Composite indicator to evaluate quality of municipal management of primary health care.

Abstract:

OBJECTIVE:To develop a composite indicator to evaluate the quality of municipal management of primary health care. METHODS:The evaluation model focuses on aspects of health system management. Fifty-five performance indicators were used and classified according to the criteria of relevance, effectiveness, efficacy and efficiency. The measures were aggregated through an additive data envelopment analysis model for measures of value, merit and quality. Data was utilized from 36 municipalities in Santa Catarina State (Southern Brazil), with populations between 10 thousand and 50 thousand residents in 2006. RESULTS:The results are presented as monotonic measures over the interval [0, 1] (score = 1: efficient; other values: inefficient). Five municipalities had a score of 1 in the quality of management for actions promoting access, while eight municipalities received a score of 1 in the quality of management of actions for service provision; the other municipalities were classified as inefficient (score < 1) for both dimensions. CONCLUSIONS:The quality of municipal management in primary health care can be evaluated with a composite indicator, constructed through linear programming techniques, which simultaneously considers the criteria of relevance, effectiveness, efficacy and efficiency and expresses them as measures of value, merit and quality.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Scaratti D,Calvo MC

doi

10.1590/s0034-89102012005000034

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

446-55

issue

3

eissn

0034-8910

issn

1518-8787

pii

S0034-89102012005000034

journal_volume

46

pub_type

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