Quality improvement: an analysis from the perspective of professionals from the primary health care teams in the city of Rio de Janeiro

• Autor(a) principal: Ramos , Maurício
• Data de Publicação: 2021
• Outros Autores: Brandão, Ana Laura, Graever, Leonardo, Campos, Carlos Eduardo Aguilera
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2736
• topic: Atenção Primária à Saúde; Gestão da Qualidade Total; Administração em Saúde Pública; Apoio ao Planejamento em Saúde.; Primary Health Care; Total Quality Management; Public Health Administration; Health Planning Support.; Atención Primaria de Salud; Gestión de la Calidad Total; Administración en Salud Pública; Apoyo a la Planificación en Salud.

Introduction: Continuous quality improvement (MCQ) in healthcare can be conceptualized as a commitment to continuously improve the quality of care, focusing on the preferences and needs of the people who use the services. In Brazil, between 2009 and 2016, there was a great incentive to evaluate the performance and improve the quality of the family health teams (eSF), through the National Program for Improving Access and Quality of Primary Care (PMAQ). In the municipality of Rio de Janeiro (MRJ), there were accountability seminars, a process organized by the municipal management for the presentation and evaluation of results by external evaluators based on a matrix of previously defined indicators, and the seminars on evaluation and quality improvement, organized in 2018, with the prerogative of the use of MCQ tools by eSF and local management. Objectives: To analyze the experience of the MRJ PHC teams in using MCQ tools in their work process. Methods: Semi-structured interviews were carried out with professionals who make up the technical coordination of the basic health units, evaluating the general perception about the work and the network, the presence of strategic planning and the understanding of the seminars on quality evaluation and improvement, through the analysis of the content of the interviews. Results: Of the respondents, 54% assess their work as “fair” and 36% as “poor” and all respondents took into account the current scenario of the MRJ PHC for self-assessment. Of the participants, 86% reported that team meetings do not take place as scheduled; however, they point out the emphasis on planning work processes in the meetings. Only 10% reported that they use health indicators to guide the actions to be discussed at the meeting. Only 14% managed to complete the entire MCQ seminars itinerary with the support of the entire team. Conclusion: The importance of institutionalizing the MCQ and health assessment, the negative influence of an adverse political scenario and its impact on the MCQ processes was highlighted.