Banca de DEFESA: LILIANE OCALXUK

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LILIANE OCALXUK
DATE: 12/09/2025
TIME: 09:00
LOCAL: Universidade Federal do Rio Grande do Norte/REMOTO
TITLE:

Risk-Based Auditing of Brazil’s Unified Health System (SUS): Analysis of Teaching and Learning in a Self-Instructional Course

KEY WORDS:

Uses of Technology in Education; Learning Assessment; Educational Change; Risk-Based Auditing; Internal Auditing; Unified Health System (SUS).

PAGES: 163
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

The recent use of risk methodology in SUS audits demands training and continuing education actions for professionals who are part of the municipal, state and federal components of the National SUS Audit System, which are distributed in a capillary manner across all states of the federation, making the training of SUS auditors challenging. In order to meet the guideline of the National Policy on Permanent Education in Health regarding the notion of inequities in the territories as determinants of the training and development processes of health professionals, teaching-learning actions tend to value more democratic methodologies that are aligned with the effective transposition of knowledge from theory to practice, praxis - reflective and reality-transforming action. In this context, in addition to the availability of training actions, studies on their effectiveness are necessary. This study aimed to develop and evaluate the effectiveness of the self-instructional course “Risk-Based Auditing of the SUS,” and assessed, through comparison of pre- and post-test scores and content analysis, the impact of the course on the development of participants’ competencies. Performance evaluation followed a pre-post research design with 10 items and an overall score, in which a data-collection method was applied to constitute the baseline (pre-test); subsequently, the intervention—the self-instructional course—was delivered, and, finally, the data-collection method was reapplied (post-test). The comparison between pre- and post-test was conducted using a paired t-test (α=0.05) and was corroborated by a sensitivity analysis via the Wilcoxon test, after verifying assumptions. In the results, p-values indicated statistically significant improvement (p<0.05) in the overall score and in nine of the ten items; only the “Consequence” component did not reach significance (p≥0.05). The results indicate that a self-instructional course, with a strong emphasis on problem situations articulated with field concepts, improves critical components of risk-based reasoning in SUS auditing. By consolidating a shared vocabulary and methodological reasoning, the training reduces ambiguities, enhances the communicability of findings with management, and supports more precise, materiality-prioritized recommendations — which favors more efficient use of audit resources and adds value to SUS. The self-instructional format enables national reach at low marginal cost, combining case studies, reasoning templates, and standardized feedback. It aligns with DenaSUS development pathways, fostering the institutionalization of a risk culture and the creation of historical performance series that feed back into curricular improvement. We conclude that the course showed broad short-term effectiveness; instructional reinforcement is recommended to increase top-tier responses, especially in the “Consequence” component.

COMMITTEE MEMBERS:
Presidente - 2562782 - KARILANY DANTAS COUTINHO
Interno - 2488270 - RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
Interna - 1790060 - ALINE DE PINHO DIAS
Externa ao Programa - 2087603 - ROSIRES MAGALI BEZERRA DE BARROS - UFRNExterno à Instituição - FELIPE RICARDO DOS SANTOS FERNANDES
Externa à Instituição - ADELINA MARIA MELO FEIJÃO
Externa à Instituição - CLÁUDIA MARIA FILENO MIRANDA VELOSO