Primary Healthcare Management: What Is Discussed in the Literature

Abstract

Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.

Managers’ Views on Professional Competencies for Primary Health Care

“…The study of Henrique et al (2019) identified that the managers of the BHU surveyed demonstrated that they were not prepared for the function, both because of the fragility and distance with the practice of services identified in the courses that train professionals in the health area, as well as the lack of training and continuing education offered in service for managers, it generally affects learning-by-doing for these professionals when they take office. Even so, a literature review study indicates that the essential skills of primary care managers are the organization of the teamwork and the planning of the services action priorities (Pires, Vandresen, Machado, et al, 2019). PAHO (2017) guides the use of continuing education as a tool to develop professionals in areas that present these gaps in technical, programmatic, or management.…”

“…Research that conducted a review of scientific literature on the management in primary care identified as essential competencies of managers: “communication, management teams, planning with priority setting, solving problem-solving, evaluation of performance and leadership” (Pires, Vandresen, Machado, et al, 2019, p. 8). Another study performed with the participation of managers of the Family Health Strategy (FHS) in a municipality in Rio de Janeiro also analyzed the skills needed for the primary care manager and identified three categories: leadership; resource and care management; and mobilization of cognitive and affective resources (Fernandes et al, 2019).…”

Tomada de decisão na gerência em Atenção Primária à Saúde: percepção de enfermeiros

“…Envolve inúmeras dimensões como gestão de pessoas, relacionada à gestão de relações de trabalho e da força de trabalho em número e qualificação; gestão de materiais e processos, referente a estrutura, fluxos organizacionais, processos de trabalho, materiais e equipamentos; e gestão financeira. 25 Além da sobrecarga de trabalho e carga horária, a implementação das atividades e do cuidado foi destacada como fragilidade durante o desenvolvimento da pesquisa. Relativo a isso, em estudo efetuado acerca do dimensionamento de enfermagem e do processo de trabalho em uma UBS do Centro-Oeste de São Paulo, evidenciou-se falta de recursos humanos, implicações para o processo de trabalho relacionado a monitoramento do sistema de informação e reorganização da abrangência do serviço de saúde.…”

Monitoring of Cervical Cancer Control Actions and Associated Factors

“…In addition, when professionals reported HSIL diagnoses, there was also an association with adequate monitoring. This aspect can be linked to the growth of the organization and reach of the PHC services 29 , as well as to the increase in the coverage of the cytopathological exams 13,27 . However, this result can also indicate late diagnosis, resulting from a service with failed screening and insufficient quality.…”