Freitas, Cláudia Helena Soares de MoraisBezerra, Isabelle Nascimento de Oliveira2021-06-152021-06-152019-12-17BEZERRA, Isabelle Nascimento de Oliveira. Planejamento, autoavaliação e apoio institucional na atenção primária à saúde no Brasil: um estudo com dados do 3º ciclo do Programa de Melhoria de Acesso e Qualidade. 2019. 73f. Dissertação (Mestrado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.https://repositorio.ufrn.br/handle/123456789/32693The aim of this study was to analyze an association of socioeconomic factors with the quality and practices of municipal management in primary health care in Brazil, from a perspective of Planning, Self-Assessment and Institutional Support (AI). An ecological cross-sectional study with aggregation at the municipal level, conducted in 5324 Brazilian municipalities participating in the third cycle external evaluation phase, and statistical data on the final EAB certification of the Access and Quality Improvement Program - PMAQ-AB (2015- 2018). The dependent variables to the management were the activities of Planning, Self-Assessment and Institutional Support by EAB, after grouping by municipality and organization by participation were classified as: 1- “No team perform (2) - what is the quality of AB, how was the EAB grouped into: 1-Good Teams ”; 2- “Bad Teams”, and the answers were categorized as: 1- “No good (bad) teams”; 2- “Partially good (bad)”; 3- "All teams are good (bad)". The contextual independent variables were: Municipal Human Development Index - MHDI; Gini Index; Proportion of 15-24 year olds who do not study, do not exercise and are vulnerable in the vulnerable population in this range; Proportion of extreme poverty; adopted the categorization from the median. In order to evaluate the associated factors, Pearson's chi-square test (Qui²) was used. As the main results were observed on the Planning, Self-Assessment and Institutional Support activity, there is a significant association (p <0.001) for the population size, small size municipalities (up to 20,000hab), the best percentages and greater homogeneity within the population. of the territory; In general, the municipalities of the interior perform more as activities than the Brazilian capitals. In regional terms (p <0.001), the municipalities in which all teams develop better management are concentrated in the Northeast (Planning-89.9%; Selfassessment-72.9%; AI-85.1%) and less in the Northeast. North region (Planning-80.4%, SelfAssessment-48.3%; AI-69.1%). When it comes to socioeconomic aspects, or the percentage of management activities is detected in all as EAB in smaller municipalities (Gini up to 0.4900), (Planning-85.3%; Self-assessment- 76.3%; AI-80, 9%); low HDI (up to 0.6630) (Planning89.1%; AI-83.6%), highest extremely weak proportion (> 6.880) (Planning-89.2%; AI-83.3%). The best teams (good teams) are concentrated in inland municipalities (24.1%), small, up to 20,000hab (29.1%); in the Northeast (26.3%) and lower in the North (10.6%), with lower inequality (Gini up to 0.4900) (28.6%) and highest mean extreme poverty (24.6%). the teams are in municipalities with the best HDI (33.8%); The results demonstrate progress in management actions, mainly in small and rural cities, induced by equity policies, and expansion of the ESF, strengthening the National Primary Care Policy, however there are challenges to be overcome, for the realization of a management that impacts the work process of Primary Care Teams and the reduction of regional inequalities.Acesso AbertoAtenção primária à saúdePlanejamentoApoio institucionalAutoavaliaçãomasterThesis