Author:

• Baltazar Ricardo Monteiro - Monteiro, Baltazar Ricardo - Caldas da Rainha, LEIRIA - Instituto Politecnico de Leiria, Escola Superior de Saúde - <ricardo.monteiro.baltazar@gmail.com>

Co-author(s):

• Fátima Candoso - Candoso, Fátima - Núcleo de Estudos e Planeamento, Administração Regional de Saúde - <fatimacandoso@gmail.com>
• Magda Reis - Reis, Magda - Departamento de Planeamento e Contratualização, Administração - <magda.reis@arslvt.min-saude.pt>
• Sonia Bastos - Bastos, Sonia - Departamento de Planeamento e Contratualização, Administração - <soniamabastos@gmail.com>

Thematic Area:

Não Categorizado

Abstract:

The reform proposals initiated in 1996 intended that Regional Health Administrations (RHA) should play a relevant role in the process of transforming an integrated model towards a contract model of health care. The essential instrument of this transformation would become the Contract Agency, established in each ARS. Their role in the new contractual culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care.
This article presents a longitudinal analysis of the evolution of a set of nine contractual indicators for primary health care, in three Health Center Groups (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT).
We have noticed that the setting of goals, in terms of external contracting and its monitoring and follow-up, are decisive for health professionals to define trajectories and performance goals. We also recognize the need to revise the baseline indicators by moving them to outcome indicators.

Keywords:

primary health carecontractingindicators

Content:

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