Limites da gestão municipal na incorporação de tecnologias: o caso da mamografia na região do Médio Paraíba

Abstract

The study aimed to evaluate the difficulties and limits of the municipal administration in the incorporation of mammography services in seven selected cities in the Middle Paraíba. Using qualitative-quantitative methodological approach, developed from the data collection side of the park service and the production technology of mammography in selected cities and conducting semi-structured interviews with the managers applied and municipal sectors responsible for monitoring, evaluation and Audit of locations. The analysis of interviews identified seven major themes: (1) knowledge of local health problem on the screen, where you can see difficulties in a more precise analysis of the health situation related to breast cancer in the localities, (2 ) knowledge of the processes of decision making, where you can see that the municipal administration was hampered by a number of difficulties that make it impossible in many cases, the incorporation of technologies in their own service, bringing only alternative to the purchase of mammography services, ( 3) the supply and access to mammographic studies, showing insecurity, it is facilitated only port of entry to primary care services, (4) the production procedures, revealing that, in general, managers have been struggling to meet with the agreed targets, in considering the available information shows that their power is as a rule, far from being attained; (5) the regulation and monitoring of mammography services, which can realize low compliance with the Regulatory System the local administrations, (6) satisfaction regarding the provision of contracted services, usually evaluated on a subjective s and anchored solely in the absence of complaints, and, finally, (7) difficulties in making a decision on the incorporation of a service mammography itself, which runs into political impediments, administrative and financial. It can be concluded that the study allowed to extract subsidies can contribute to knowledge and reflection on practices in technological and monitoring of mammography services in the region.