Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley
Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each AR...
Gespeichert in:
| Veröffentlicht in: | Ciência & saude coletiva 2017-03, Vol.22 (3), p.807-818 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng ; por |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 818 |
|---|---|
| container_issue | 3 |
| container_start_page | 807 |
| container_title | Ciência & saude coletiva |
| container_volume | 22 |
| creator | Monteiro, Baltazar Ricardo Candoso, Fátima Reis, Magda Bastos, Sónia |
| description | Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). We have noticed that the setting of goals, in terms of external contractualization and its monitoring and follow-up are decisive and help health professionals to define trajectories and performance goals. We also recognize the need to revise baseline indicators by developing them into outcome indicators. |
| doi_str_mv | 10.1590/1413-81232017223.33242016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1878183347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1878183347</sourcerecordid><originalsourceid>FETCH-LOGICAL-p141t-8842ebfe08957df3be67cff47243688e4d5734182286a1581260c67560b596d73</originalsourceid><addsrcrecordid>eNo1UDtPwzAYtJAQLYW_gMzGkuK3nbGqeEmVWApr5DgONXLiYjtDWfnjuKJM3-l0uvvuALjFaIl5je4xw7RSmFCCsCSELiklrGBxBuZYSFUxLvAMXKb0iRCRlJELMCOKIlSreg5-VqP2h-QSDD3MOwv3NvYhDno09kiZMOaoTZ60d986uzDCfXSDjge4s9rnHTQ6WujGzhmdQ0wF_vu40EFScqryDj_yG5faYqDHDm71x5Tgu_beHq7Aea99stenuwBvjw_b9XO1eX16Wa821b6UzJVSjNi2t0jVXHY9ba2Qpu-ZJIwKpSzreKmHFSFKaMzLJgIZIblALa9FJ-kC3P357mP4mmzKzeCSsd7r0YYpNVhJhRWl7Ci9OUmndrBdc-rc_A9HfwEM-W7J</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1878183347</pqid></control><display><type>article</type><title>Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Monteiro, Baltazar Ricardo ; Candoso, Fátima ; Reis, Magda ; Bastos, Sónia</creator><creatorcontrib>Monteiro, Baltazar Ricardo ; Candoso, Fátima ; Reis, Magda ; Bastos, Sónia</creatorcontrib><description>Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). We have noticed that the setting of goals, in terms of external contractualization and its monitoring and follow-up are decisive and help health professionals to define trajectories and performance goals. We also recognize the need to revise baseline indicators by developing them into outcome indicators.</description><identifier>EISSN: 1678-4561</identifier><identifier>DOI: 10.1590/1413-81232017223.33242016</identifier><identifier>PMID: 28300989</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Budgets ; Contracts ; Health Care Reform ; Humans ; Longitudinal Studies ; Models, Organizational ; Outcome Assessment (Health Care) - methods ; Portugal ; Primary Health Care - economics ; Primary Health Care - organization & administration</subject><ispartof>Ciência & saude coletiva, 2017-03, Vol.22 (3), p.807-818</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28300989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Monteiro, Baltazar Ricardo</creatorcontrib><creatorcontrib>Candoso, Fátima</creatorcontrib><creatorcontrib>Reis, Magda</creatorcontrib><creatorcontrib>Bastos, Sónia</creatorcontrib><title>Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley</title><title>Ciência & saude coletiva</title><addtitle>Cien Saude Colet</addtitle><description>Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). We have noticed that the setting of goals, in terms of external contractualization and its monitoring and follow-up are decisive and help health professionals to define trajectories and performance goals. We also recognize the need to revise baseline indicators by developing them into outcome indicators.</description><subject>Budgets</subject><subject>Contracts</subject><subject>Health Care Reform</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Models, Organizational</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Portugal</subject><subject>Primary Health Care - economics</subject><subject>Primary Health Care - organization & administration</subject><issn>1678-4561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UDtPwzAYtJAQLYW_gMzGkuK3nbGqeEmVWApr5DgONXLiYjtDWfnjuKJM3-l0uvvuALjFaIl5je4xw7RSmFCCsCSELiklrGBxBuZYSFUxLvAMXKb0iRCRlJELMCOKIlSreg5-VqP2h-QSDD3MOwv3NvYhDno09kiZMOaoTZ60d986uzDCfXSDjge4s9rnHTQ6WujGzhmdQ0wF_vu40EFScqryDj_yG5faYqDHDm71x5Tgu_beHq7Aea99stenuwBvjw_b9XO1eX16Wa821b6UzJVSjNi2t0jVXHY9ba2Qpu-ZJIwKpSzreKmHFSFKaMzLJgIZIblALa9FJ-kC3P357mP4mmzKzeCSsd7r0YYpNVhJhRWl7Ci9OUmndrBdc-rc_A9HfwEM-W7J</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Monteiro, Baltazar Ricardo</creator><creator>Candoso, Fátima</creator><creator>Reis, Magda</creator><creator>Bastos, Sónia</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley</title><author>Monteiro, Baltazar Ricardo ; Candoso, Fátima ; Reis, Magda ; Bastos, Sónia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-8842ebfe08957df3be67cff47243688e4d5734182286a1581260c67560b596d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2017</creationdate><topic>Budgets</topic><topic>Contracts</topic><topic>Health Care Reform</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Models, Organizational</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Portugal</topic><topic>Primary Health Care - economics</topic><topic>Primary Health Care - organization & administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monteiro, Baltazar Ricardo</creatorcontrib><creatorcontrib>Candoso, Fátima</creatorcontrib><creatorcontrib>Reis, Magda</creatorcontrib><creatorcontrib>Bastos, Sónia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ciência & saude coletiva</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monteiro, Baltazar Ricardo</au><au>Candoso, Fátima</au><au>Reis, Magda</au><au>Bastos, Sónia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley</atitle><jtitle>Ciência & saude coletiva</jtitle><addtitle>Cien Saude Colet</addtitle><date>2017-03</date><risdate>2017</risdate><volume>22</volume><issue>3</issue><spage>807</spage><epage>818</epage><pages>807-818</pages><eissn>1678-4561</eissn><abstract>Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). We have noticed that the setting of goals, in terms of external contractualization and its monitoring and follow-up are decisive and help health professionals to define trajectories and performance goals. We also recognize the need to revise baseline indicators by developing them into outcome indicators.</abstract><cop>Brazil</cop><pmid>28300989</pmid><doi>10.1590/1413-81232017223.33242016</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1678-4561 |
| ispartof | Ciência & saude coletiva, 2017-03, Vol.22 (3), p.807-818 |
| issn | 1678-4561 |
| language | eng ; por |
| recordid | cdi_proquest_miscellaneous_1878183347 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Budgets Contracts Health Care Reform Humans Longitudinal Studies Models, Organizational Outcome Assessment (Health Care) - methods Portugal Primary Health Care - economics Primary Health Care - organization & administration |
| title | Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T02%3A53%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Analysis%20of%20the%20performance%20of%20contractualization%20primary%20health%20care%20indicators%20in%20the%20period%202009-2015%20in%20Lisbon%20and%20Tagus%20Valley&rft.jtitle=Ci%C3%AAncia%20&%20saude%20coletiva&rft.au=Monteiro,%20Baltazar%20Ricardo&rft.date=2017-03&rft.volume=22&rft.issue=3&rft.spage=807&rft.epage=818&rft.pages=807-818&rft.eissn=1678-4561&rft_id=info:doi/10.1590/1413-81232017223.33242016&rft_dat=%3Cproquest_pubme%3E1878183347%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1878183347&rft_id=info:pmid/28300989&rfr_iscdi=true |