O Sistema de administração e gestão na saúde: avaliação da qualidade de assistência médica, medicamentosa no Hospital Militar de Maputo, no período compreendido entre 2001- 2004

Abstract

This paper has as its theme: The Health Administration and Management system - Evaluation of the quality of medical and medication assistance at the Military Hospital of Maputo. 2001 - 2004. The fundamental objective is to analyze and evaluate the system of administration and management of health programs that aim to guarantee quality medical, medication and hospital assistance to the military and their dependents, specifically the topic that concerns multisectoral planning, management and coordination. The discussion was guided based on the theory of systems, and the research process comprised two moments namely: first the bibliographic research, and secondly, the field research. In this last moment, qualitative and quantitative collection instruments (variables), semi-structured interviews and individual surveys were used. The results of the research revealed that the current system of administration and management introduced in the framework of public sector reforms, in the framework of the general peace agreement and in the framework of the adoption of the new FADM structure did not bring improvements in the health care and medication to the military and their families due to the lack of planning, monitoring and evaluation of the programs; weak financial capacity, absence of clear staff training policies; poor multisectoral coordination of health care programs and activities