Banca de DEFESA: TAMIRIS CRISTHINA RESENDE DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : TAMIRIS CRISTHINA RESENDE DA SILVA
DATE: 23/10/2020
TIME: 09:30
LOCAL: VIDEOCONFERÊNCIA (meet.google.com/qjt-hetq-ady)
TITLE:

PUBLIC POLICY EVALUATION: ANALYSIS OF A PAY-FOR-PERFORMANCE PROGRAMME IN PUBLIC HEALTH IN BRAZIL

KEY WORDS:

public policy evaluation; public health, pay-for-performance, performance-based financing.

PAGES: 146
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUMMARY:

The objective of this thesis is to analyse the evaluation of Primary Health Care carried out under a pay-for-performance programme in public health in Brazil. Among the research methods used are: semi-structured interviews with health managers, experts in public health policies  in United Kingdom and Brazil , and councillors of the Municipal Health Councils and documentary analysis of laws, data collection instruments, and official websites. This thesis is organized in seven parts. The chapter 1 is an introduction. The chapter 2 is a theoretical essay about the public policy process. The chapter 3 is an article comparing the pay-for-performance programme introduced in United Kingdom and the pay-for-performance programme introduced in Brazil. Chapter 4 is a systematic review of the literature. The chapter 5 is an article with the logical analysis of the PMAQ.  The chapter 6 is an article reflecting on the role of social control in the evaluation process of health teams under the PMAQ. And the chapter 7 is the overall conclusions.  From the reflections of the theoretical essay, it is concluded that evaluation process can be conducted with the other stages and there is also a critical field of policy evaluation studies. The increasing complexity of the challenges facing governments highlights the public policy evaluation stage, which is in the case of the thesis, not only a phase but a whole programme designed to evaluate the primary health teams. The comparison with the international experience evidenced that in UK and Brazil the programmes were introduced by progressist governments seeking for increase the amount of resources invested in public health. The concept of paying for performance and the computerization are key elements to understand the design of this programmes. It is important to highlight that these programmes may have side effects such as the lack of attention to patients with the conditions not included in the framework, the risk of gaming and the risk of increasing social inequalities due the difficulties of health teams in deprived areas to achieve the results.  In the theoretical-empirical article on social control in the assessment of health teams in the PMAQ, it is concluded that the data collected about user satisfaction in relation to public health has a high potential to assist municipal health councils in their role of overseeing quality, which occurs in the three large cities of Rio Grande do Norte.

BANKING MEMBERS:
Presidente - 1169358 - WASHINGTON JOSE DE SOUSA
Interna - 1894891 - RAQUEL MENEZES BEZERRA SAMPAIO
Externa à Instituição - CLÁUDIA SOUZA PASSADOR
Externo à Instituição - MAGNUS LUIZ EMMENDOERFER
Externo à Instituição - MARCO AURÉLIO MARQUES FERREIRA - UFV
Externa à Instituição - ROSANA DE FREITAS BOULLOSA