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. Issue 2 (April 2017)

• Record Type: Journal Article
• Authors: Macinko, James; Harris, Matthew J.; Rocha, Marcia Gomes
• Is Part Of: Journal of ambulatory care management. Volume 40:Issue 2(2017)Supplement
• Publication Date: 2017-04
• Subjects: Brazil -- Family Health Strategy -- pay for performance; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000189
• Languages: English
• ISSNs: 0148-9917

Abstract

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.