A contratualização como ferramenta da gestão na Atenção Primária à Saúde na percepção dos profissionais da Secretaria Municipal de Saúde de Curitiba, Brasil

Abstract

RESUMO Objetivou-se analisar o uso da contratualização como ferramenta da gestão na Atenção Primária à Saúde no município de Curitiba. A metodologia consistiu na análise dos dados secundários, produzidos pelo Banco Mundial em pesquisa realizada em 2005, referentes à gestão dos cuidados primários à saúde. A contratualização foi considerada importante na organização do processo de trabalho, sendo útil para a identificação e solução de problemas, para o estabelecimento de prioridades e de compromissos mútuos entre os profissionais, os gestores e a população. No entanto, há ainda lacunas na efetivação da gestão pactuada e no processo de negociação das metas. PALAVRAS-CHAVE Contratos; Atenção Primária à Saúde; Gestão em saúde; Negociação. ABTRACT This article aims to analyze the use of contracting as a tool for the management of Primary Health Care in the county of Curitiba. The method used was the analysis of secondary data, produced by the World Bank on research conducted in 2005, regarding the management of primary health care. The contracting was considered important in the organization of the work process, being useful for identifying and solving problems, to establishing priorities, and mutual commitments between professionals, managers and the public. However, there are still gaps in the fulfillment of the agreed management and in the process of negotiation of goals.

The role of nurses in the integration of care for people with chronic noncommunicable diseases

“…The MHS established management agreements, which came into force in 2002, between basic units and sanitary districts and between these and the MHS itself. These agreements provided for negotiations of targets to be discussed with health teams, taking into account the installed capacity and the specificities of each territory (15) .…”

Gestão na atenção primária: implicações nas cargas de trabalho de gestores

“…Several aspects of management mentioned in the texts as challenges or difficulties, visible in group 1 of Figure 2, are related to the characteristics of the PHC model itself, highlighting aspects of this new model that constitutes a challenge for management. Among them were the difficulties of effectiveness of the comprehensive care, including the deficits in the functioning of the care network (18)(19)26,31,(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) and the challenges of deploying and working intersectorality (18)(19)23,25,28,31,(47)(48)(49)(50)(51)(52)(53) . It was identified difficulties related to the effectiveness of the Healthcare Councils in relation to the articulation with the population for sharing and approval management instruments of the Unified Health System, in the Brazilian case (19,54) .…”

Primary Healthcare Management: What Is Discussed in the Literature

“…Analysis of PHC implementation; [45][46]54,79,85,95,99,102 APS assessment; 59,74,77,84,89,91,103 evaluation instrument; 22,43 assessment of the comprehensiveness; 55,60 financing; 92,107 access assessment 24 ; healthcare network. 57 Challenges / Difficulties in Management…”