A experiência de planejar e operacionalizar a avaliação dos serviços de Atenção Básica no estado do Acre do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

Rodrigues, Valéria Guimarães Silvestre; Santos, Cleber Ronald Inácio dos; Pereira, Mariana Uchoa

doi:10.5935/0103-1104.2014s013

Cited by 4 publications

(2 citation statements)

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“…The statistical significance of the difference between the proportions was calculated by Tukey’s ‘Honest Significant Difference’ method, using a cut-off of a p -value less than 0.05. We used pseudo-Poisson regression models with robust confidence intervals in order to calculate the magnitude of relationship between the Overall Accessibility Score and the aforementioned characteristics [ 24 ]. Crude and adjusted analyses was performed.…”

Section: Methodsmentioning

confidence: 99%

A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

Pinto

Köptcke

David

et al. 2021

IJERPH

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Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

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Section: Methodsmentioning

confidence: 99%

A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

Pinto

Köptcke

David

et al. 2021

IJERPH

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“…These articles, like those of the Brazilian scholars published in this Supplement, also mainly report quantitative studies either solely or predominantly consisting of descriptive analyses utilising PMAQ data. Few works by external assessors of PMAQ provide narratives or descriptions of the experience of data collection undertaken in diverse Brazilian states (Fausto & Fonseca, 2013;Rodrigues, Santos & Pereira, 2014), and they do not advance much analytically in terms of lessons for future policy developments. To date, there have few studies undertaking implementation analyses, using qualitative methods or wider discussions of the PMAQ program within the wider international global health and public policy literature (Saddi, Harris, Parreira, & Pego, 2017).…”

Section: The State Of the Art Of Knowledge About Pmaq: The Relevant Gapmentioning

confidence: 99%

Brazilian Payment for Performance (PMAQ) Seen From a Global Health and Public Policy Perspective

Saddi

Peckham

2018

Journal of Ambulatory Care Management

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This supplement of the Journal of Ambulatory Care Management on the Brazilian National Program for Improving Access and Quality of Primary Care (PMAQ) reveals a relevant gap in the Brazilian literature on pay for performance/PMAQ, and is therefore an opportunity to bring contributions from global health and public policy to the debate. We discuss the relevant gap in the light of developments in evaluation and policy analysis. We afterward present the state of knowledge regarding global health and public policy in pay for performance, giving attention to diverse themes, methods, types of analyses, theoretical contributions, and limitations. Finally, we suggest some possible implications for research and policy in Brazil.

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Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB): modelização da política no âmbito nacional

2018

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Pretendeu-se identificar os elementos constituintes do arcabouço teórico do PMAQ-AB e, assim, sistematizar o modelo lógico deste programa. Para tanto, foi realizado estudo de avaliação que abrange revisão e análise de documentos, dentre os quais foram incluídos 35 referentes à intervenção proposta no âmbito nacional. Com base na elaboração do modelo foi possível compreender a plausibilidade lógica da proposta. Podese presumir que esse resultado permitirá a ampliação da visão de avaliação para as questões de organização relacionadas ao programa, ao tornar possível uma comparação entre o programa como fora previsto e o que tem sido, de fato, implementado nos diversos contextos dos municípios brasileiros.

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A experiência de planejar e operacionalizar a avaliação dos serviços de Atenção Básica no estado do Acre do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

Cited by 4 publications

References 0 publications

A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

Brazilian Payment for Performance (PMAQ) Seen From a Global Health and Public Policy Perspective

Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB): modelização da política no âmbito nacional

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