A implementação de mecanismos gerenciais na atenção primária à saúde

Many strategies have been used to face the challenges of organization and functioning of primary health care in the Brazilian health system. In this study, we analyzed the management mechanisms present in the context of the implementation of the Program for Improving Access and Quality of Primary Care, based on the discourse of municipal health managers, presenting analyzes anchored in post-structuralist premises. The perception of the consolidation of the formal model of work management in health services is highlighted, using performance evaluation and payment of financial rewards as motivation strategies for improving the work process and for disciplining and controlling care workers basic. In this way, in addition to their goals of improving the quality of services, managers used the program to face management challenges, rationalizing behaviors through the “take it, give it here”, typical of the illusionist managerialism that inspires the public sector.