Methodological aspects for prioritizing municipalities: the experience of the primary care board

Detalhes bibliográficos
Autor(a) principal: Matos, Marcia Ediméia Costa de
Data de Publicação: 2022
Outros Autores: Bowes, Erica Cristina Silva
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3541
Resumo: The Family Health Strategy is the guiding axis of the Brazilian care model. According to the National Primary Care Policy (PNAB), one of the responsibilities of the States is to provide institutional support to municipalities in implementing, monitoring, and qualifying primary care, as well as in expanding and consolidating the Family Health Strategy. In Bahia, the Primary Care Board (DAB) of the State Health Department is responsible for providing institutional support to municipalities through the Boards of Primary Care Coordinators and for conducting technical visits to municipalities. However, the state of Bahia faces a shortage of human and financial resources, specially to monitor the municipalities in loco, thus indicating the need for prioritizing the municipalities that will be monitored by institutional supporters based on health indicators at the central and regional levels. Thus, this paper aims to describe the development of a computerized tool for prioritizing municipalities to receive on-site intervention from the DAB and the Regional Health Departments (RHDs). Such a tool consisted of 13 indicators organized in a Microsoft Excel spreadsheet (2007) by distributing the 417 municipalities in the lines and the indicators and their values ??in the columns. The values ??achieved by the municipalities in each of the indicators were stratified and weighted according to parameters defined by the literature and/or responsible technical area. Then, each municipality was assigned a score, being 50 the maximum possible. The Instrument for Prioritization of Municipalities allowed for determining priority municipalities (those with the highest scores) to receive monitoring by institutional supporters.
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spelling Methodological aspects for prioritizing municipalities: the experience of the primary care boardAspectos metodológicos para la priorización de municipios: la experiencia de la junta de atención primariaAspectos metodológicos para priorização de municípios: a experiência da diretoria da atenção básicaAtenção básicaIndicador de saúdePlanejamento em saúdeAtención primariaIndicador de saludPlanificación en saludPrimary health careHealth indicatorHealth planningThe Family Health Strategy is the guiding axis of the Brazilian care model. According to the National Primary Care Policy (PNAB), one of the responsibilities of the States is to provide institutional support to municipalities in implementing, monitoring, and qualifying primary care, as well as in expanding and consolidating the Family Health Strategy. In Bahia, the Primary Care Board (DAB) of the State Health Department is responsible for providing institutional support to municipalities through the Boards of Primary Care Coordinators and for conducting technical visits to municipalities. However, the state of Bahia faces a shortage of human and financial resources, specially to monitor the municipalities in loco, thus indicating the need for prioritizing the municipalities that will be monitored by institutional supporters based on health indicators at the central and regional levels. Thus, this paper aims to describe the development of a computerized tool for prioritizing municipalities to receive on-site intervention from the DAB and the Regional Health Departments (RHDs). Such a tool consisted of 13 indicators organized in a Microsoft Excel spreadsheet (2007) by distributing the 417 municipalities in the lines and the indicators and their values ??in the columns. The values ??achieved by the municipalities in each of the indicators were stratified and weighted according to parameters defined by the literature and/or responsible technical area. Then, each municipality was assigned a score, being 50 the maximum possible. The Instrument for Prioritization of Municipalities allowed for determining priority municipalities (those with the highest scores) to receive monitoring by institutional supporters.La Estrategia de Salud Familiar es el eje orientador del modelo de atención brasileño. Una de las responsabilidades de los estados que establece la Política Nacional de Atención Primaria (PNAB) es brindar apoyo institucional a los municipios en el proceso de implementación, seguimiento y calificación de la Atención Primaria, así como en la expansión y consolidación de la Estrategia de Salud Familiar. En Bahía (Brasil), la Junta de Atención Primaria (DAB) de la Secretaría de Salud del Estado se encarga de brindar apoyo institucional a los municipios, a través del Colegio de Coordinadores de Atención Primaria y de visitas técnicas a los municipios. Sin embargo, el estado de Bahía se enfrenta a una escasez de recursos humanos y financieros, en particular en el seguimiento de los municipios in loco respecto al cumplimiento de sus responsabilidades. De esta manera, se pretende investigar la necesidad de priorizar, con base en indicadores de salud, los municipios para el seguimiento presencial por parte de los apoyos institucionales en el ámbito central y regional. Así, este trabajo tiene como objetivo describir el proceso de elaboración de una herramienta computarizada de priorización de municipios para la intervención in situ con apoyo institucional de la DAB y de los Núcleos Regionales de Salud (NRS). Para componer la herramienta se seleccionaron 13 indicadores, organizados en una hoja de cálculo de Microsoft Excel (2007), distribuyendo los 417 municipios en líneas y los indicadores y sus valores en columnas. Los valores alcanzados por los municipios en cada uno de los indicadores fueron estratificados y ponderados según parámetros definidos por la literatura y/o el área técnica responsable. Al final, se asignó una puntuación por municipio, siendo 50 la máxima puntuación posible. Así, a partir del Instrumento de Priorización de Municipios, se definieron los municipios prioritarios con mayores puntajes para el desempeño de los apoyadores institucionales.A Estratégia Saúde da Família é o eixo orientador do modelo assistencial brasileiro. Uma das responsabilidades dos Estados, estabelecida na Política Nacional de Atenção Básica (PNAB), é prestar apoio institucional aos municípios no processo de implantação, acompanhamento e qualificação da Atenção Básica e de ampliação e consolidação da Estratégia Saúde da Família. Na Bahia, a Diretoria da Atenção Básica (DAB) da Secretaria da Saúde do Estado é responsável por prestar apoio institucional aos municípios, por meio dos Colegiados dos Coordenadores de Atenção Básica e de visitas técnicas às cidades. Entretanto, o estado da Bahia enfrenta escassez de recursos humanos e financeiros, em especial para acompanhar os municípios in loco cumprindo suas responsabilidades. Dessa maneira, identificou-se a necessidade de priorizar os municípios, a partir de indicadores de saúde, para o acompanhamento presencial pelos apoiadores institucionais dos níveis central e regional. Assim, este trabalho tem como objetivo descrever o processo de elaboração de ferramenta informatizada para priorização de municípios para a intervenção presencial do apoio institucional da DAB e dos Núcleos Regionais de Saúde (NRS). Para compor a ferramenta, foram selecionados 13 indicadores, organizados em planilha no Microsoft Excel (2007), distribuindo os 417 municípios nas linhas e os indicadores e seus valores nas colunas. Os valores alcançados pelos municípios em cada um dos indicadores foram estratificados e ponderados de acordo com parâmetros definidos pela literatura e/ou área técnica responsável. Ao final, foi atribuída uma nota por município, sendo cinquenta a pontuação máxima possível. Assim, a partir do Instrumento de Priorização de Municípios, as cidades que apresentaram as maiores pontuações foram definidas como prioritárias para atuação dos apoiadores institucionais.SESAB2022-01-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/354110.22278/2318-2660.2021.v45.nEspecial_3.a3541Revista Baiana de Saúde Pública; v. 45 n. especial 3 (2021); 53-642318-26600100-023310.22278/2318-2660.2021.v45.NEspecial_3reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3541/2900Copyright (c) 2021 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessMatos, Marcia Ediméia Costa deBowes, Erica Cristina Silva2023-02-15T19:00:40Zoai:ojs.pkp.sfu.ca:article/3541Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:20.931920Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Methodological aspects for prioritizing municipalities: the experience of the primary care board
Aspectos metodológicos para la priorización de municipios: la experiencia de la junta de atención primaria
Aspectos metodológicos para priorização de municípios: a experiência da diretoria da atenção básica
title Methodological aspects for prioritizing municipalities: the experience of the primary care board
spellingShingle Methodological aspects for prioritizing municipalities: the experience of the primary care board
Matos, Marcia Ediméia Costa de
Atenção básica
Indicador de saúde
Planejamento em saúde
Atención primaria
Indicador de salud
Planificación en salud
Primary health care
Health indicator
Health planning
title_short Methodological aspects for prioritizing municipalities: the experience of the primary care board
title_full Methodological aspects for prioritizing municipalities: the experience of the primary care board
title_fullStr Methodological aspects for prioritizing municipalities: the experience of the primary care board
title_full_unstemmed Methodological aspects for prioritizing municipalities: the experience of the primary care board
title_sort Methodological aspects for prioritizing municipalities: the experience of the primary care board
author Matos, Marcia Ediméia Costa de
author_facet Matos, Marcia Ediméia Costa de
Bowes, Erica Cristina Silva
author_role author
author2 Bowes, Erica Cristina Silva
author2_role author
dc.contributor.author.fl_str_mv Matos, Marcia Ediméia Costa de
Bowes, Erica Cristina Silva
dc.subject.por.fl_str_mv Atenção básica
Indicador de saúde
Planejamento em saúde
Atención primaria
Indicador de salud
Planificación en salud
Primary health care
Health indicator
Health planning
topic Atenção básica
Indicador de saúde
Planejamento em saúde
Atención primaria
Indicador de salud
Planificación en salud
Primary health care
Health indicator
Health planning
description The Family Health Strategy is the guiding axis of the Brazilian care model. According to the National Primary Care Policy (PNAB), one of the responsibilities of the States is to provide institutional support to municipalities in implementing, monitoring, and qualifying primary care, as well as in expanding and consolidating the Family Health Strategy. In Bahia, the Primary Care Board (DAB) of the State Health Department is responsible for providing institutional support to municipalities through the Boards of Primary Care Coordinators and for conducting technical visits to municipalities. However, the state of Bahia faces a shortage of human and financial resources, specially to monitor the municipalities in loco, thus indicating the need for prioritizing the municipalities that will be monitored by institutional supporters based on health indicators at the central and regional levels. Thus, this paper aims to describe the development of a computerized tool for prioritizing municipalities to receive on-site intervention from the DAB and the Regional Health Departments (RHDs). Such a tool consisted of 13 indicators organized in a Microsoft Excel spreadsheet (2007) by distributing the 417 municipalities in the lines and the indicators and their values ??in the columns. The values ??achieved by the municipalities in each of the indicators were stratified and weighted according to parameters defined by the literature and/or responsible technical area. Then, each municipality was assigned a score, being 50 the maximum possible. The Instrument for Prioritization of Municipalities allowed for determining priority municipalities (those with the highest scores) to receive monitoring by institutional supporters.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3541
10.22278/2318-2660.2021.v45.nEspecial_3.a3541
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3541
identifier_str_mv 10.22278/2318-2660.2021.v45.nEspecial_3.a3541
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3541/2900
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 45 n. especial 3 (2021); 53-64
2318-2660
0100-0233
10.22278/2318-2660.2021.v45.NEspecial_3
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
instacron:IBICT
instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
repository.mail.fl_str_mv ||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br
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