title: Analysis of the attributes of primary health care using the electronic medical records in the city of Rio de Janeiro.
abstract: Epidemiology plays a strategic role at this stage of the policy cycle, contributing to goal setting, resource allocation and use of information systems. In 2009, the Municipal Health Secretariat of Rio de Janeiro initiated a reform of the health care model under the main influence the Primary Health Care concept. This study evaluates the trend of selected pay-for-performance indicators that measure the health care process in the city's PHC. This a study on repeated panels, from the administrative and clinical records of electronic medical records in the period from 2012 to 2016. We selected seven indicators that analyzed longitudinal performance within the established goal, among those that represent access, longitudinality, coordination of care - APS attributes, as well as other characteristics of the services, such as care performance and economic efficiency. This study demonstrated that management decentralization to levels closer to the user is potentially successful for the recording of clinical data under an adequate monitoring of indicators, regular clinical audits and feedback to health professionals, along with data and indicators monitoring.
authors.affiliation: Fundação Oswaldo Cruz (Fiocruz). Av. Leopoldo Bulhões 4365, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.drsoranz@gmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Soranz
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.
authors.forename: Luiz Felipe
authors.initials: LF
authors.lastname: Pinto
authors.affiliation: Escola Nacional de Saúde Publica Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil.
authors.forename: Luiz Antonio Bastos
authors.initials: LA
authors.lastname: Camacho
mesh_terms: D001938:Brazil; D002947:Cities; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D004812:Epidemiologic Methods; D018166:Health Care Reform; D006282:Health Personnel / Q000458:organization & administration; D006297:Health Services Accessibility; D006801:Humans; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D040841:Resource Allocation