Mendonça Claunara Schilling, Diercks Margarita Silva, Kopittke Luciane
Serviço de Saúde Comunitária, Hospital Nossa Senhora da Conceição. Av. Francisco Trein 596, Cristo Redentor. 91350-200 Porto Alegre RS Brasil.
Cien Saude Colet. 2016 Sep;21(9):2871-8. doi: 10.1590/1413-81232015219.16622016.
This article aims to propose an adaptation of the methodology used by Starfield and Shy (2002) to assess the quality of health care in the municipalities which joined the Mais Médicos (More Doctors) Program. The indicators were adapted for each one of the nine criteria proposed in the methodology and were applied to medium and large municipalities in the Metropolitan Region of Porto Alegre before and after they were integrated in the Mais Médicos Program. In 2014, the municipalities were grouped into three groups according to their scores. An analysis concerning any correlations between the different group scores for the municipalities and the health indicators that were evaluated, did not reveal anything significant. However the averages of the evaluated indicators were better in the group of municipalities characterized through having the best APS scores. In relation to the income indicator, the highest amount of money spent per capita in health is related to the best APS performance in the municipalities. An adaption of this methodology may be able to provide a better understanding of the policies related to health care.
本文旨在对Starfield和Shy（2002年）所使用的方法进行调整，以评估加入“更多医生”计划的各市的医疗保健质量。针对该方法中提出的九项标准中的每一项，对指标进行了调整，并将其应用于阿雷格里港大都市区的中型和大型市镇，这些市镇在加入“更多医生”计划之前和之后均适用。2014年，各市镇根据其得分被分为三组。对市镇不同组得分与所评估的健康指标之间的任何相关性分析均未发现显著结果。然而，在以最佳APS得分表征的市镇组中，所评估指标的平均值更高。就收入指标而言，各市镇人均医疗支出最高与最佳APS表现相关。对该方法的调整或许能够更好地理解与医疗保健相关的政策。
