Theorizing about Performance Evaluation of Health Systems from the Perspective of Civil Society ()
ABSTRACT
One of
the slogans that compose managerialism is the participation of civil society in
controlling the performance of public administration, thus consolidating itself
as a form of accountability. So this article is concerned with theorizing the
role of civil society interested in the debate about the performance evaluation
of health systems and the limits that the literature presents on this topic. An
exploratory, descriptive-reflective, essay was carried out. The scientific
literature on the subject presents three controversies on this subject: the
first deals with the use of results measurement to evaluate performance in
health systems, the second about the health system as an object of performance
evaluation and the third deals with evaluation performance as a public policy
in health systems, in which we brought the reflection on the case of the
Unified Health System and the control of the performance of health policies by
civil society. The theoretical reflection brought a wide open view to the
complex relationship between society and State, their economic and political
implications with performance and the limits of adopting these tools to
measure. Finally, we conclude that three dimension of limits were identified
(economic, political
and technical) in this discussion that we need to overcome. Concerning this
fact, we propose an essential research agenda.
Share and Cite:
Carnut, L. (2020) Theorizing about Performance Evaluation of Health Systems from the Perspective of Civil Society.
Open Journal of Social Sciences,
8, 394-411. doi:
10.4236/jss.2020.86030.