| Full text | |
| Author(s): |
Raimundo Valdemy Borges Pinheiro Junior
;
Nivaldo Carneiro Junior
[2]
;
Arnaldo Sala
[3]
;
Carla Gianna Luppi
[4]
;
Mariana Cabral Schveitzer
[5]
;
Marta Campagnoni Andrade
[6]
;
Edson Rufino
[7]
;
Lissandra Zanovelo Fogaça
[8]
;
Oziris Simões
[9]
;
Gabriela Arantes Wagner
[10]
Total Authors: 10
|
| Document type: | Journal article |
| Source: | Revista Brasileira de Epidemiologia; v. 25, 2022-07-06. |
| Abstract | |
ABSTRACT: Objective: To describe the performance of Primary Health Care, according to conglomerates of São Paulo cities that present homogeneous indicators. Methods: This is a descriptive study, based on secondary data extracted from official sources of the Unified Health System, for the year 2018. An analysis matrix was created, with the proposition of performance (access, effectiveness and adequacy) and context indicators (population, health determinants and financing) selected and organized in dimensions and sub-dimensions. Cluster Analysis was used to identify the groups of homogeneous municipalities. Results: 645 municipalities were divided in 6 conglomerates. Clusters 2 and 3 were formed predominantly by small municipalities with greater access to health; cluster 3 has less social vulnerability and greater investment in health. Clusters 1, 4 and 5 were formed by the largest municipalities with less access to health; cluster 4 presents greater social vulnerability, less coverage of private health plans and a greater percentage of health resources; cluster 5 was characterized by greater Gross Domestic Product per capita and greater coverage of private health plans. Cluster 6, formed by the city of São Paulo, was a particular case. Cluster 2 drew attention, as it was shown to have increased coverage, but signaled lower efficacy and adequacy levels. Cluster 3 had the best performance among all clusters. Conclusion: These findings can support regional and municipal management, given the complexity of the territory of São Paulo, pointing to scenarios that demand broader public management initiatives. (AU) | |
| FAPESP's process: | 20/02394-0 - Performance indicators panel of primary care |
| Grantee: | Raimundo Valdemy Borges Pinheiro Junior |
| Support Opportunities: | Scholarships in Brazil - Technical Training Program - Technical Training |
| FAPESP's process: | 19/03961-8 - Participation of social organizations in the management of primary health care in municipalities in the State of São Paulo |
| Grantee: | Nivaldo Carneiro Junior |
| Support Opportunities: | Research Grants - Research in Public Policies |