| Full text | |
| Author(s): |
Arnaldo Sala
[1]
;
Carla Gianna Luppi
[2]
;
Gabriela Arantes Wagner
[3]
;
Raimundo Valdemy Borges Pinheiro Junior
[4]
;
Nivaldo Carneiro Junior
[5]
Total Authors: 5
|
| Affiliation: | [1] Secretaria de Estado da Saúde de São Paulo - Brasil
[2] Universidade Federal de São Paulo. Departamento de Medicina Preventiva - Brasil
[3] Universidade Federal de São Paulo. Departamento de Medicina Preventiva - Brasil
[4] Universidade Federal de São Paulo. Programa de Pós-Graduação em Saúde Coletiva - Brasil
[5] Faculdade de Ciências Médicas da Santa Casa de São Paulo. Departamento de Saúde Coletiva - Brasil
Total Affiliations: 5
|
| Document type: | Journal article |
| Source: | Ciênc. saúde coletiva; v. 29, n. 6 2024-06-17. |
| Abstract | |
Abstract This article presents the results of an analysis of the performance of primary health care in São Paulo state over the last decade against a backdrop of financial crisis and health funding cuts. We conducted a time series analysis (2010-2019) of performance indicators across the following dimensions based on an adapted conceptual framework: health service performance, health system, and determinants of health. Annual percentage change was calculated for each indicator using a log-linear model. Performance across the indicators was generally positive; however, there was a decline in performance across indicators of quality of care (congenital syphilis, cesarean section rate and cervical cancer screening). The findings also show a potential rise in demand for public services (due to population aging and a reduction in the percentage of the population with private health insurance) and increase in health expenditure against a backdrop of falling GDP per capita. (AU) | |
| 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 |