Banca de DEFESA: MÁRCIA ANDRADE DE SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MÁRCIA ANDRADE DE SOUZA
DATE: 11/09/2025
TIME: 09:00
LOCAL: REMOTO
TITLE:

NATIONAL AUDIT SYSTEM AS AN INSTRUMENT OF PUBLIC GOVERNANCE AND STRENGTHENING SOCIAL CONTROL IN THE SUS: DEVELOPMENT AND CONTENT VALIDATION OF A SELF-INSTRUCTIONAL COURSE

 

KEY WORDS:

SUS. National Audit System. SUS Audit. Continuing Health Education. SUS Virtual Learning Environment.

PAGES: 130
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

The Federal Constitution of 1988 enshrines health as a right of all and a duty of the State, ensuring universal and equal access to the actions and services of the Unified Health System (SUS). The National Audit System (SNA) was created to strengthen public health management, ensure transparency, and guarantee the effectiveness of SUS policies. Composed of bodies from the three levels of government, the SNA conducts audits that qualify the system’s operation and promote social control. Auditing acts as a strategic tool, guiding managers in resource allocation, expanding access, and improving service quality. Additionally, it contributes to health action planning, identifies flaws, proposes solutions, and supports decisions that consolidate and enhance SUS in a preventive and transformative manner. Based on this research, an open, self-instructional educational resource was developed and made available on the Virtual Learning Environment of the SUS, aiming to support the training of professionals, managers, and health council members regarding the functioning and importance of the SNA. The initiative seeks to strengthen Permanent Health Education within SUS, recognizing it as a central strategy for improving professional practices and consolidating a more efficient, transparent, and high-quality public health system. To this end, a methodological study of descriptive character and quantitative nature was conducted, with the purpose of presenting the phases involved in the development and content validation process of the course. The methodological study consisted of four phases: 1) Situational diagnosis, to highlight the recurring omission of information about Auditing in the Annual Management Report (RAG) and in the opinions of Health Councils, despite legal requirements; 2) Literature review, through bibliographic and documentary research, aimed at gathering materials to support the course content structure; 3) Development and availability of the open self-instructional course, carried out based on the 13 stages of the content production flow defined by the AVASUS technical team; e 4) Content validation of the course, by students of the Especializa-AudSUS program, aiming to improve the quality of courses offered on the platform and those available in Especializa-AudSUS. The main product of this dissertation includes the course entitled “National Audit System of SUS: instrument of public governance and strengthening of social control”, made available on AVASUS in May 2025. The subproducts include: 1) a data report article submitted to a scientific journal in August 2025, based on data from the course “Risk-Based SUS Auditing”; 2) an original article, also submitted in August 2025, based on the situational diagnosis; 3) two technical cooperations, whose work plans were prepared and actions were carried out based on the material resulting from the literature review. Regarding the main results, the following were observed: 1) in the situational diagnosis, among the 27 RAGs with audits examined, for the variables Status, Recommendations, Referrals, and Analyses and Considerations, there was a predominance of unfilled fields: Status (74%), Recommendations (74%), and Referrals (77.78%). Although Analyses and Considerations had a higher completion rate (81.48%), most consisted of standardized text without informative content. Additionally, 62.96% of Health Council opinions did not include considerations on Auditing. 2) in the course content validation, the evaluated items showed I-CVI values between 0.89 and 0.99, with an overall average above 0.95, indicating consistency and high performance of the analyzed items. For the S-CVI/Ave agreement rate, all module units presented values above 0.90, with a general average of 0.96, indicating high agreement among evaluators regarding the analyzed content. Considering the consistency and validity of the course module content, it is expected that it can be made available as an open educational resource on the AVASUS platform, with the aim of favoring a modification of the findings of the situational diagnosis, regarding the information gap on Auditing in the RAG and in the opinion of the Health Council. Furthermore, consistent and reliable information on Auditing can be used to qualify management, as a means of public transparency and social control.

COMMITTEE MEMBERS:
Presidente - 2562782 - KARILANY DANTAS COUTINHO
Interna - 1790060 - ALINE DE PINHO DIAS
Externa ao Programa - 2087603 - ROSIRES MAGALI BEZERRA DE BARROS - UFRNExterna à Instituição - JANAÍNA LUANA RODRIGUES DA SILVA VALENTIM - UAL
Externa à Instituição - KARLA MÔNICA DANTAS COUTINHO
Externa à Instituição - PATRÍCIA RODRIGUES DE ALMEIDA LEAL