Health Services Management: Audit in Replacement Renal Therapy Units

Abstract

Objectives: To analyze the reports issued by the Pernambuco State Audit Component (PSAC) in Replacement Renal Therapy (RRT) for the 2010-2014 period. Methods: A descriptive study in Pernambuco, using as a data source reports generated by Sisaud/SUS. We analyzed 28 reports that corresponded to total RRT audits closed by the PSAC in the period studied. Results: Of the audits performed, 50% were carried out in establishments in the city of Recife and about 21% in RRT services outside the metropolitan area. The reports showed an average of 20 findings per audit, ranging from 3-41 findings. Of these, 73.4 % showed they complied with the legislation, and of the findings that have been identified as non-compliances , only 69.5 % of the audited sent the due justification . Conclusions: The use of the report as an instrument for strengthening management appears to be still very incipientas regards the health managers in Pernambuco. The State Component Audit, despite a systematization of the use of Sisaud/SUS tool and the use of business scripts in institutions, has not proved itself effective yet as to its results and its use to improve the quality of health services.