The daily routine of management in Primary Health Care: perceptions of managers

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.29921

Keywords:

Organization and Administration; Primary Health Care; Family Health Strategy; Health Management; Public health practice.

Abstract

Objective: To investigate the perception of management in Family Health Units, from the managers' perspective. Methods: exploratory study, using a qualitative approach. Six managers of the aforementioned Units in a municipality in Minas Gerais participated. For data collection, semi-structured, audio-recorded interviews were used, from October to November 2017, taking into account the research question: What do the managers of the Family Health Units think, and how do they perceive management in that circumstance? Data verification followed the Content Analysis, thematic modality, and was guided by the precepts of the work process and co-management in health. Results: the following thematic categories emerged: Manager attribution in the daily life of PHC; Shared management; and Challenges and Progress for PHC management. The thematic categories showed elements of the daily work of managers in health units, as well as the challenges and advances in this scenario. Final Considerations: The importance of shared management is highlighted, with emphasis on the collaboration of nurses from the Family Health Strategy, the support and communication of the Municipal Health Department, and specialization as tools that can contribute to the qualification of the management process.

References

Assad, S. G. B., Valente, G. S. C., Santos, S. C. P., & Cortez, E. A. (2021). Training and practice of nurses in Primary Care management: perspectives of Schön’s Theory. Revista Brasileira de Enfermagem, 74 (3), e20200461.

Bica, M. C., Cremonese, L., Barreto, C. N., Rodrigues, A. L. M., & Alves, F. Q. (2020). Care management in family health strategies in nurses’ perception. Revista de Enfermagem da UFSM, 10 (74), 1-18.

Boaden, L. R. R. (2017). Understanding performance management in primary care. International Journal of Health Care Quality Assurance, 30 (1), 4 – 15.

Braghetto, G. T., Sousa, L. A., Beretta, D., & Vendramini, S. H. F. (2019). Difficulties and facilities of the Family Health nurse in the work process. Cadernos Saúde Coletiva, 27 (4), 420-426.

Brito, G. E. G., Mendes, A. C. G., & Neto, P. M. S. (2018) Purpose of work in the Family Health Strategy. Interface comunicação, saúde, educação, 22 (64), 77-86.

Brzostek, T., & Domagala, A. (2019). Impact of the quality of management on the general improvement of the healthcare system. Technology and Health Care, 27 (1), 107-110.

Camargo, D. S., & Castanheira, E. R. L. (2020). Amplifying access: Team Embracement as a demand management strategy in Primary Health Care (APS). Interface comunicação, saúde, educação, 24 (Supl 1), e190600.

Cardoso, A. V. L., Chain, A. P. N., Mendes, R. I. P., Ferreira, E. F., Vargas, A. M. D., Martins, A. M. E. B L., & Ferreira, R. C. (2015). Assessment of the management of the Family Health Strategy via the tool Assessment for Quality Improvement in municipalities of Minas Gerais, Brazil. Ciência e Saúde Coletiva, 20 (4), 1267-1284.

Carrapato, J. F. L., Castanheira, E. R. L., & Placideli, N. (2018). Perceptions of primary healthcare professionals about quality in the work process. Saúde Sociedade, 27 (2), 518-530.

Doherty, A. J., Boland, P., Reed, J., Clegg, A. J., Stephani, A. M., Williams, N. H., Shaw, B., Hedgecoe, L., Hill, R., & Walker, L. (2020). Barriers and facilitators to deprescribing in primary care: a systematic review. Royal College of General Practitioners, 4 (3), 1-14.

Fernandes, J. C., & Cordeiro, B. C. (2018). The management of basic health units from the point of view of nursing managers. Revista de Enfermagem UFPE Online, 12 (1), 194-202.

Gonçalves, R. B. M. (1992). Práticas de saúde: processos de trabalho e necessidades. CEFOR.

Guizardi, F. L., & Cavalcanti, F. O. L. (2010). O conceito de cogestão em saúde: reflexões sobre a produção de democracia institucional. Physis Revista de Saúde Coletiva, 20 (4), 1245-1265.

Harley, J. B., Vanderbrink, J., Mahmud, Y., Kitt-Lewis, E., Wolf, L., Shaw, B., Ridgely, M. S., Damberg, C.L., & Scanlon, D. P. (2020). Understanding how health systems facilitate primary care redesign. Health Services Research, 55, (Suppl 3)1144-1154.

Jesus, M. A., & Servo, M. L. S. (2019). Technical context of the manager 's work in primary health care. Revista de Enfermagem UFPE Online, 13 (3), 614-623.

Macinko, J., & Mendonça, C. S. (2018). The Family Health Strategy, a strong model of Primary Health Care that delivers results. Saúde Debate, 42 (Esp 1), 18-37.

Medina, M. G., Giovanella, L., Bousquat, A., Mendonça, M. H. M., & Aquino, R. (2020). Primary healthcare in times of COVID-19: what to do?. Cadernos de Saúde Pública, 36 (7), e00149720.

Minayo, M. C. S., Deslandes, S. F., & Gomes, R. (2016). Pesquisa social: teoria, método e criatividade. Petrópolis: Vozes.

Morgan, S., Pullon, S., McKinlay, E., Garret, S., Kennedy, J., & Watson, B. (2021). Collaborative Care in Primary Care: The Influence of Practice Interior Architecture on Informal Face-to-Face Communication - An Observational Study. Health Environments Research & Design Journal, 14 (1), 190-209.

Nakata, L. C., Feltrin, A. F. S., Chaves, L. D. P., & Ferreira, J. B. B. (2020). Concept of health care network and its key characteristics: a scoping review. Escola Anna Nery, 24 (2), e20190154.

Nora, C. R. D., & Beghetto, M. G. (2020). Patient safety challenges in primary health care: a scoping review. Revista Brasileira de Enfermagem, 73 (5), e20190209.

Nunes, L. O., Castanheira, E. R., Dias, A., Zarili, T. F. T., Sanine, P. R., Mendonça, C. S., Monti, J. F. C., Carrapato, J. F. L., Placideli, N., & Nemes, M. I. B. (2018). Importance of local management for delivery of primary health care according to Alma-Ata principles. Pan American Journal of Public Health, 42 (1), 1-9.

Paim, J. S. (2018). Thirty years of the Unified Health System (SUS). Ciência e Saúde Coletiva, 23 (6), 1723-1728.

Paiva, C. H., & Freitas, G. C. (2021). Between Alma-Ata and the Brazilian sanitary reform: the National Basic Health Services Program (Prev-saúde), 1979-1983. História, Ciências, Saúde Manguinhos, 28 (2), 527-579.

Peduzzi, M., Aguiar, C., Lima, A. M. V., Montanari, P. M., Leonello, V. M., & Oliveira, M. R. (2019). Expansion of the interprofessional clinical practice of Primary Care nurses. Revista Brasileira de Enfermagem, 72 (Suppl 1), 121-128.

Penedo, R. M., Gonçalo, C. S., & Queluz, D. P. (2019). Shared management: perceptions of professionals in the family health context. Interface comunicação, saúde, educação, 23 (e170451).

Pires, D. E. P., Vandresen, L., Forte, E. C. N., Machado, R. R., & Melo, T. A. P. (2019). Management in primary health care: implications on managers workloads. Revista Gaúcha de Enfermagem, 40 (e20180216).

Portela, G. Z. (2017). Atenção primária à saúde: um ensaio sobre conceitos aplicados aos estudos nacionais. Physis Revista de Saúde Coletiva, 27 (2), 255-276.

Sellera, P. E. G., Pedebos, L. A., Harzheim, E., Medeiros, O. L., Ramos, L. G., Martins, C., & D’Avila, O. P. (2020). Monitoring and evaluation of Primary Health Care attributes at the national level: new challenges. Ciência e Saúde Coletiva, 25 (4), 1401-1411.

Silva, G. T. R., Varanda, P. A. G., Santos, N. V. C., Salles, R. S., Amestoy, S. C., Teixeira, G. A. S., & Queirós, P. J. P. (2022). Management and leadership in the nurses’ perception: A walk in the light of professional burocracy. Escola Anna Nery, 26, (e20210070).

Soder, R., Oliveira, I. C., Silva, L. A. A., Santos, J. L. G., Peiter, C. C., & Erdmann, A. L. (2018). Challenges for the care management in Primary Health Care: perspective of the nursing team. Enfermagem em Foco, 9 (3), 76-80.

Tenório, H. A. A,. Souza, I. B., Junior, E. L. G., Santos, R. F. E. P., Correia, D. S., Viana, L. S., Marques, E. S., & Brandão, T. M. (2019). Nursing management and administration: perspectives of student performance. Revista de Enfermagem UFPE Online, 13 (e240535).

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357.

Wranik, W. D., Price, S., Haydt, S. M., Edwards, J., Hatfield, K., Weir, J., & Doria, N. (2019). Implications of interprofessional primary care team characteristics for health services and patient health outcomes: A systematic review with narrative synthesis. Health Policy,123 (1), 550-563.

Published

24/05/2022

How to Cite

CONDELES, P. C.; MATEUS, L. C.; BRACARENSE, C. F. .; SIMÕES, A. L. de A.; PARREIRA, B. D. M.; GOULART, B. F. The daily routine of management in Primary Health Care: perceptions of managers. Research, Society and Development, [S. l.], v. 11, n. 7, p. e28511729921, 2022. DOI: 10.33448/rsd-v11i7.29921. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29921. Acesso em: 5 jul. 2022.

Issue

Section

Health Sciences