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Primary care performance measurement in Brazil (Previne Brasil Program), 2022-2023
Carlos Dornels Freire de Souza1, André Luis Oliveira do Nascimento2, Carlos Alberto José de Souza2
1Federal University of the São Francisco Valley (UNIVASF), Av José Maniçoba, s/n, Centro, Petrolina, 304-205, Pernambuco, Brazil. carlos.dornels@univasf.edu.br.
BMC Health Services Research
|August 20, 2024
Summary
Brazil
Area of Science:
- Public Health
- Health Policy
- Health Economics
Background:
- Previne Brasil is a financing model for Primary Health Care (PHC) in Brazil.
- It centers public health service users and uses seven performance indicators.
Purpose of the Study:
- Analyze PHC performance in Brazil under the Previne Brasil model.
- Evaluate changes from early 2022 to early 2023.
Main Methods:
- Territorial ecological study using secondary data from SISAB.
- Analysis of seven performance indicators across Brazil, regions, states, and capitals.
- Comparative descriptive analysis of spatial units.
Main Results:
- Only one of seven indicators (syphilis/HIV testing in pregnant women) met targets.
- The Northeast region performed best, exceeding targets in three indicators.
- Indicators for hypertension and diabetes showed the poorest performance.
- The Final Synthetic Indicator (FSI) increased by 1.51 between the periods.
Conclusions:
- Primary Health Care performance in Brazil has improved, but targets remain largely unmet.
- Socio-spatial inequalities highlight Brazil's health complexities.
- Policies must consider local-regional contexts to address health disparities.
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