Indicadores de desempenho previne Brasil: estratégias para avanços no financiamento da atenção primária à saúde

Abstract

This is a qualitative study, of the Convergent Care Research type, which aims to discuss the strategies used by managers and professionals linked to Primary Health Care, with regard to the search for compliance with the Previne Brasil performance indicators, a model of funding for Primary Care established in 2019. The study included 75 participants, representatives of 46 (58.9%) municipalities in the Greater West Macroregion of Santa Catarina. Developed between the months of October and November 2022 through three workshops, one held in each municipality headquartered in the health regions included in the study scenario. Data analysis was carried out following the steps of the Thematic Analysis proposed by Minayo: pre-analysis, exploration of the material and treatment of the results obtained and interpretation, in this study, using the National Primary Care Policy as a theoretical reference. From this analysis, categories and subcategories emerged that led to the construction of two articles: 1. “The work process as a strategy for advances in financing Primary Health Care”, which addresses the importance of monitoring, evaluation, updating, flows, routines and bonding as essential attributes in the work carried out by family health teams to achieve the goals established for performance indicators; and 2. “Previne Brasil performance indicators: Primary Health Care Strategies and the role of the nurse”, where Permanent Health Education and the expansion of access are discussed as strategies and the role of the nurse in exercising the dimensions of management, education, assistance and policy to meet the determined indicators. With this study it was possible to identify, discuss and reaffirm the principles proposed and defended by the National Primary Care Policy such as comprehensive care, longitudinal care management, teamwork, bonding and accountability, continuing health education and intersectorality, as well as thinking about the indicators performance as demands that require attention from managers and professionals for positive and effective results in the health care of the population in Primary Health Care.