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Advisor(s)
Abstract(s)
A eticidade diz respeito à aptidão para exercer a função ética, atuando em sintonia com os
princípios e valores preconizados pela ética, sobretudo o respeito pela pessoa humana.
Esta dissertação intitulada Perfil de competências éticas para gerir Unidades de Saúde
Hospitalares emerge da perceção de que existem desigualdades na garantia dos direitos de
acesso aos cuidados de saúde, com universalidade e equidade, motivadas pelas restrições
de natureza económica.
A investigação aborda a interface de duas áreas - Bioética e Gestão -, no contexto dos
cuidados de saúde, especificamente nos hospitais. Espera-se que contribua para identificar
a base axiológica sobre a qual se devem apoiar os gestores em saúde, operacionalizar um
perfil de competências éticas para gerir hospitais com vinculação a valores e encontrar
resposta à questão: o sistema de valores humanos e a ética dos gestores hospitalares
influencia a decisão?
A conceção e a relevância do estudo advêm do facto de a pesquisa em bases de dados ter
demonstrado carência de estudos relacionados com a ética da gestão em saúde. Esta lacuna
de investigação, o âmbito e os objetivos do estudo, tornam-no de clara pertinência no atual
contexto social, político e do Setor da Saúde.
A pesquisa adota metodologia quanti qualitativa, de tipo correlacional, valendo-se da
aplicação do questionário Eticidade da Gestão Hospitalar, por nós construído e validado,
para proceder à avaliação do agir ético do gestor hospitalar, identificando o perfil de
competências éticas necessárias para gerir Unidades de Saúde hospitalares. A metodologia qualitativa utiliza pesquisa documental e a análise de conteúdo incidiu sobre o texto
relacionado com missão, valores e visão dos hospitais, disponível na Internet.
A amostra é constituída por 421 profissionais de saúde, que exercem funções de gestão em
25 hospitais do Serviço Nacional de Saúde e hospitais convencionados, da Zona Norte de
Portugal, independentemente do modelo de gestão e representativos dos setores público,
privado e social.
Os resultados encontrados afirmam que os profissionais de saúde, além da consideração da
perspetiva filosófica das pessoas, respeitam a sua multidimensionalidade complexa
reconhecendo a singularidade e a individualidade pessoal, social e cultural.
Com base no modelo de análise construído e nos dados do estudo empírico, este estudo
conclui que os gestores dos hospitais analisados integraram as orientações inseridas no
código deontológico do seu grupo profissional e possuem um quadro de competências
éticas, agindo referenciados pelo paradigma ético do personalismo.
Ethicality concerns the aptitude to practice ethical function, acting in line with the principles and values advocated by ethics, mainly the respect for the human being. This dissertation, "Profile of ethical skills to manage Hospital Health Units", emerges from the perception that there are inequalities in ensuring the rights of access to health care with universality and equity, motivated by restrictions of economic nature. This article addresses the interface of two areas - Bioethics and Management -, in the context of health care, specifically in hospitals. It is hoped that it will help to identify the axiological basis on which health managers should be based on. It should also contribute to operationalise a profile of ethical skills to manage hospitals with binding values and find the answer to the question: does the system of human values and the hospital managers ethics influence the decision? The design and the relevance of this study arise from the fact that the research of indexed articles has demonstrated a lack of studies related to ethics in health management. This research gap, the scope and the objectives of this study make it relevant in the current social, political and health sector contexts. This research has adopted the quanti-qualitative method of correlational type, drawing on the questionnaire "Ethicality of Hospital Management", which we constructed and validated for assessing the ethical behavior of the hospital manager, identifying the profile of ethical skills necessary to manage hospital health units. This qualitative methodology has used documentary research and the content analysis focused on an article available online about the mission, values and vision of hospitals. The sample consists of 421 health professionals who perform management functions at 25 hospitals in the National Health System and hospitals in the North of Portugal, regardless of the model of management and representatives of the public, private and social sectors. The results reveal that health professionals, in addition to the consideration of the philosophical perspective, respect their complex multidimensionality and recognize the singularity and the personal, social and cultural individualities. Based on the analysis model and on the data of the empirical study, we conclude that the managers of hospitals that were analyzed have integrated the guidelines of the ethics code of their professional group and possess a framework of ethical skills, acting referenced by the ethical paradigm of personalism.
Ethicality concerns the aptitude to practice ethical function, acting in line with the principles and values advocated by ethics, mainly the respect for the human being. This dissertation, "Profile of ethical skills to manage Hospital Health Units", emerges from the perception that there are inequalities in ensuring the rights of access to health care with universality and equity, motivated by restrictions of economic nature. This article addresses the interface of two areas - Bioethics and Management -, in the context of health care, specifically in hospitals. It is hoped that it will help to identify the axiological basis on which health managers should be based on. It should also contribute to operationalise a profile of ethical skills to manage hospitals with binding values and find the answer to the question: does the system of human values and the hospital managers ethics influence the decision? The design and the relevance of this study arise from the fact that the research of indexed articles has demonstrated a lack of studies related to ethics in health management. This research gap, the scope and the objectives of this study make it relevant in the current social, political and health sector contexts. This research has adopted the quanti-qualitative method of correlational type, drawing on the questionnaire "Ethicality of Hospital Management", which we constructed and validated for assessing the ethical behavior of the hospital manager, identifying the profile of ethical skills necessary to manage hospital health units. This qualitative methodology has used documentary research and the content analysis focused on an article available online about the mission, values and vision of hospitals. The sample consists of 421 health professionals who perform management functions at 25 hospitals in the National Health System and hospitals in the North of Portugal, regardless of the model of management and representatives of the public, private and social sectors. The results reveal that health professionals, in addition to the consideration of the philosophical perspective, respect their complex multidimensionality and recognize the singularity and the personal, social and cultural individualities. Based on the analysis model and on the data of the empirical study, we conclude that the managers of hospitals that were analyzed have integrated the guidelines of the ethics code of their professional group and possess a framework of ethical skills, acting referenced by the ethical paradigm of personalism.
Description
Keywords
Ética Valores Gestão Perfil Competências Ethics Values Management Hospital Profile Skills