Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care

Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of the National Program for Improving Primary Care Access and Quality (...

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Detalles Bibliográficos
Autores principales: Macinko, James, Harris, Matthew J., Rocha, Marcia Gomes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2017
Materias:
Original Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338882/
https://www.ncbi.nlm.nih.gov/pubmed/28252498
http://dx.doi.org/10.1097/JAC.0000000000000189
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author Macinko, James
Harris, Matthew J.
Rocha, Marcia Gomes
author_facet Macinko, James
Harris, Matthew J.
Rocha, Marcia Gomes
author_sort Macinko, James
collection PubMed
description Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of the National Program for Improving Primary Care Access and Quality (PMAQ). Although voluntary, the program now includes nearly 39 000 FHS teams in the country and has led to a near doubling of the federal investment in primary care in its first 2 rounds. In this article, we introduce the PMAQ and advance several recommendations to ensure that it continues to improve primary care access and quality in Brazil.
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spelling pubmed-53388822017-03-22 Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care Macinko, James Harris, Matthew J. Rocha, Marcia Gomes J Ambul Care Manage Original Articles Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of the National Program for Improving Primary Care Access and Quality (PMAQ). Although voluntary, the program now includes nearly 39 000 FHS teams in the country and has led to a near doubling of the federal investment in primary care in its first 2 rounds. In this article, we introduce the PMAQ and advance several recommendations to ensure that it continues to improve primary care access and quality in Brazil. Wolters Kluwer Health, Inc. 2017-04 2017-03-02 /pmc/articles/PMC5338882/ /pubmed/28252498 http://dx.doi.org/10.1097/JAC.0000000000000189 Text en © 2017 The Authors. Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Articles
Macinko, James
Harris, Matthew J.
Rocha, Marcia Gomes
Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title_full Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title_fullStr Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title_full_unstemmed Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title_short Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care
title_sort brazil's national program for improving primary care access and quality (pmaq): fulfilling the potential of the world's largest payment for performance system in primary care
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338882/
https://www.ncbi.nlm.nih.gov/pubmed/28252498
http://dx.doi.org/10.1097/JAC.0000000000000189
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