[Management strategies to improve primary health care].

Abstract

Management in primary health care (PHC) focuses on system design, improvement policies, and implementation of evidence-based interventions. This review identifies and describes management strategies used to improve PHC in terms of quality, accessibility, efficiency, and satisfaction of health professionals and patients. A review of the literature published in PubMed, Ovid/Medline, Cochrane Library, ScienceDirect, and Google Scholar was conducted. Research focused on management models, open access, and published in the last 5 years was selected. Validity was determined, results were described, and a thematic discussion of the content was conducted. Eighteen studies were included, most of which were narrative reviews (38.9%) (n = 7). The most frequently studied management strategies corresponded to the quality domain (94.4%) (n = 17), followed by efficiency (61.1%) (n = 11) and accessibility (38.9%) (n = 7). Strategies to improve the satisfaction of healthcare professionals and patients were the least studied, at 16.7% (n = 3) each. Strategies to improve management in PHC should cover several dimensions and adapt to the needs of the environment. It is recommended to emphasize optimizing quality, accessibility, efficiency, ensuring the well-being of professionals and improving the user experience, while fostering the ability to withstand challenges and innovate.