The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities

Authors

  • Lucas Maia dos Santos Federal Institute of Minas Gerais
  • Márcio Augusto Gonçalves Federal University of Minas Gerais

Keywords:

primary health care , public finances, public policy, institutional levels.

Abstract

This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals.

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Author Biographies

Lucas Maia dos Santos, Federal Institute of Minas Gerais

PhD in Administration from the Federal University of Minas Gerais, with a period of PhD studies at Rutgers University, USA. Professor at IFMG Campus Sabará and at the Professional Master’s Program in Administration at IFMG Campus Formiga.

E-mail: lucas.maia@ifmg.edu.br

ORCID: https://orcid.org/0000-0002-3340-9027

Márcio Augusto Gonçalves, Federal University of Minas Gerais

PhD in Administration from the Aston University. Professor at the Graduate Program in Administration at the Federal University of Minas Gerais (CEPEAD/UFMG).

E-mail: marciouk@yahoo.com

ORCID: https://orcid.org/0000-0003-2995-170X

Published

2021-10-19

How to Cite

1.
Santos LM dos, Gonçalves MA. The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities. Organ. Soc. [Internet]. 2021Oct.19 [cited 2021Dec.3];28(98). Available from: https://periodicos.ufba.br/index.php/revistaoes/article/view/25582

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Section

Articles