Analysis of Primary Health Care indicators and expenditures after changes in Federal Co-financing in the municipalities of Pernambuco, Brazil.

IF 1.6 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI:10.1590/1413-81232026319.14772025

Valdecir Barbosa da Silva Júnior, Garibaldi Dantas Gurgel Júnior

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引用次数: 0

Abstract

The Previne Brasil program and the new 2024 methodology altered the federal co-financing of Primary Health Care (PHC) in Brazil. This study aimed to analyze the temporal trend of performance indicators and the number of registrations in PHC services and to compare the cost of PHC expenses from federal resources, after the co-financing changes, in the municipalities of Pernambuco. This is an ecological study with temporal trend analysis using Joinpoint regression, from 2018 to 2024. In this study, Pernambuco was used as an illustrative case to discuss the application of payment for performance (P4P) in universal systems. A growing trend was observed in registrations and performance indicators. A punctual reduction in federal funding was identified in 2021. After the discontinuation of Previne, the Union's participation in the financing of PHC was greater. However, the challenge of overcoming evaluation models restricted to the process dimension persists, making it imperative to recover Donabedian's triad and the essential attributes of primary health care to guarantee quality of the Unified Health System.

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巴西伯南布哥各市联邦共同筹资变化后初级卫生保健指标和支出分析。

预防巴西项目和新的2024年方法改变了巴西初级卫生保健（PHC）的联邦共同筹资。本研究旨在分析绩效指标和初级保健服务注册数量的时间趋势，并比较伯南布哥各市联邦资源在共同融资变化后的初级保健费用成本。这是一项生态研究，使用Joinpoint回归分析2018年至2024年的时间趋势。本研究以伯南布哥州为例，探讨绩效支付（P4P）在通用系统中的应用。注册量和业绩指标呈增长趋势。2021年确定了准时削减联邦资金的计划。在Previne停止后，欧盟更多地参与初级保健的筹资。然而，克服局限于过程维度的评估模型的挑战仍然存在，因此必须恢复多纳贝迪安三合一和初级卫生保健的基本属性，以保证统一卫生系统的质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.