Participação política e práticas avaliativas : um estudo sobre as possibilidades de atuação dos usuários na tomada de decisão no SUS, caso de Macaé

Abstract

This research had as its aim to analyze the conceptions and practices of the users in evaluational processes at the SUS of Macaé, in the perspective of a qualification of the political participation in the context of services management. With this study, we hope to contribute for the debate on the importance that evaluation has to qualify the political participation of users and its collaboration for their empowerment and autonomy. Thus, the users would change from mere receivers of the public policies to protagonists of their own care, contributing for the evaluational practices at SUS to have as object the right to health. As methodological trajectory, the unique case study of exploratory nature was chosen. In order to accomplish the research, we used as data collection technique interviews with users, Health Council members, Public Ministry members, observation, news on articles of local newspapers, documents and records of the Municipal Health Council of Macaé. To analyze the data, content analysis was used, in which the data were classified in operational categories: participation; local health sector, evaluational practices, right / participation/ evaluation conceptions, influence of the evaluational practices and interaction among actors. The analysis was processed under the light of theoretical propositions that sought to identify the evaluational practices focusing the dimensions of power, identity, motivation and competence, intending to recognize traces, clues and possible ways that could point to a political participation that has been qualifying itself. It was possible to demonstrate in this analysis that the evaluational practices of the users still occur too incipiently to qualify their participation in decision making, however, in some social nets and in the Municipal Health Council it was possible to observe and study some evaluational practices that allowed us to affirm that these practices can lead the users to obtain and learn to deal with power, to be autonomous, to identify themselves as subjects and not as objects of the health practices and also motivate themselves to fight for changes in our political culture and for the social transformation that Brazilian society so much longs for.