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Weighted capitation incentive (Previne Brasil Program): impacts on the evolution of the population register in PHC

Paulo Eduardo Guedes Sellera1, Marcilio Regis Melo Silva1, Ana Valéria M Mendonça2

  • 1Secretaria de Atenção Primária à Saúde, Ministério da Saúde. Esplanada dos Ministérios, Bloco G, Edifício SEDE 7º andar. 70058-900 Brasília DF Brasil. sellerapaulo@gmail.com.

Ciencia & Saude Coletiva
|September 6, 2023
PubMed

Insights

Brazil

Area of Science:

  • Public Health
  • Health Policy
  • Primary Health Care Research

Background:

  • The Family Health Program (FHP) and Primary Care Floor (PAB) advanced universal coverage in Brazil.
  • Population registration is crucial for the Family Health Strategy (ESF).
  • The Previne Brasil Program introduced a new primary health care (PHC) funding model in 2019.

Purpose of the Study:

  • To analyze population registration trends in PHC following the implementation of weighted capitation.
  • To examine registration patterns across different rural-urban typologies and municipal population sizes.

Main Methods:

  • Analysis of population registration data in Brazilian municipalities.
  • Comparison of registration evolution before and after the weighted capitation incentive.

Main Results:

  • A significant increase in PHC registrations was observed in 76.1% of municipalities.
  • This increase occurred irrespective of municipal rural-urban typology or population size.

Conclusions:

  • The weighted capitation incentive appears to have positively impacted population registration in PHC.
  • This suggests the funding model may be effective in encouraging comprehensive population coverage within the Family Health Strategy.

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