Analysis of problems associated with the quality standards of primary care in the Federal District

Abstract

This article analyzes the priorities established in the action plans of local management linked to the Qualification Program for Primary Health Care in the Federal District. This is a descriptive study, with a qualitative approach, based on the problems linked to quality standards, according to self-assessment, described in the Action Plans for Quality, prepared by 100 managers of Primary Care Services in 2022. The results showed that of the five dimensions of the quality self-assessment instrument, attention to the user and work organization are central to the improvement of PHC. In the thematic analysis of the problems, critical nodes were identified that indicate priorities for intervention by managers: territorialization; planning and monitoring; communication with the user; work organization; structure; qualification of professionals; and pandemic. The results show that the continuous process of identifying priorities is essential to support health planning by managers and teams, and QualisAPS is a good step to foster experiences with strategic planning approach in other local systems.