Avaliação da Estratégia Nacional de Vigilância Epidemiológica Hospitalar

INTRODUCTION: Health surveillance plays a fundamental role in identifying, responding and controlling health diseases, as well as monitoring morbidity and mortality profiles. Not least, the country's economic situation leads us to seek better and more efficient health services. The Hospital Epidemiological Surveillance (VEH) was instituted by the Ministry of Health as a way to improve this surveillance from a hospital perspective, with the application of financial incentives to implement and maintain this strategic action. PURPOSE: to evaluate the network of VEH nucleus according to models of surveillance and financing in Brazil between 2008-2016. METHODOLOGY: An evaluation study with type III implantation analysis, in two stages: (a) conceptual delimitation for the establishment of the theory of intervention, through bibliographic narrative review and documentary analysis to describe surveillance models and financing mechanisms, As well as the evolution of REVEH; (b) DATASUS baseline data analysis for: health facility cadastral data, federal funding (in the form of an incentive) of VEH, and mandatory reporting records. RESULTS: The results indicate an increase in the number of NVEH in the period from 2014 to 2016, when the surveillance model was changed, from sentinel to population base, probably due to the greater flexibility of local managers to indicate the most convenient or larger hospitals in need of monitoring. The financial incentive amounts doubled in relation to the previous period (2004 to 2013), but with the exception that the volume of notifications records declined progressively in the years 2015 and 2016. CONCLUSION: The change in surveillance model influences the data produced by REVEH, but the strategy has proven to be effective over the years. It is necessary to wait for the stabilization and adequacy of the new establishments in the network of national interest, as well as more specific analyzes of the results of the nucleus after the habilitation in the new molds. Thus, the strategy of VEH subsidize the planning of prevention and promotion actions in health, disease control, injuries and public health events, as well as guiding decision making at the three levels of management of SUS, but recent changes in the strategy´s design deserve to be further assessed.