Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley. / Análise de desempenho de indicadores de contratualização em cuidados de saúde primários no período de 2009-2015 em Lisboa e Vale do Tejo, Portugal.
Cien Saude Colet
; 22(3): 807-818, 2017 Mar.
Article
em Pt, En
| MEDLINE
| ID: mdl-28300989
Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). We have noticed that the setting of goals, in terms of external contractualization and its monitoring and follow-up are decisive and help health professionals to define trajectories and performance goals. We also recognize the need to revise baseline indicators by developing them into outcome indicators.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Modelos Organizacionais
/
Reforma dos Serviços de Saúde
/
Contratos
Tipo de estudo:
Clinical_trials
/
Health_economic_evaluation
/
Observational_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
/
Pt
Revista:
Cien Saude Colet
Ano de publicação:
2017
Tipo de documento:
Article
País de publicação:
Brasil