Cooperação entre academia e governo para avaliar a Atenção Primária à Saúde no Sistema Único de Saúde

Cavalcanti, Pauline; Fernández, Michelle; Gurgel, Garibaldi Dantas

doi:10.1590/interface.210103

Cited by 4 publications

(17 citation statements)

References 15 publications

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“…This implied in articulation strategies and agreements between interested parties, and con gured a robust preparation that preceded performing the AE/PMAQ-AB in the three developed cycles, contributing to avoid or minimize distortions in the information collection. In this sense, they are in line with the studies by Uchoa et al [31], and by Cavalcanti, Fernandez and Gurgel Júnior [49], which highlight the institutional role played by the IEPs in the various activities that involved the eldwork of the research, resulting in a national standardization of procedures, and particularly the information technology resource which is useful in training researchers and interviewers, homogeneously collecting and validating data throughout the country.…”

Section: Discussionsupporting

confidence: 86%

“…The criticisms regarding the possible "makeup" developed in some places served as a warning signal for researchers and for national management. However, analyzes such as those by Cavalcanti, Fernandez and Gurgel Júnior [49] address that this occurrence of "false scenarios" to obtain good performances did not prevent the nding that the PMAQ-AB induced changes in the way of working in PHC.…”

Section: Discussionmentioning

confidence: 99%

“…In this context of Brazilian PHC, from the DAB/MS, proponent and driver of the PMAQ-AB (primary stakeholder) [44], the necessary con dence was evidenced regarding the adequate conditions gathered by the IEPs to obtain results with a high degree of credibility. In an integrative review of evaluative studies and their possible uses, Medeiros,Nickel and Calvo [48] indicate the importance of this credibility; as pointed out in the research by the objectivity component given by university researchers as a decisive guarantee in the local assessment process, rea rming the political-institutional importance of the IEPs in the AE/PMAQ-AB process, printing a true "quality seal" by legitimizing and attesting this assessment with scienti c rigor [49].…”

Section: Discussionmentioning

confidence: 99%

“…Tomasi et al [19] detail how the assessment procedures were included in the AE/PMAQ-AB and how the collection instruments were structured and standardized to meet the objectives, with guidance from the technical areas of the MS and available for consultation on the institutional website. Cavalcanti, Fernandez and Gurgel Júnior [49] highlight the use of the electronic module (online) lled in by managers and teams in order to complement information. The obtained data security indicates rigor in the collection and validation process with the use of tablets, speeding up feeding of the centralized database in the MS. Data control was highlighted by Facchini et al [19] as a result of the computerized management system developed by the information technology team at the Federal University of Rio Grande do Norte, allowing "real-time checking" of the consistency of responses and controlling the interview time.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Primary Healthcare meta-evaluation in Brazil: Lessons learned from the external assessment of the program to improve primary healthcare access and quality.

Barca

Rocha

Martiniano

et al. 2022

Preprint

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Introduction: The Primary Healthcare Access and Quality Improvement Program (PMAQ-AB) implemented in 3 evaluation cycles (2011-2019) represents a turning point in the performance assessment of Primary Healthcare (PHC) in Brazil.Methods: A cumulative meta-evaluation of the PMAQ-AB External Assessment (Avaliação Externa do PMAQ-AB - AE/PMAQ-AB) using the qualitative Case Study method. The matrix of indicators was prepared based on the 4 principles of the Joint Committee on Standards for Educational Evaluations (utility, feasibility, propriety and accuracy) articulated to each of the 6 stages of the evaluation proposed by the Centers for Disease Control and Prevention. Triangulation of collection methods (document analysis, interview and focus group) and participants (managers, professionals and evaluators) and Bardin’s content analysis were implemented.Results: The “Involvement of Stakeholders” presented agreement in the instances of the Unified Health System, expanding adhesion of the municipalities in the cycles, credibility of the evaluator and conciliation by the federal government in the interests of certification of the municipalities and of research by the universities as strengths; while the absence of users in the decision-making processes of formulating and executing the program as a weakness. The “Program Description” was positive in the consistency of the AE/PMAQ-AB with the National Primary Care Policy/2011. The “Assessment Design” portrayed the Brazilian PHC and construction of comparable standards and certification criteria. The use of information technology, logistics and guidelines for training the interviewers gave the collection homogeneity, pointing to the usefulness and feasibility. The “Systematization and Analysis of Evidence” had the online validation systems, offer of micro data, availability of electronic reports to stakeholders as strengths, but there were weaknesses in the methodology transmission to municipal managers, incipient strategies of technical empowerment for interpreting and applying the results, in turn negatively impacting the “Justification of Conclusions” dimension. The utility of AE/PMAQ-AB prevailed in “Sharing Lessons Learned” for an assessment culture in management, services, and academia. Conclusion: The meta-evaluation presents a systemic view of the AE/PMAQ-AB, helping managers and professionals in the PHC assessment process. It raises awareness of user engagement in policy and program assessments, making them more plural, participatory and democratic.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Healthcare meta-evaluation in Brazil: Lessons learned from the external assessment of the program to improve primary healthcare access and quality.

Barca

Rocha

Martiniano

et al. 2022

Preprint

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“…Em 2011, o Ministério da Saúde (MS) criou o Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), com o objetivo de ampliar a capacidade de resposta desse nível de atenção do Sistema Único de Saúde (SUS) aos problemas sanitários do país (Cavalcanti, Fernandez, & Gurgel, 2021;Pinto, A. N. Sousa, & Ferla, 2014;A. N. Sousa, 2018).…”

Section: Introductionunclassified

Cooperação governo-academia no Sistema Único de Saúde: uma análise do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

2022

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Resumo Este estudo analisa a construção da cooperação institucional entre o Ministério da Saúde e instituições acadêmicas para o desenvolvimento do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica do Sistema Único de saúde, à luz do neoinstitucionalismo histórico. Esta pesquisa qualitativa baseia-se em um estudo de caso sobre essa cooperação, que realizou análise documental e entrevistas com atores-chave do Ministério da Saúde e da academia. O contexto político-institucional do Governo Federal e do Ministério da Saúde, em 2011, favoreceu maior abertura para o tema da atenção básica e da avaliação e a aproximação com a academia. Essa cooperação institucional resulta de um processo histórico cujas iniciativas precedentes no campo da saúde pública conectaram gestores públicos e acadêmicos com interesse na evolução do Sistema Único de Saúde. Este estudo contribui para o debate acerca da cooperação entre órgãos governamentais e a academia na implementação das políticas públicas de saúde no Brasil.

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The end of the cooperation government-academy in the National Program for Improving Access and Quality of Primary Care in the Brazilian Nacional Health System

2023

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This study analyzes the dissolution of the institutional cooperation, lasting approximately a decade, between the Ministry of Health and a set of academic institutions for the implementation of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the scope of the Brazilian Nacional Health System (SUS). This exploratory, qualitative research consists of a case study that uses assumptions of Historical Neoinstitutionalism to guide the analysis. Data were collected by documentary and bibliographic research and semi-structured interviews with key actors. From the content analysis, three analytical categories were evidenced: end of the PMAQ-AB - historical process, political-institutional context and actors; end of the institutional cooperation - government-academy interaction process; and actors’ perceptions about the end of institutional cooperation. The end of institutional cooperation happened in a context of change of government at the federal level, within a new political-institutional order of SUS and was influenced by historical factors and the practices of public managers and in the conduct of political processes. An inter-institutional government-academy exchange with a view to strengthening health management and supporting the institutional development of the SUS is a future expectation, considering the adversities imposed on the field of health and public education in Brazil today.

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Cooperação entre academia e governo para avaliar a Atenção Primária à Saúde no Sistema Único de Saúde

Cited by 4 publications

References 15 publications

Primary Healthcare meta-evaluation in Brazil: Lessons learned from the external assessment of the program to improve primary healthcare access and quality.

Primary Healthcare meta-evaluation in Brazil: Lessons learned from the external assessment of the program to improve primary healthcare access and quality.

Cooperação governo-academia no Sistema Único de Saúde: uma análise do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

The end of the cooperation government-academy in the National Program for Improving Access and Quality of Primary Care in the Brazilian Nacional Health System

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