Proposta para implementação de inovações para o Sistema Único de Saúde no Estado do Espírito Santo
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Data
2024-09-06
Autores
Oliveira, Nayara Ribeiro de
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Universidade Federal do Espírito Santo
Resumo
Research and innovation play fundamental roles in enhancing healthcare, and in Brazil, this commitment was established by the 1988 Federal Constitution and reinforced by policies such as the National Policy on Science, Technology, and Innovation in Health (PNITS) and the Research Priorities Agenda of the Ministry of Health. At the state level, this agenda became strategic with the creation of the Capixaba Institute of Teaching, Research, and Health Innovation (ICEPi) in 2019. Since its inception, ICEPi has developed projects aimed at scientific, technological, and innovation development, working in partnership with municipalities and other health services. Despite significant results achieved, which contributed to improvements in access and quality of healthcare services in Espírito Santo, it is still necessary to optimize methods for implementing innovations, aiming for greater efficacy and sustainability. Thus, this research aimed to propose strategies to increase the effectiveness of implementing innovations in public health in Espírito Santo. The methodology adopted was applied, exploratory, and used a quanti-qualitative approach through action research. To collect quantitative data, an online questionnaire based on the domains of the Consolidated Framework for Implementation Research (CFIR) was administered to a sample of 34 participants. For qualitative data collection, a focus group with a sample of 5 people was conducted, with the group moderated and guiding questions also based on the CFIR. Data integration was performed through side-by-side comparison. The results of this research identified the main facilitators and barriers in the implementation of innovations in public health in Espírito Santo, such as the adaptability of the innovation to local needs, the existence of partnerships and connections with external entities, and the internal infrastructure of health organizations. Based on these findings, a roadmap for implementing innovations in the SUS-ES was developed, structured in seven main stages: evaluation of the internal and external environment, innovation planning, stakeholder engagement, team training, implementation with continuous adjustments, and sustainability and expansion of the innovation. This roadmap offers the steps and activities to guide managers and health professionals in introducing new practices and technologies, promoting a culture of continuous and sustainable innovation
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Gestão pública , Ciência da implementação , Saúde pública , Inovação