巴西改善初级医疗服务可及性与质量国家计划（PMAQ）：挖掘全球最大的初级医疗绩效付费体系的潜力。
Brazil's National Program for Improving Primary Care Access and Quality (PMAQ): Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care.
作者信息
Macinko James, Harris Matthew J, Rocha Marcia Gomes
机构信息
Departments of Health Policy and Management and Community Health Sciences, UCLA Fielding School of Public Health, Center for Health Sciences, Los Angeles, California (Dr Macinko); Department of Primary Care and Public Health, and the Institute of Global Health Innovation, Imperial College London, United Kingdom (Dr Harris); and Inter-American Development Bank, Brasilia, Brazil (Dr Rocha).
出版信息
J Ambul Care Manage. 2017 Apr/Jun;40 Suppl 2 Supplement, The Brazilian National Program for Improving Primary Care Access and Quality (PMAQ)(2 Suppl):S4-S11. doi: 10.1097/JAC.0000000000000189.
Abstract
Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of the National Program for Improving Primary Care Access and Quality (PMAQ). Although voluntary, the program now includes nearly 39 000 FHS teams in the country and has led to a near doubling of the federal investment in primary care in its first 2 rounds. In this article, we introduce the PMAQ and advance several recommendations to ensure that it continues to improve primary care access and quality in Brazil.
摘要
尽管取得了一些显著成就，但巴西家庭健康战略（FHS）仍面临若干挑战，包括扩大初级保健服务的可及性并提高其质量。这些问题促使了国家改善初级保健可及性和质量计划（PMAQ）的制定。尽管该计划是自愿参与的，但目前该国近39000个家庭健康战略团队已加入其中，并且在其前两轮实施过程中，联邦政府对初级保健的投资几乎翻了一番。在本文中，我们介绍了国家改善初级保健可及性和质量计划，并提出了若干建议，以确保该计划继续改善巴西初级保健服务的可及性和质量。
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