Inovação organizacional na rede de atenção em saúde mental: um estudo avaliativo

Abstract

This study threats of the evaluation on mental health care network beneath the perspective of organizational innovation of this network. The proposal of the qualitative evaluation searched sized the sctructural and managerial features that directly intervene in process of innovation of the mental health care. The Evaluation of Fourth Generation, developed by Egon G, Guba and Yvona S. Lincon together with assumptions of organizational innovation, were the guiding of theoretical-methodological process of the research. The instruments to collect the datas were semi-structured interview with 12 managers/coordinator of the mental health care network from Caxias do Sul – RS. The questions that came out in evaluative process were grouped in three analysis category: structuring in cooperation network; presence of interactive managerial practices; and continual knowledge and apprenticeship. It was established that the organization on network based cooperation system together with process of management guided by features as flexibility and pliability, teamwork, sharing of commom objectives, active participation of the involved people, agility in distribution of informations with investment in continual apprenticeship constitute features mark a appropriate ambient to development of innovations. However, some structural important limits, as the presence of the Psychiatric Hospital and Convergence Clinic, in resignation of structure of attention to carrying psychic hardship are assessed as implicated of the organization on care network and of the advancement of process Psychiatric Reform in city.