The Perceived quality assessment of the health services offered to riverine communities in Brazilian Amazon

Authors

DOI:

https://doi.org/10.31686/ijier.vol8.iss11.2759

Keywords:

ServQual, Sustainability Indicators, Health Services Evaluation, Decision making

Abstract

In line with the UN Agenda 2030 Sustainable Development Goals, Public Health Policies follow in Brazil criteria of universality, completeness, and equity formulated to ensure access to health services in adequate quantity and quality for the entire population. To evaluate the quality of services provided in health units, it is essential, however, to make methodological considerations to concern the use of proper instruments and techniques to achieve accuracy and precision regarding their effectiveness for the user population. Mainly where health care is precarious or in need of adjustment, properly constructed indicators can become excellent management tools. This paper aims to analyze the specificities of the perception of the quality of health services offered to residents of the riverside communities of the Tupé Sustainable Development Reserve (SDR), Manaus, Amazonas, Brazil. The methodological approach is from a descriptive and ecological case study, based on field research with original data collection of fixed residents, aged over 18 years, by applying structured questionnaires and analyzing the results according to the SERVQUAL methodology. In the present study, it observed the impact of previous experiences of attending on the quality of health service. In the case of SDR of Tupé, there were positive evaluations with above 70% in all items. Still, when analyzing the data set and cut, considering the existence or not of previous experience, a different pattern of perception was detected. Based on these results, we suggest that the quality perception of health has to do with competitiveness, associated with the performance standard on the offer available to the customer.

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Author Biographies

  • Pedro Henrique Mariosa, Federal University of Amazonas

    Research and Professor at Environment and Culture Institute

  • Orandi Mina Falsarella, Pontifical Catholic University of Campinas (PUC-Campinas)

    Research and Professor at Pontifical Catholic University of Campinas (PUC-Campinas) Center for Economy and Administration, Sustainability Postgraduate Program Brazil.

  • Renato Ribeiro Nogueira Ferraz, Mogi das Cruzes University (UMC) - Mogi das Cruzes, SP.

    Graduate Program in Public Policy (PPG-PP) at Mogi das Cruzes University (UMC) - Mogi das Cruzes, SP.

  • Henrique dos Santos Pereira, Federal University of Amazonas

    Research and Professor at Graduate Program of Environmental Sciences and Sustainability of Amazon; Agrarian Sciences College.

References

Berkman, LF, Kawachi, I., & Glymour, MM (2014). Social epidemiology. Oxford University Press. DOI: https://doi.org/10.1093/med/9780195377903.001.0001

Bovaird, T. (2015). Public management and governance (3 d). Routledge. https://doi.org/10.4324/9781315693279 DOI: https://doi.org/10.4324/9781315693279

Castro, F. de, Lopes, G. R., & Brondizio, E. S. (2020). The Brazilian Amazon in Times of COVID-19: From crisis to transformation? Ambiente & Sociedade, 23, e0123. https://doi.org/10.1590/1809-4422asoc20200123vu2020l3id DOI: https://doi.org/10.1590/1809-4422asoc20200123vu2020l3id

Daspett, Mendonça, F., Soares Rocha, S., Pimenta Pinheiro, D. L., & Vilges de Oliveira, S. (2020). Região Norte do Brasil e a pandemia de COVID-19: Análise socioeconômica e epidemiológica. Journal Health NPEPS, 5(1), 20–37. https://doi.org/10.30681/252610104535 DOI: https://doi.org/10.30681/252610104535

Fachin, O. (2006). Fundamentals of methodology. Sao Paulo (SP): Saraiva.

Fares, R. C. G., Souza, K. P. R., Añez, G., & Rios, M. (2015). Epidemiological Scenario of Dengue in Brazil. BioMed Research International, 2015, 1–13. https://doi.org/10.1155/2015/321873 DOI: https://doi.org/10.1155/2015/321873

Fadel, MAV, & Regis Filho, GI (2009). Quality perception in public health services: a case study. Journal of Public Administration, 43 (1), 7–22. DOI: https://doi.org/10.1590/S0034-76122009000100002

Feather, MM, Silva, EMS of, Tronchin, DMR, & Melleiro, MM (2013). The use of the quality model of Parasuraman, Zeithaml and Berry in health services. Journal of the USP School of Nursing, 47 (5), 1227–1232. https://doi.org/10.1590/S0080-623420130000500030

Ferreira, M. U., & Castro, M. C. (2016). Challenges for malaria elimination in Brazil. Malaria Journal, 15(1), 284. https://doi.org/10.1186/s12936-016-1335-1 DOI: https://doi.org/10.1186/s12936-016-1335-1

Freitas, ALP (2005). Quality in services in the context of competitiveness. Online Production Magazine, 5 (1), 1–24.

Garvin, DA (2002). Managing quality the strategic and competitive vision. Rio de Janeiro: Qualitymark.

Gianesi, IGN, & Correa, HL (1994). Strategic service administration: operations for customer satisfaction. Sao Paulo: Atlas.

Gonçalves, HM, & Sousa, CP de. (2015). Articulations between social representations and subjectivity: a study of national production between 2000 and 2010. Revista Educação e Contemporânea, 12 (27), 258–288.

Hair, JF (Org.). (2006). Multivariate data analysis (6th ed). Upper Saddle River, NJ: Pearson Prentice Hall.

Helman, C. (2007). Culture, health, and illness (5th ed). Hodder Arnold; Distributed in the U.S.A. by Oxford University Press.

Jannuzzi, P. de M. (2016). Monitoring and Evaluation of Social Programs: an introduction to concepts and techniques. Campinas - SP: Line.

Medeiros, FA, Araújo-Souza, GC, Albuquerque-Barbosa, AA, and C. Clara C., I. (2010). Reception in a Basic Health Unit: the user satisfaction in focus. Rev public health, 12 (3), 402–413. DOI: https://doi.org/10.1590/S0124-00642010000300006

Mitra, A. (2016). Fundamentals of quality control and improvement (Fourth edition). Hoboken, New Jersey: Wiley.

Mujica-Mota, RE, Roberts, M., Abel, G., Elliott, M., Lyratzopoulos, G., Roland, M., & Campbell, J. (2015). Common patterns of morbidity and multi-morbidity and their impact on health-related quality of life: evidence from a national survey. Quality of Life Research, 24 (4), 909–918. https://doi.org/10.1007/s11136-014-0820-7 DOI: https://doi.org/10.1007/s11136-014-0820-7

Paim, J., Travassos, C., Almeida, C., Bahia, L., & Macinko, J. (2011). The Brazilian health system: history, advances, and challenges. The Lancet, 377 (9779), 1778–1797. https://doi.org/10.1016/S0140-6736(11)60054-8 DOI: https://doi.org/10.1016/S0140-6736(11)60054-8

Parasuraman, A., Zeithaml, VA, & Berry, L. (1985). A Conceptual Model of Quality Service and Its Implications for Future Research. Journal of Marketing, 49 (4), 41–50. https://doi.org/10.2307/1251430 DOI: https://doi.org/10.1177/002224298504900403

Parasuraman, A., Zeithaml, VA, & Berry, LL (1988). Servqual: A Multiple-Item Scale For Measuring Consumer Perc. Journal of Retailing, 64 (1), 12.

Pena, M. M., Silva, E. M. S. da, Tronchin, D. M. R., & Melleiro, M. M. (2013). The use of the quality model of Parasuraman, Zeithaml and Berry in health services. Revista Da Escola de Enfermagem Da USP, 47(5), 1227–1232. https://doi.org/10.1590/S0080-623420130000500030 DOI: https://doi.org/10.1590/S0080-623420130000500030

Pereira, JCR (2001). Qualitative data analysis: methodological strategies for health, human and social sciences. Sao Paulo: EDUSP: FAPESP.

Pereira, JCR (2004). Qualitative data analysis: methodological strategies for health, human and social sciences. Campinas: Edusp.

Pinto, R. C., Castro, D. B. de, Albuquerque, B. C. de, Sampaio, V. de S., Passos, R. A. dos, Costa, C. F. da, Sadahiro, M., & Braga, J. U. (2016). Mortality Predictors in Patients with Severe Dengue in the State of Amazonas, Brazil. PLOS ONE, 11(8), e0161884. https://doi.org/10.1371/journal.pone.0161884 DOI: https://doi.org/10.1371/journal.pone.0161884

Santos, FB dos, Marques, LAM, & Duarte, HG (2011). Fundamental Rights: the search for its realization. Legal Framework, Rio Grande, XIV, (92).

Serra, NOR (2002). AT THE WATER Rhythm AT THE WATER Rhythm. Magazine Presence for Education, Culture and the Environment, VI (24), 13.

Tanaka, OY, & Tamaki, EM (2012). The role of evaluation for decision making in health service management. Science & Collective Health, 17 (4), 821–828. https://doi.org/10.1590/S1413-81232012000400002 DOI: https://doi.org/10.1590/S1413-81232012000400002

United Nations. (2015). Transforming our world: the 2030 agenda for sustainable development. Rio de Janeiro: United Nations in Brazil. Retrieved from http://nacoesunidas.org/pos2015/agenda2030/

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Published

2020-11-01

How to Cite

Mariosa, D., Mariosa, P., Falsarella, O., Ferraz, R., & Pereira, H. (2020). The Perceived quality assessment of the health services offered to riverine communities in Brazilian Amazon. International Journal for Innovation Education and Research, 8(11), 360-374. https://doi.org/10.31686/ijier.vol8.iss11.2759
Received 2020-10-09
Accepted 2020-10-23
Published 2020-11-01