Gestão do trabalho na avaliação do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica
Health professionals are fundamental to the process of strengthening the Unified Health System and, especially, in Basic Health Care, it´s necessary that the worker can guarantee the continuity of the actions, with longitudinality of care. Thus, the work management is a critical point in the impleme...
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| Formato: | Dissertação |
| Idioma: | por |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/24612 |
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| Resumo: | Health professionals are fundamental to the process of strengthening the Unified Health System and, especially, in Basic Health Care, it´s necessary that the worker can guarantee the continuity of the actions, with longitudinality of care. Thus, the work management is a critical point in the implementation of the SUS and workers experience challenges that need to be discussed and faced. The present research aims to analyze the relationship between work management in Basic Health Care and the performance of the participating teams in the second cycle of the National Program for Improving of Access and the Quality in Basic Care. The variables of the study were the bond kind of work, time of action in the ABS team, contracting agent, form of entrance into work and the presence of Career Plans, Positions and Salaries. As data source the banks of PMAQ-AB and the United Nations Development Program were used. The collected data were submitted to descriptive exploratory and inferential analysis, with a level of significance of 5%. To quantitatively evaluate the relationship between the variables, Pearson's chi-square association tests were used. It was verified the greater presence of precarious work links in counties of small size population and the implementation of PCCS is still low throughout Brazil. Professionals with protected links presented better performance in the PMAQ-AB assessment. This type of bond guarantees the permanence in employment and autonomy and this can contribute to a greater involvement of the professional with the health problem of its occupation area. About the population size, it was identified that there were more negative results for small and medium size counties. Although the performance of the teams was better in small counties, it should be considered that there is a greater concentration of these and the certification is made based on calculus realized by standard deviations. The limitations of the study point to the evaluation of PMAQ-AB, which presents more direct and objectively without deep interaction with the object of study to understand more minutely what is being evaluated. It´s proposed, therefore, that the thematic be deepened through qualitative studies. |
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