Salud Pública de México (May 2016)

Health care, quality certification and institutional support: a focus on primary health care in Brazil

  • Antônio Thomaz Gonzaga da Matta-Machado,
  • Alaneir de Fátima dos Santos,
  • Daisy Maria Xavier de Abreu,
  • Alzira Oliveira Jorge,
  • Clarice Magalhães Rodrigues dos Reis,
  • Angela Maria de Lourdes Dayrell de Lima,
  • Lucas Henrique Lobato de Araújo

DOI
https://doi.org/10.21149/spm.v58i3.7895
Journal volume & issue
Vol. 58, no. 3
pp. 358 – 365

Abstract

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Objective. To provide an overview of the distribution of institutional support in primary care in Brazil and to identify associations between the activities of institutional support and the outcome of the certification of the National Programme for Improving Access and Quality in Primary Health Care (PMAQ). Materials and methods. A cross-sectional study was conducted through interviews with 16 960 profes- sionals in Brazil in 2012. To examine the relationship between the received support and the quality of health care it was made a multiple binary logistic regression. Results. A positive relationship between high-level support and certification in the sub-dimensions analyzed was observed: women and child care, diabetes mellitus/ hypertension and mental health. The support activities which contributed most were: self-assessment, shared assessment, targeted workshops and training. Conclusion. Institutional support activities have helped to improve the quality and access of the population to healthcare in the country.

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