[Costs with personnel and productivity analysis of family health program teams in Fortaleza, Ceará].
The research verified the productivity and the operational personnel costs of eight teams of the Family Health Program (PSF) of two Basic Units of Family Health (UBASF) in Fortaleza, Ceará, through the methodology of costs by absorption, in 2004. The largest expenses were with personnel (75%), mainly with the PSF teams, and medicines (18%). The federal allocations received in September, 2004, by each PSF team, were R$ 9,543.33. The total cost by team was R$ 15,719.00. Some professionals of various PSF teams showed productivity above the set objectives, but the average productivity by doctor and nurse was below fifty per cent of objectives, with high idle time making the work onerous. The unity cost of home visits by doctor and prenatal attendance by nurses were checked, and, would be less expensive if the idle time were reduced. Various alternatives of cost reduction were observed, such as scale savings of some resources and services and re-negotiation of contracts with suppliers and cooperatives. The data obtained will contribute to more accurate planning for the installation and maintenance of PSF teams as well as alternatives of cost reductions, higher productivity, and better quality.
Rocha Filho
Fernando dos Santos
Fdos S
Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, CE, 60740-000, Brazil. fernandorocha1510@gmail.com
da Silva
Marcelo Gurgel Carlos
MG
D001938:Brazil; D003365:Costs and Cost Analysis; D004526:Efficiency; D005192:Family Health; D006280:Health Workforce; D009313:National Health Programs / Q000191:economics* / Q000458:organization & administration