Imperial College London
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DrMatthewHarris

Faculty of Medicine, School of Public Health

Clinical Senior Lecturer in Public Health
 
 
 
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Contact

 

+44 (0)20 7594 7452m.harris

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{de:2020:10.1371/journal.pone.0240631,
author = {de, Medeiros OL and Barreto, JOM and Harris, M and Russo, LX and da, Silva EN},
doi = {10.1371/journal.pone.0240631},
journal = {PLoS One},
title = {Delivering maternal and childcare at primary healthcare level: The role of PMAQ as a pay for performance strategy in Brazil},
url = {http://dx.doi.org/10.1371/journal.pone.0240631},
volume = {15},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Improving access and quality in health care is a pressing issue worldwide and pay for performance (P4P) strategies have emerged as an alternative to enhance structure, process and outcomes in health. In 2011, Brazil adopted its first P4P scheme at national level, the National Programme for Improving Primary Care Access and Quality (PMAQ). The contribution of PMAQ in achieving the Sustainable Development Goals related to maternal and childcare remains under investigated in Brazil. OBJECTIVE: To estimate the association of PMAQ with the provision of maternal and childcare in Brazil, controlling for socioeconomic, geographic and family health team characteristics. METHOD: We used cross-sectional quantile regression (QR) models for two periods, corresponding to 33,368 Family Health Teams (FHTs) in the first cycle and 39,211 FHTs in the second cycle of PMAQ. FHTs were analysed using data from the Brazilian Ministry of Health (SIAB and CNES) and the Brazilian Institute for Geography and Statistics (IBGE). RESULTS: The average number of antenatal consultations per month were positively associated with PMAQ participating teams, with larger effect in the lower tail (10th and 25th quantiles) of the conditional distribution of the response variable. There was a positive association between PMAQ and the average number of consultations under 2 years old per month in the 10th and 25th quantiles, but a negative association in the upper tail (75th and 90th quantiles). For the average number of physician consultations for children under 1 year old per month, PMAQ participating teams were positively associated with the response variable in the lower tail, but different from the previous models, there is no clear evidence that the second cycle gives larger coefficients compared with first cycle. CONCLUSION: PMAQ has contributed to increase the provision of care to pregnant women and children under 2 years at primary healthcare level. Teams with lower average number of ante
AU  - de,Medeiros OL
AU  - Barreto,JOM
AU  - Harris,M
AU  - Russo,LX
AU  - da,Silva EN
DO  - 10.1371/journal.pone.0240631
PY  - 2020///
SN  - 1932-6203
TI  - Delivering maternal and childcare at primary healthcare level: The role of PMAQ as a pay for performance strategy in Brazil
T2  - PLoS One
UR  - http://dx.doi.org/10.1371/journal.pone.0240631
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33057414
UR  - http://hdl.handle.net/10044/1/84416
VL  - 15
ER  -
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