Performance evaluation of the Specialized Attention Units of Pernambuco (Upae) type II, 2016

ABSTRACT

The Performance of Specialized Care Units (Upae) type II in the State of Pernambuco, Brazil, was assessed in 2016 as for the cities of Caruaru, Garanhuns and Petrolina. The units have recent been inserted in the health network deployment and were created as a strategy for expansion of medium complexity care, which has historically played a role of care emptiness in the State. The Balanced Scorecard (BSC) model was applied, grounded on its four components of finance, internal processes, learning and growth, and user. For this purpose, the logical model of Upae was created, then adapted to BSC, and followed by de generation of a matrix of measures and assessment. Performance was ranked as excellent (≥75%), satisfactory (74-50%), unsatisfactory (49-25%) and critical (<25%). As for the components, the user showed the highest performance (100%), while learning and growth presented the lowest one (65%). It is worth noting that Upae hold tools and physical, human and equipment resources necessary for the delivery of services to users circumscribed to the Unified Health System, although requiring the improvement of some financial indicators, as those of internal processes and learning and growth.

KEYWORDS Program evaluation; Health services research; Ambulatory care