Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil

Detalhes bibliográficos
Autor(a) principal: Medeiros, Olívia Lucena de
Data de Publicação: 2020
Outros Autores: Barreto, Jorge Otávio Maia, Harris, Matthew, Russo, Letícia Xander, Silva, Everton Nunes da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/45663
Resumo: National Institute for Health Research (NIHR), Clinical Research Network North West London, Department of Health and Social Care - UK.
id CRUZ_6209f8fbdfdfbf4928f209a38e7bf907
oai_identifier_str oai:www.arca.fiocruz.br:icict/45663
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Medeiros, Olívia Lucena deBarreto, Jorge Otávio MaiaHarris, MatthewRusso, Letícia XanderSilva, Everton Nunes da2021-01-13T14:44:03Z2021-01-13T14:44:03Z2020MEDEIROS, Olívia Lucena de et al. Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil. Plos One, [San Franscisco], v. 15, n. 10, e0240631, p. 1-18, oct. 2020.1932-6203https://www.arca.fiocruz.br/handle/icict/4566310.1371/journal.pone.0240631National Institute for Health Research (NIHR), Clinical Research Network North West London, Department of Health and Social Care - UK.University of Brasilia. Graduate Program in Public Health. Brasilia, DF, Brazil / Ministry of Health. Brasilia, DF, Brazil.University of Brasilia. Graduate Program in Public Health. Brasilia, DF, Brazil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Imperial College. Faculty of Medicine. School of Public Health. London, United Kingdom.State University of Maringá. Department of Economics. Maringá, PR, Brazil.University of Brasilia. Graduate Program in Public Health. Brasilia, DF, Brazil.Background: Improving access and quality in health care is a pressing issue worldwide and pay for performance (P4P) strategies have emerged as an alternative to enhance structure, process and outcomes in health. In 2011, Brazil adopted its first P4P scheme at national level, the National Programme for Improving Primary Care Access and Quality (PMAQ). The contribution of PMAQ in achieving the Sustainable Development Goals related to maternal and childcare remains under investigated in Brazil. Objective: To estimate the association of PMAQ with the provision of maternal and childcare in Brazil, controlling for socioeconomic, geographic and family health team characteristics. Method: We used cross-sectional quantile regression (QR) models for two periods, corresponding to 33,368 Family Health Teams (FHTs) in the first cycle and 39,211 FHTs in the second cycle of PMAQ. FHTs were analysed using data from the Brazilian Ministry of Health (SIAB and CNES) and the Brazilian Institute for Geography and Statistics (IBGE).Results: The average number of antenatal consultations per month were positively associated with PMAQ participating teams, with larger effect in the lower tail (10th and 25th quantiles) of the conditional distribution of the response variable. There was a positive association between PMAQ and the average number of consultations under 2 years old per month in the 10th and 25th quantiles, but a negative association in the upper tail (75th and 90th quantiles). For the average number of physician consultations for children under 1 year old per month, PMAQ participating teams were positively associated with the response variable in the lower tail, but different from the previous models, there is no clear evidence that the second cycle gives larger coefficients compared with first cycle. Conclusion: PMAQ has contributed to increase the provision of care to pregnant women and children under 2 years at primary healthcare level. Teams with lower average number of antenatal or child consultations benefited the most by participating in PMAQ, which suggests that PMAQ might motivate worse performing health providers to catch up.engPublic Library of SciencePregnancyPrenatal CareNational Health ProgramsPrimary Health CareInfant, NewbornHealth Services AccessibilityCross-Sectional StudiesPrimary health careMaternal health servicesChild healthNational health programsAtenção Primária à SaúdeServiços de Saúde MaternaSaúde da CriançaAssistência Integral à SaúdeGestantesProgramas Nacionais de SaúdeCuidado Pré-NatalDelivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83074https://www.arca.fiocruz.br/bitstream/icict/45663/1/license.txtd3e717dbb24bfc607ede047f44d29a0eMD51ORIGINALve_Olıvia_Medeiros_etal_BSB_2020.pdfve_Olıvia_Medeiros_etal_BSB_2020.pdfapplication/pdf909366https://www.arca.fiocruz.br/bitstream/icict/45663/2/ve_Ol%c4%b1via_Medeiros_etal_BSB_2020.pdf26799b0ef1c26e5e1a06125f664463b7MD52TEXTve_Olıvia_Medeiros_etal_BSB_2020.pdf.txtve_Olıvia_Medeiros_etal_BSB_2020.pdf.txtExtracted texttext/plain70005https://www.arca.fiocruz.br/bitstream/icict/45663/3/ve_Ol%c4%b1via_Medeiros_etal_BSB_2020.pdf.txt7fb71cb29d85b866cbcfa75bf6e8e60eMD53icict/456632021-01-14 02:08:24.758oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-01-14T05:08:24Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
title Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
spellingShingle Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
Medeiros, Olívia Lucena de
Pregnancy
Prenatal Care
National Health Programs
Primary Health Care
Infant, Newborn
Health Services Accessibility
Cross-Sectional Studies
Primary health care
Maternal health services
Child health
National health programs
Atenção Primária à Saúde
Serviços de Saúde Materna
Saúde da Criança
Assistência Integral à Saúde
Gestantes
Programas Nacionais de Saúde
Cuidado Pré-Natal
title_short Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
title_full Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
title_fullStr Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
title_full_unstemmed Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
title_sort Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil
author Medeiros, Olívia Lucena de
author_facet Medeiros, Olívia Lucena de
Barreto, Jorge Otávio Maia
Harris, Matthew
Russo, Letícia Xander
Silva, Everton Nunes da
author_role author
author2 Barreto, Jorge Otávio Maia
Harris, Matthew
Russo, Letícia Xander
Silva, Everton Nunes da
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Medeiros, Olívia Lucena de
Barreto, Jorge Otávio Maia
Harris, Matthew
Russo, Letícia Xander
Silva, Everton Nunes da
dc.subject.mesh.pt_BR.fl_str_mv Pregnancy
Prenatal Care
National Health Programs
Primary Health Care
Infant, Newborn
Health Services Accessibility
Cross-Sectional Studies
topic Pregnancy
Prenatal Care
National Health Programs
Primary Health Care
Infant, Newborn
Health Services Accessibility
Cross-Sectional Studies
Primary health care
Maternal health services
Child health
National health programs
Atenção Primária à Saúde
Serviços de Saúde Materna
Saúde da Criança
Assistência Integral à Saúde
Gestantes
Programas Nacionais de Saúde
Cuidado Pré-Natal
dc.subject.en.pt_BR.fl_str_mv Primary health care
Maternal health services
Child health
National health programs
dc.subject.decs.pt_BR.fl_str_mv Atenção Primária à Saúde
Serviços de Saúde Materna
Saúde da Criança
Assistência Integral à Saúde
Gestantes
Programas Nacionais de Saúde
Cuidado Pré-Natal
description National Institute for Health Research (NIHR), Clinical Research Network North West London, Department of Health and Social Care - UK.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-01-13T14:44:03Z
dc.date.available.fl_str_mv 2021-01-13T14:44:03Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MEDEIROS, Olívia Lucena de et al. Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil. Plos One, [San Franscisco], v. 15, n. 10, e0240631, p. 1-18, oct. 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/45663
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0240631
identifier_str_mv MEDEIROS, Olívia Lucena de et al. Delivering maternal and childcare at primary healthcare level: the role of PMAQ as a pay for performance strategy in Brazil. Plos One, [San Franscisco], v. 15, n. 10, e0240631, p. 1-18, oct. 2020.
1932-6203
10.1371/journal.pone.0240631
url https://www.arca.fiocruz.br/handle/icict/45663
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/45663/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/45663/2/ve_Ol%c4%b1via_Medeiros_etal_BSB_2020.pdf
https://www.arca.fiocruz.br/bitstream/icict/45663/3/ve_Ol%c4%b1via_Medeiros_etal_BSB_2020.pdf.txt
bitstream.checksum.fl_str_mv d3e717dbb24bfc607ede047f44d29a0e
26799b0ef1c26e5e1a06125f664463b7
7fb71cb29d85b866cbcfa75bf6e8e60e
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1798324952272732160

Registros relacionados