Implementação do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB).

Abstract

The study aims to investigate about the methodology of implementing the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB) and the evaluation of the health professionals on its using and results, as well as to detect the impact of PMAQ in the organization and in health care, from the perspective of the health workers. Method: this is a qualitative research, with exploratory descriptive study, whose subjects were 21 workers of a municipality 28th Health Region – Rio Grande do Sul (RS), with 17 Family Health Strategy facilities registered in the Primary Care Department-Health Ministry. Of these 17 Family Health Strategy facilities, 8 have Team Dental Health certification. The data collection was from municipal health documents through interviews with health workers of Family Health Strategy facilities. The sample of subjects consisted by the health manager and a representative by professional category (nurse, doctor, dental surgeon, nursing technician, nutritionist) who attended any phase of PMAQ in the basic health facilities of this municipality. The content analysis¹ guided the organization of the information and the results in topics: PMAQ in the view of workers, the application methodology, the results and changes in the health facilities with program implementation. Results and final considerations: Two doctors, five nurses, seven nursing technicians, six dentists and a nutritionist were interviewed. It identified the diversity of perceptions of health workers on the implementation of PMAQ –AB, in the health facilities where they work and dissatisfaction for lack of feedback of the management in relation to the evaluation results. It was concluded that there is a weak and lack knowledge of professionals about the methodology of implementation of this program, because most of the respondents were unable to inform about the phases of implementation and development of this same program in their Family Health Strategy facilities.