Evaluation of Primary Health Care Units in the Rio De Janeiro City According to the Results of PMAQ 2012

Mello, Langs de Arantes Ferreira de; Tonini, Teresa; Silva, Alexandre Sousa da; Ross, Steven Dutt; Velasque, Luciane de Souza

doi:10.1097/jac.0000000000000188

Cited by 12 publications

(17 citation statements)

References 12 publications

(12 reference statements)

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“…The papers by Brazilian scholars published in this Supplement (Fausto et al, 2017;Matta-Machado et al, 2017;Mello, Tonini, Sousa da Silva, Dutt-Ross, & de Souza Velasque, 2017;Neves, Giordani, Ferla, & Hugo, 2017;Rocha et al, 2017;Tomasi et al, 2017) follow a quantitative, descriptive type of analysis based on official PMAQ data, focusing on specific clinical or epidemiological themes. They also comprise good examples of the hegemonic literature about pay for performance/PMAQ in Brazil.…”

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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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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“…The influential work on quality of care by Donabedian, which emphasizes interactions among patients, providers, and communities as fundamental to quality, is also reflected in many models of health system performance. Recent work in LMICs to assess the quality of primary care is also particularly informative; for example, a study in Brazil included an assessment of management, organization, and working conditions …”

Section: Resultsmentioning

confidence: 99%

Better Measurement for Performance Improvement in Low‐ and Middle‐Income Countries: The Primary Health Care Performance Initiative (PHCPI) Experience of Conceptual Framework Development and Indicator Selection

et al. 2017

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Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC).The Primary Health Care Performance Initiative (PHCPI) provides national decision makers and global stakeholders with opportunities to benchmark and accelerate performance improvement through better performance measurement.Results from the initial PHC performance assessments in low‐ and middle‐income countries (LMICs) are helping guide PHC reforms and investments and improve the PHCPI's instruments and indicators. Findings from future assessment activities will further amplify cross‐country comparisons and peer learning to improve PHC.New indicators and sources of data are needed to better understand PHC system performance in LMICs. ContextThe Primary Health Care Performance Initiative (PHCPI), a collaboration between the Bill and Melinda Gates Foundation, The World Bank, and the World Health Organization, in partnership with Ariadne Labs and Results for Development, was launched in 2015 with the aim of catalyzing improvements in primary health care (PHC) systems in 135 low‐ and middle‐income countries (LMICs), in order to accelerate progress toward universal health coverage. Through more comprehensive and actionable measurement of quality PHC, the PHCPI stimulates peer learning among LMICs and informs decision makers to guide PHC investments and reforms. Instruments for performance assessment and improvement are in development; to date, a conceptual framework and 2 sets of performance indicators have been released.MethodsThe PHCPI team developed the conceptual framework through literature reviews and consultations with an advisory committee of international experts. We generated 2 sets of performance indicators selected from a literature review of relevant indicators, cross‐referenced against indicators available from international sources, and evaluated through 2 separate modified Delphi processes, consisting of online surveys and in‐person facilitated discussions with experts.FindingsThe PHCPI conceptual framework builds on the current understanding of PHC system performance through an expanded emphasis on the role of service delivery. The first set of performance indicators, 36 Vital Signs, facilitates comparisons across countries and over time. The second set, 56 Diagnostic Indicators, elucidates underlying drivers of performance. Key challenges include a lack of available data for several indicators and a lack of validated indicators for important dimensions of quality PHC.ConclusionsThe availability of data is critical to assessing PHC performance, particularly patient experience and quality of care. The PHCPI will continue to develop and test additional performance assessment instruments, including composite indices and national performance dashboards. Through country engagement, the PHCPI will further refine its instruments and engage with governments to better design and finance primary heal...

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“…The regional differences observed in this study indicate better adequacy percentages in health regions 1 (Bico do Papagaio), 2 (Médio Norte Araguaia), 4 (Cantão) and 5 (Capim Dourado), suggesting that these regions may be geographically positioned in a way that offers greater and better access to health services. Health teams that are concentrated in geographic areas that have higher numbers of primary care points were previously shown to produce the best work performance in terms of PMAQ-AB certification [ 68 ]. Studies using PMAQ-AB data have identified greater adequacy in terms of both the structure and the work process of health teams in municipalities with higher populations and higher human development indices [ 20 , 22 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Performance of family health teams for tackling chronic diseases in a state of the Amazon

et al. 2020

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The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams’ work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages <50%. Health teams perform surveillance actions, health promotion, and comprehensive care for NCDs in accordance with the guidelines of the Strategic Action Plan to Tackle NCDs. The challenge of NCDs in primary care requires a care model that is tailored to users’ needs and has the power to reduce premature mortality and its determinants.

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Evaluation of Primary Health Care Units in the Rio De Janeiro City According to the Results of PMAQ 2012

Cited by 12 publications

References 12 publications

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

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

Better Measurement for Performance Improvement in Low‐ and Middle‐Income Countries: The Primary Health Care Performance Initiative (PHCPI) Experience of Conceptual Framework Development and Indicator Selection

Performance of family health teams for tackling chronic diseases in a state of the Amazon

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