Análise da utilização do incentivo financeiro do PMAQ-AB sob a ótica do gestor municipal

• Autor(a) principal: Candeia, Rozileide Martins Simões
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/21781
• topic: Atenção básica; Gestão em saúde; Remuneração; Avaliação em saúde; Avaliação de programas e projetos de saúde; Primary health care; Health management; Remuneration; Health evaluation; Evaluation of health programs and projects; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

INTRODUCTION The historical trajectory of health policies in Brazil has leveraged the construction of Sus and effectiveness as a current model, strengthening official assistance and the largest country in the world to use a public health system based on the principles of universality, equity and integrality. The processes that promote the quality of care are important instruments for advances in SUS, with a view to improving quality, producing knowledge about reality. The PMAQ-AB proposes to expand the population's access to ABS services, with quality of services provided, through practices of management practices transformed in the work processes in the Basic Health Units. This research was organized by the organization: how do municipal managers in the state of Paraíba use the advanced financial resources of the PMAQ? OBJECTIVE To analyze how advanced financial resources were used for the Program to Improve Access and Quality of Primary Care, from the perspective of managers in the state of Paraíba during three cycles. METHODOLOGY: this is an exploratory, descriptive study with a quantitative approach, which used a questionnaire addressing standards, transfer and reflexes from financial resources, applied with municipal health managers. The study was submitted to the Ethics Committee on Research with Humans at the Health Sciences Center of the Federal University of Paraíba, under number CAAE: 90331418.6.0000.8069. The study sample consists of 219 participants. Descriptive data analysis, statistical inference and hierarchical cluster analysis were performed. RESULTS AND DISCUSSION: the analysis covered the three cycles of the program. It showed that most of the participants occupied the position of health secretary, an important fact for being the decision maker. Existence of a municipal law regulating the transfer of financial resources from PMAQ since cycle 1. The variables that analyzed the transfer of resources to the teams showed greater similarities in the decision making of managers for cycle 2 and 3. Within the reflexes of decision making in the transfer of resources, problems were identified among the members of the health teams and between them and the management, although they see improvements in all the categories analyzed. FINAL CONSIDERATIONS: as an innovative practice, the PMAQ brought essential aspects for the strengthening of access and quality, considering the self-assessment / M & A and the P4P modality as an instrument of practices that foster bases for assistance with excellence. The decision-making manager has the potential to collaborate with the construction of knowledge in the field of essential improvements for ABS.