Performance of primary health care in São Paulo state, Brazil, during the period 2010-2019

Author(s)

Arnaldo Sala ^[1] ; Carla Gianna Luppi ^[2] ; Gabriela Arantes Wagner ^[3] ; Raimundo Valdemy Borges Pinheiro Junior ^[4] ; Nivaldo Carneiro Junior ^[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

• 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