Carvalho Brígida Gimenez, Peduzzi Marina, Nunes Elisabete de Fátima Polo de Almeida, Leite Fernanda de Souza, Silva Jaqueline Alcântara Marcelino da
Department of Public Health, State University of Londrina, Londrina, PR, Brazil.
School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2014 Oct;48(5):907-14. doi: 10.1590/s0080-6234201400005000018.
To identify the characteristics of managers and their use of management instruments in primary care and to analyze differences in these features among municipalities of different sizes.
The present cross-sectional descriptive study was conducted at 108 basic health units from 21 municipalities in northern Paraná, Brazil. The data were collected using a semi-structured questionnaire during the second half of 2010.
Most managers had graduate degrees and were female and nurses. The managers from the small municipalities were younger, their payment was lower, and they had less work experience. The use of management instruments was expressive for both the organization and work management; however, the instruments were used less in the small municipalities.
The managers were committed to their role; it is recommended that policies and guidance should be formulated at the federal and state levels to support small municipalities.
确定初级保健机构管理人员的特征及其管理工具的使用情况，并分析不同规模城市在这些特征上的差异。
本横断面描述性研究在巴西巴拉那州北部21个城市的108个基本卫生单位进行。2010年下半年使用半结构化问卷收集数据。
大多数管理人员拥有研究生学位，为女性且是护士。小城市的管理人员更年轻，薪酬更低，工作经验更少。管理工具在组织和工作管理方面的使用都很显著；然而，小城市对这些工具的使用较少。
管理人员履行了他们的职责；建议在联邦和州层面制定政策和指导方针以支持小城市。
