Evaluation of the performance of actions and outcomes in primary health care

Detalhes bibliográficos
Autor(a) principal: Miclos,Paula Vitali
Data de Publicação: 2017
Outros Autores: Calvo,Maria Cristina Marino, Colussi,Claudia Flemming
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277
Resumo: ABSTRACT OBJECTIVE The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012. The data envelopment analysis tool has been used for variable returns to scale with product orientation. RESULTS Municipalities have been analyzed by population size, and small municipalities have presented a high percentage of inefficiency for both models. CONCLUSIONS The analysis of efficiency has indicated the existence of a higher percentage of effective municipalities in the model of health actions than in the model of health outcomes.
id USP-23_d75cdcb3c8d5dc23f2d3bfecf4086117
oai_identifier_str oai:scielo:S0034-89102017000100277
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Evaluation of the performance of actions and outcomes in primary health carePrimary Health CareBasic Health ServicesHealth EvaluationHealth Services EvaluationEfficiency, OrganizationalDecision MakingABSTRACT OBJECTIVE The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012. The data envelopment analysis tool has been used for variable returns to scale with product orientation. RESULTS Municipalities have been analyzed by population size, and small municipalities have presented a high percentage of inefficiency for both models. CONCLUSIONS The analysis of efficiency has indicated the existence of a higher percentage of effective municipalities in the model of health actions than in the model of health outcomes.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277Revista de Saúde Pública v.51 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051006831info:eu-repo/semantics/openAccessMiclos,Paula VitaliCalvo,Maria Cristina MarinoColussi,Claudia Flemmingeng2017-09-19T00:00:00Zoai:scielo:S0034-89102017000100277Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-09-19T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Evaluation of the performance of actions and outcomes in primary health care
title Evaluation of the performance of actions and outcomes in primary health care
spellingShingle Evaluation of the performance of actions and outcomes in primary health care
Miclos,Paula Vitali
Primary Health Care
Basic Health Services
Health Evaluation
Health Services Evaluation
Efficiency, Organizational
Decision Making
title_short Evaluation of the performance of actions and outcomes in primary health care
title_full Evaluation of the performance of actions and outcomes in primary health care
title_fullStr Evaluation of the performance of actions and outcomes in primary health care
title_full_unstemmed Evaluation of the performance of actions and outcomes in primary health care
title_sort Evaluation of the performance of actions and outcomes in primary health care
author Miclos,Paula Vitali
author_facet Miclos,Paula Vitali
Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
author_role author
author2 Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
author2_role author
author
dc.contributor.author.fl_str_mv Miclos,Paula Vitali
Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
dc.subject.por.fl_str_mv Primary Health Care
Basic Health Services
Health Evaluation
Health Services Evaluation
Efficiency, Organizational
Decision Making
topic Primary Health Care
Basic Health Services
Health Evaluation
Health Services Evaluation
Efficiency, Organizational
Decision Making
description ABSTRACT OBJECTIVE The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012. The data envelopment analysis tool has been used for variable returns to scale with product orientation. RESULTS Municipalities have been analyzed by population size, and small municipalities have presented a high percentage of inefficiency for both models. CONCLUSIONS The analysis of efficiency has indicated the existence of a higher percentage of effective municipalities in the model of health actions than in the model of health outcomes.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2017051006831
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.51 2017
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1748936504207474688

Registros relacionados