Conflitos no repasse financeiro do 3º ciclo do Programa Nacional de Melhoria do Acesso da Qualidade da Atenção Básica (PMAGAR) na Paraiba

Abstract

The PMAQ-AB aimed to change the work process of the team that adheres to the plan through the evaluation, request and verification mechanism, based on their performance in the various aspects of implementation and development, together with the transfer of resources. It becomes an innovative pay-for-performance model, different from the traditional process in health, and in this case it is clear that job performance is considered vital. This study aims to: analyze the results of the models of financial transfers of the 3rd Cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the

municipalities of PB, from the perspective of workers obliged in the program. This is a cross- sectional, descriptive and analytical study. The study is an excerpt from the research:

"Impacts of the PMAQ-AB on Primary Care: analysis of the application of the financial incentive for performance to health teams in Brazil". The research is composed of primary data, extracted from an investigation carried out with managers and workers who make up the workforce of primary care in the municipalities of Paraíba, in 2018. The workers' bank, has 840 workers, were excluded from the sample workers who did not wish to participate in the research and questionnaires answered in duplicate, leaving 810 workers. The data generated by the questionnaire were transformed into a table and changed into a spreadsheet (Microsoft Office Excel 2013), being possible and classified by the statistical analysis software SPSS (Statistical Package for Social Science, version 20.0). All proposed variables were analyzed using the logistic regression method to determine which variables contributed the most to the results. It was pointed out that most of the incentive for promotion by the municipality and use does not pass on to primary care health teams, as well as in use in works and renovations of health units. It was also possible to verify the existence of conflicts due to transfers from the PMAQ-AB, where most professionals claimed to have problems with management, thus demonstrating a possible weakness in management processes, as well as in the communication between manager and health professionals. Since the factors related to the generation of conflicts are a financial format as is used or the rest of the PMAQ-AB incentive (not passed on to the teams), it is important to highlight that this variable consists of several means in which the value was used; whether this form of use of the value is provided for in the PMAQ-AB regulations.