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

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

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.

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Main Authors: Miclos,Paula Vitali, Calvo,Maria Cristina Marino, Colussi,Claudia Flemming
Format: Digital revista
Language:English
Published: Faculdade de Saúde Pública da Universidade de São Paulo 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277
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spelling oai:scielo:S0034-891020170001002772017-09-19Evaluation of the performance of actions and outcomes in primary health careMiclos,Paula VitaliCalvo,Maria Cristina MarinoColussi,Claudia Flemming Primary Health Care Basic Health Services Health Evaluation Health Services Evaluation Efficiency, Organizational Decision Making 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.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.51 20172017-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277en10.11606/s1518-8787.2017051006831
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Miclos,Paula Vitali
Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
spellingShingle Miclos,Paula Vitali
Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
Evaluation of the performance of actions and outcomes in primary health care
author_facet Miclos,Paula Vitali
Calvo,Maria Cristina Marino
Colussi,Claudia Flemming
author_sort Miclos,Paula Vitali
title Evaluation of the performance of actions and outcomes in primary health care
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
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.
publisher Faculdade de Saúde Pública da Universidade de São Paulo
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100277
work_keys_str_mv AT miclospaulavitali evaluationoftheperformanceofactionsandoutcomesinprimaryhealthcare
AT calvomariacristinamarino evaluationoftheperformanceofactionsandoutcomesinprimaryhealthcare
AT colussiclaudiaflemming evaluationoftheperformanceofactionsandoutcomesinprimaryhealthcare
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