Research and innovation play fundamental roles in enhancing healthcare, and
in Brazil

Name: NAYARA RIBEIRO DE OLIVEIRA

Publication date: 06/09/2024

Examining board:

Namesort descending Role
BRÍGIDA DIAS FERNANDES Examinador Externo
BRUNO HENRIQUE FIORIN Presidente
THALMO DE PAIVA COELHO JUNIOR Examinador Interno

Summary: Research and innovation play fundamental roles in enhancing healthcare, and
in Brazil, this commitment was established by the 1988 Federal Constitution
and reinforced by policies such as the National Policy on Science, Technology,
and Innovation in Health (PNITS) and the Research Priorities Agenda of the
Ministry of Health. At the state level, this agenda became strategic with the
creation of the Capixaba Institute of Teaching, Research, and Health Innovation
(ICEPi) in 2019. Since its inception, ICEPi has developed projects aimed at
scientific, technological, and innovation development, working in partnership
with municipalities and other health services. Despite significant results
achieved, which contributed to improvements in access and quality of
healthcare services in Espírito Santo, it is still necessary to optimize methods
for implementing innovations, aiming for greater efficacy and sustainability.
Thus, this research aimed to propose strategies to increase the effectiveness of
implementing innovations in public health in Espírito Santo. The methodology
adopted was applied, exploratory, and used a quanti-qualitative approach
through action research. To collect quantitative data, an online questionnaire
based on the domains of the Consolidated Framework for Implementation
Research (CFIR) was administered to a sample of 34 participants. For
qualitative data collection, a focus group with a sample of 5 people was
conducted, with the group moderated and guiding questions also based on the
CFIR. Data integration was performed through side-by-side comparison. The
results of this research identified the main facilitators and barriers in the
implementation of innovations in public health in Espírito Santo, such as the
adaptability of the innovation to local needs, the existence of partnerships and
connections with external entities, and the internal infrastructure of health
organizations. Based on these findings, a roadmap for implementing
innovations in the SUS-ES was developed, structured in seven main stages:
evaluation of the internal and external environment, innovation planning,
stakeholder engagement, team training, implementation with continuous
adjustments, and sustainability and expansion of the innovation. This roadmap
offers the steps and activities to guide managers and health professionals in
introducing new practices and technologies, promoting a culture of continuous
and sustainable innovation

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