra A","year":"1994"},{"issue":"1","key":"ref42","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Evaluating Structural Equation Models with Unobservable Variables and Measurement Error","volume":"18","author":"Fornell C","year":"1981","journal-title":"Journal of Marketing Research"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.csda.2004.03.005","article-title":"PLS path modeling","volume":"48","author":"Tenenhaus M","year":"2005","journal-title":"Computational Statistics and Data Analysis"},{"key":"ref44","series-title":"Inglaterra: New Challenges to International Marketing","first-page":"277","volume-title":"The use of partial least squares path modeling in international marketing","author":"Henseler J","year":"2009"},{"key":"ref45","first-page":"248","article-title":"The Assessment of Reliability","volume":"3","author":"Nunnally JC","year":"1994","journal-title":"Psychometric Theory"},{"key":"ref46","series-title":"Psychometric theory","author":"Nunnally JC","year":"1994","edition":"3. ed."},{"year":"2019","series-title":"Avalia\u00e7\u00e3o Integrativa de Performance Multidimensional e Decis\u00e3o Multicrit\u00e9rio: Um Proxy de Painel de Indicadores de Efici\u00eancia, Efetividade e Qualidade para Governa\u00e7\u00e3o de Organiza\u00e7\u00f5es Hospitalares e Servi\u00e7os de Sa\u00fade no Brasil [Integrating Evaluation of Multidimensional Performance and Multicriterary Decision: A Panel Proxy of Efficiency, Effectiveness and Quality Indicators for Governance of Hospital Organizations and Health Services in Brazil]","author":"Moita GF","key":"ref47"},{"year":"1993","series-title":"Testing Structural Equation Models","author":"Bollen KA","key":"ref48"},{"year":"2008","series-title":"Amos 17 users' guide","author":"Arbuckle JL","key":"ref49"},{"issue":"1","key":"ref50","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/0049124187016001005","article-title":"Assessment of fit in overidentified models with latent variables","volume":"16","author":"Wheaton B","year":"1987","journal-title":"Sociological Methods & Research"},{"issue":"2","key":"ref51","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1037\/0033-2909.107.2.238","article-title":"Comparative Fit Indexes in Structural Models","volume":"107","author":"Bentler PM","year":"1990","journal-title":"Psychological Bulletin"},{"issue":"3","key":"ref52","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1037\/0033-2909.88.3.588","article-title":"Significance Tests and Goodness-of-Fit in the Analysis of Covariance Structures","volume":"88","author":"Bentler PM","year":"1980","journal-title":"Psychological Bulletin"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/BF02294104","article-title":"On the multivariate asymptotic distribution of sequential chi-square statistics","volume":"50","author":"Steiger JH","year":"1985","journal-title":"Psychometrika"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/0140-6736(93)91762-B","article-title":"Implications for trials in progress of publication of positive results","volume":"342","author":"Fletcher A","year":"1993","journal-title":"Lancet"},{"key":"ref55","first-page":"12","article-title":"Avalia\u00e7\u00e3o em Sa\u00fade: Limites e Perspectivas","author":"Silva LMV","year":"1994","journal-title":"Cad. 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