Tendências acerca da Atenção Primária à Saúde em capital brasileira e interveniência incremental de terceirizações

Alcides Miranda

doi:10.1590/SciELOPreprints.17397

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Alcides Miranda Federal University of Rio Grande do Sul https://orcid.org/0000-0001-8947-9676

DOI:

https://doi.org/10.1590/SciELOPreprints.17397

Keywords:

Outsourced Services, Primary Health Care, Time Series Studies

Abstract

The organizational, functional, and labor processes of Primary Health Care (PHC) are intertwined under complex determining and intervening factors. These factors tend to form longitudinal modifications, embodying diverse results depending on the established correlations.

Aiming to analyze correlated trends that occurred in Porto Alegre between 2015 and 2025, an observational time-series study was conducted, through which average annual proportions regarding factors intervening in organizational, management, and service delivery processes were measured. Comparisons were also made between epidemiological rates. Trend variables were segmented and compared across two subsequent periods, distinguished by a higher incidence of the intervening factor of outsourcing related facilities.

The results highlighted larger increases in liquidated expenses, intermediated labor ties, and individual urgent care visits. Additionally, a downward trend was observed in specific mortality indicators associated with PHC. Many of the trends showed strong linear correlations with the explanatory variable of outsourcing.

In model terms, a decadal trend of PHC de-characterization was denoted in the capital, with an entropic intervention of outsourcing.