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Pay-for-performance programme in primary health care: analyzing performance and social participation in the Rio Grande do Norte State

Resende, Tamiris Cristhina, de Souza, Washington Jose, Peckham, Stephen, Emmendoerfer, Martin Luiz, Ferreira, Marco Aurélio Marques (2021) Pay-for-performance programme in primary health care: analyzing performance and social participation in the Rio Grande do Norte State. Revista de Administração da UFSM, 14 (4). pp. 769-788. (doi:10.5902/1983465963903) (KAR id:91461)

Abstract

Introduction: Pay-for-performance or performance-based financing systems have been adopted worldwide in public health. Following the international trend, Brazil implemented in 2011 the National Program for Improving Primary Care Access and Quality (PMAQ).

Originality/value: This study therefore addresses how the National Program for Improving Primary Care Access and Quality contributes to the exercise of social control in Brazilian municipalities as a tool for managing public health policy.

Purpose: In this regard, the objective of this study outline connections between the performance of the health teams in the PMAQ and the participatory health councils, based on the experiences of councillors and managers from the three large municipalities in the state of Rio Grande do Norte.

Research Design: The research included semi-structured interviews with members of participatory health

councils and health managers, as well as the systematization of information collected in official documents and articles about PMAQ.

Findings: It was concluded that the data collected on user satisfaction with public health services have a high potential to inform Municipal Health Councils in their role of quality control, which occurs in the three large municipalities of Rio Grande do Norte.

Item Type: Article
DOI/Identification number: 10.5902/1983465963903
Uncontrolled keywords: pay-for-performance (P4P); public policy evaluation; Municipal Health Councils; social participation; public health
Subjects: J Political Science > JL Political institutions and public adminsitration (Canada, Latin America, etc.)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Stephen Peckham
Date Deposited: 10 Nov 2021 08:30 UTC
Last Modified: 15 Nov 2022 12:27 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/91461 (The current URI for this page, for reference purposes)

University of Kent Author Information

Resende, Tamiris Cristhina.

Creator's ORCID:
CReDIT Contributor Roles:

Peckham, Stephen.

Creator's ORCID: https://orcid.org/0000-0002-7002-2614
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