Banca de DEFESA: SAMARA SOUZA MACIEL

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SAMARA SOUZA MACIEL
DATE: 06/08/2021
TIME: 15:00
LOCAL: VIDEOCONFERÊNCIA (https://meet.google.com/utm-skgk-wbq)
TITLE:

EVALUATION OF PUBLIC HEALTH POLICIES - IN SCENA, THE NATIONAL PROGRAM FOR IMPROVING ACCESS AND QUALITY IN PRIMARY CARE (PMAQ-AB)

KEY WORDS:

Primary health care; Policy evaluation; PMAQ; National Health Council; Pay for performance; Difference in Differences; Public Policy

PAGES: 88
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUMMARY:

This dissertation has as it’s central theme the processes of policy evaluation in primary health care, with a focus on pay-for-performance programs, addressing technical and socio-political aspects of the field of evaluation. The research aims to analyze the National Program for Improving Access and Quality in Primary Care (PMAQ-AB) in socio-political attributes, based on documentary research supported by the minutes of the National Health Council, and its technical aspects , anchored in quantitative impact assessment methods. The dissertation is reported in two articles and uses a mixed methodology to achieve its goals. The first chapter reports the systematic review of the literature, highlighting the research gap and corroborating its originality. Demonstrates search protocols and general information from the panorama of national and international publications. The second chapter presents the first article, whose methodology is qualitative and proposes to analyze deliberative processes within the National Health Council, with regard to its approach to the Program for Improving Access and Quality in Primary Care (PMAQ- AB), based on the Cycle and Public Policies model. It deals with socio-political aspects of the program, assuming, as a presupposition, that the CNS considers the PMAQ in its agendas and/or discussions, carrying out the social control of the program and deliberating on it, according to its attributions. The methodological procedure is focused on document research, with analysis by coding in two cycles. The results demonstrate that the CNS approaches the PMAQ in its meetings in a predominantly indirect and organic way. The program does not appear on the agendas of executive summaries, but is mentioned by the councilors in several discussions, indicating the council's concern with the quality of Primary Health Care (PHC) and its financing. CNS addresses the PMAQ mainly in its implementation phase, indicating synergy between this and other PHC programs. The third chapter is a quantitative article, aiming to identify the causal relationship between the implementation of the PMAQ in Brazilian municipalities and the results of the Sensitive Conditions Index for Primary Care (ICSAB). The research is carried out with secondary quantitative data available on official platforms of the Federal Government in order to form the database for impact assessment, analyzed through Difference in Differences with multiple periods and study of events. The results show that the PMAQ had a significant impact on the ICSAB, helping to reduce hospitalizations sensitive to primary care, when controlled by socioeconomic factors, keeping everything else constant.

BANKING MEMBERS:
Interna - 2413052 - ANNE EMILIA COSTA CARVALHO
Externo à Instituição - MAGNUS LUIZ EMMENDOERFER
Presidente - 1169358 - WASHINGTON JOSE DE SOUSA