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首页> 外文期刊>Cadernos de Saúde Pública >Primary health care and Social Organizations in capitals in the Southeast Region of Brazil: 2009 and 2014Atención primaria de salud y Organizaciones Sociales en las capitales de la región sudeste de Brasil: 2009 y 2014
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Primary health care and Social Organizations in capitals in the Southeast Region of Brazil: 2009 and 2014Atención primaria de salud y Organizaciones Sociales en las capitales de la región sudeste de Brasil: 2009 y 2014

机译：巴西东南部地区首都的初级卫生保健和社会组织：2009年和2014年巴西东南部地区首都的初级卫生保健和社会组织：2009年和2014年

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This study focuses on the primary health care (PHC) performance of the four capitals of the Southeast Region of Brazil in the years 2009 and 2014 in terms of the indicators of the 2013-2015 Guidelines and Goals Pact (PDM, in Portuguese). Two capitals turned to Social Organizations (OS, in Portuguese) and two kept the provision and administration of PHC through Direct Administration (AD, in Portuguese), configuring distinct management models. Freely accessible secondary data and research on websites subsidized the characterization of the cities and their PHC performance. The characterization was based on demographic and socioeconomic data, PHC management model, health and PHC spending, importance of the Municipal Participation Fund for the budget and percentage of Executive Branch spending on personnel. In order to measure PHC performance, we calculated 13 indicators for 2009 and 2014, in three PDM guidelines: (i) access, (ii) integral care for women and children’s health and (iii) reduction of health risks and harms. The comparative performance analysis considered the year 2014 and each capital’s evolution during the period we analyzed. The capitals S?o Paulo and Rio de Janeiro, with OS management, did not have a better performance in the set of indicators than the capitals than maintained a direct administration. We highlight the rapid expansion in PHC coverage in Rio de Janeiro through OS. In the performance evolution, there was improvement in indicators such as child mortality and hospital admissions due to conditions sensible to PHC in all capitals. The cities are different with regard to many parameters that can influence PHC performance. We did not intend to establish a direct relationship between the administration model and performance.
机译：这项研究侧重于根据2013-2015年指南和目标协议（PDM，葡萄牙语）的指标，在​​2009年和2014年巴西东南部四个首都的初级卫生保健（PHC）绩效。两个首都转向社会组织（葡萄牙语，OS），两个首都通过直接管理（葡萄牙语，AD）保留了PHC的提供和管理，从而配置了不同的管理模型。可免费访问的二手数据和网站研究为城市特征及其PHC绩效提供了补贴。表征基于人口和社会经济数据，初级卫生保健管理模型，卫生和初级卫生保健支出，市政参与基金在预算中的重要性以及行政部门人员支出的百分比。为了衡量PHC的绩效，我们在三项PDM指南中计算了2009年和2014年的13项指标：（i）准入，（ii）对妇女和儿童健康的整体护理以及（iii）减少健康风险和危害。比较绩效分析考虑了2014年以及我们分析期间每个首都的发展情况。由OS管理的首都圣保罗和里约热内卢在指标体系方面的表现没有比首都更好。我们着重指出，通过操作系统，里约热内卢的PHC覆盖范围迅速扩大。在绩效的发展中，由于所有首都对PHC敏感的条件，诸如儿童死亡率和住院率等指标都有所改善。在许多可能影响PHC性能的参数方面，城市有所不同。我们无意在管理模型和绩效之间建立直接关系。

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