Modelo de gestão para elaboração de estratégias: uma proposta às escolas de saúde pública no brasil

Abstract

The exploratory research on the subject indicates that there is room for improvement in the recently analyzed studies in terms of the models that can demonstrate a set of characteristics and stages to help managers in the development of strategies in public health schools. In this context, the general objective of this study is to contribute to the development of a management model for strategy development in Brazilian public health schools - PHS. The research was carried out using a combination of methods. The development of the model will be informed by the findings of the literature review, which will help us to identify the proposed characteristics and stages. In order to validate the proposed characteristics, the Content Validation Coefficient and Exploratory Factor Analysis techniques were employed, utilizing data obtained through questionnaires with closed questions, which were distributed to representatives of twelve schools of public health in Brazil. The model was then applied through action research at the Sergio Arouca National School of Public Health, with a view to observing the behavior of the proposed characteristics and their ability to produce strategies. Finally, a comparative analysis was carried out between the schools that used and did not use the proposed model, with a view to identifying whether there were significant differences between the two groups. This was done using multivariate analysis of covariance. The results showed a significant difference (p < 0.05) between the two groups surveyed. Thus, the proposed model suggests that it is innovative, as it establishes a set of characteristics more suited to the context of PHSs; that it is applicable to PHSs, with satisfactory reliability (Composite Reliability) and replicability (H Index) indices; that it is scientifically relevant, generating a set of technical and academic productions; be relevant to management, as it can contribute to establishing different types of strategies, overcoming the difficulties that schools have when using generic models; and to society, by stimulating the formulation of strategy in a participatory manner and outside the organization, in the form of public policies for the development of the Single Health System.