Análise qualitativa do Plano Municipal de Saúde de São Paulo, Brasil – Com o apoio do software webQDA®

Abstract

Introduction: The Unified Health System, in Brazil, aims to assist the population in their health needs. To this end, the municipalities rely on the Municipal Health Plan (PMS) to plan and monitor the actions implemented. Objectives: To analyze how the São Paulo PMS recognizes the health needs of the population, in particular, vulnerable social groups, and to analyze the support of the webQDA® software in the organization and analysis of the large volume of qualitative data from the São Paulo PMS. Method: Qualitative study with content analysis by Bardin and support from webQDA®, to unveil the meaning of the São Paulo PMS from 2014-2017. Results and Discussion: The PMS in word file was inserted in webQDA® as an internal source. The coding tree for the empirical categories was created, with the inclusion of the codes: 'Social Vulnerabilities' and 'Response to Health Needs', and Bardin's content analysis was carried out showing that the 2014-2017 PMS is centered on ideas of a functionalist nature and guided by the productivity of services, to the detriment of the identification of heterogeneous health needs, in particular, of vulnerable social groups. Conclusions: The 2014-2017 PMS brought some objectives related to the presence of vulnerabilities in the city of São Paulo, which is an improvement, despite having a reduced representation in relation to most of the objectives proposed and directed to respond to the occurrence of diseases and injuries , disjointed from the epidemiological profiles of different social groups. WebQDA® supported the development of this study, by allowing the handling of a large volume of qualitative data, as well as the relocation of parts of the PMS between codes, as proposed by Bardin's content analysis, which establishes the need to exhaust the analysis of fragments extracted to compose the units of meaning and explanation of the phenomenon under analysis.