The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Organizações & Sociedade (Online) |
Texto Completo: | https://periodicos.ufba.br/index.php/revistaoes/article/view/25582 |
Resumo: | This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals. |
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The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State MunicipalitiesA Percepção de Profissionais e Gestores da Saúde sobre a Alocação de Recursos na Atenção Primária de Municípios de Minas Geraisatenção primáriafinanças públicaspolíticas públicas níveis institucionais.primary health care public financespublic policyinstitutional levels.This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals.Este estudo teve o objetivo de analisar e descrever as percepções de profissionais e gestores de saúde sobre os principais fenômenos que influenciam a alocação de recursos na atenção primária da saúde. Com abordagem qualitativa, a pesquisa de campo deste estudo foi realizada em dez municípios de Minas Gerais, a partir de onze grupos focais, seis entrevistas e dois questionários semiestruturados nos anos de 2014 e 2015 e nove grupos focais e cinco entrevistas no ano de 2018, totalizando a participação de 133 profissionais e gestores de saúde. Ainda foram adicionadas outras fontes de evidências, como observações não participantes, fotografias e documentos da Secretaria de Estado da Saúde de Minas Gerais e do Ministério da Saúde. Com base na análise de conteúdo, foram obtidas oito categorias de fenômenos que influenciam a alocação de recursos na APS, derivadas de processos cotidianos de interação entre população, profissionais e gestores de saúde. Constatou-se que a atenção primária está em um contexto de mudança institucional, dependente da validade de atores e instituições, em diferentes níveis institucionais. Entre os fatores determinantes da alocação de recursos na APS, destacam-se a influência das agências dos atores envolvidos, da trajetória hospitalar, da iniciativa privada, do corporativismo médico, da influência de políticos, da capacidade de gestão municipal, da infraestrutura e de grupos de indivíduos específicos.Núcleo de Pós-graduação em Administração, Escola de Administração, UFBA2021-10-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.ufba.br/index.php/revistaoes/article/view/25582Organizações & Sociedade; Vol. 28 No. 98 (2021)Organizações & Sociedade; v. 28 n. 98 (2021)1984-92301413-585Xreponame:Organizações & Sociedade (Online)instname:Universidade Federal da Bahia (UFBA)instacron:UFBAengporhttps://periodicos.ufba.br/index.php/revistaoes/article/view/25582/25405https://periodicos.ufba.br/index.php/revistaoes/article/view/25582/25406Copyright (c) 2021 Organizações & Sociedadeinfo:eu-repo/semantics/openAccessSantos, Lucas Maia dosGonçalves, Márcio Augusto2021-10-19T20:59:06Zoai:ojs.periodicos.ufba.br:article/25582Revistahttp://www.revistaoes.ufba.br/PUBhttps://old.scielo.br/oai/scielo-oai.phpcandidab@ufba.br||revistaoes@ufba.br1984-92301413-585Xopendoar:2021-10-19T20:59:06Organizações & Sociedade (Online) - Universidade Federal da Bahia (UFBA)false |
dc.title.none.fl_str_mv |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities A Percepção de Profissionais e Gestores da Saúde sobre a Alocação de Recursos na Atenção Primária de Municípios de Minas Gerais |
title |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
spellingShingle |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities Santos, Lucas Maia dos atenção primária finanças públicas políticas públicas níveis institucionais. primary health care public finances public policy institutional levels. |
title_short |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
title_full |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
title_fullStr |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
title_full_unstemmed |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
title_sort |
The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities |
author |
Santos, Lucas Maia dos |
author_facet |
Santos, Lucas Maia dos Gonçalves, Márcio Augusto |
author_role |
author |
author2 |
Gonçalves, Márcio Augusto |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Santos, Lucas Maia dos Gonçalves, Márcio Augusto |
dc.subject.por.fl_str_mv |
atenção primária finanças públicas políticas públicas níveis institucionais. primary health care public finances public policy institutional levels. |
topic |
atenção primária finanças públicas políticas públicas níveis institucionais. primary health care public finances public policy institutional levels. |
description |
This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-19 |
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://periodicos.ufba.br/index.php/revistaoes/article/view/25582 |
url |
https://periodicos.ufba.br/index.php/revistaoes/article/view/25582 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.ufba.br/index.php/revistaoes/article/view/25582/25405 https://periodicos.ufba.br/index.php/revistaoes/article/view/25582/25406 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Organizações & Sociedade info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Organizações & Sociedade |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Pós-graduação em Administração, Escola de Administração, UFBA |
publisher.none.fl_str_mv |
Núcleo de Pós-graduação em Administração, Escola de Administração, UFBA |
dc.source.none.fl_str_mv |
Organizações & Sociedade; Vol. 28 No. 98 (2021) Organizações & Sociedade; v. 28 n. 98 (2021) 1984-9230 1413-585X reponame:Organizações & Sociedade (Online) instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
instname_str |
Universidade Federal da Bahia (UFBA) |
instacron_str |
UFBA |
institution |
UFBA |
reponame_str |
Organizações & Sociedade (Online) |
collection |
Organizações & Sociedade (Online) |
repository.name.fl_str_mv |
Organizações & Sociedade (Online) - Universidade Federal da Bahia (UFBA) |
repository.mail.fl_str_mv |
candidab@ufba.br||revistaoes@ufba.br |
_version_ |
1799698970918780928 |