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Brazilian Payment for Performance (PMAQ) Seen From a Global Health and Public Policy Perspective: What Does It Mean for Research and Policy?

Saddi, Fabiana, C., Post-doc, PhD, MA, BA (Hons); Peckham, Stephen, MA (Econ), BSc (Hons), HMFPH

Journal of Ambulatory Care Management: January/March 2018 - Volume 41 - Issue 1 - p 25–33
doi: 10.1097/JAC.0000000000000220
Original Articles
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This supplement of the Journal of Ambulatory Care Management on the Brazilian National Program for Improving Access and Quality of Primary Care (PMAQ) reveals a relevant gap in the Brazilian literature on pay for performance/PMAQ, and is therefore an opportunity to bring contributions from global health and public policy to the debate. We discuss the relevant gap in the light of developments in evaluation and policy analysis. We afterward present the state of knowledge regarding global health and public policy in pay for performance, giving attention to diverse themes, methods, types of analyses, theoretical contributions, and limitations. Finally, we suggest some possible implications for research and policy in Brazil.

Programme of Post-Graduation in Political Science, Faculty of Social Sciences, Federal University of Goias, Brazil (Dr Saddi); and Centre for Health Services Studies, University of Kent, and Department of Health funded Policy Research Unit in Commissioning and the Healthcare System (PRUComm), London School of Hygiene and Tropical Medicine, England (Prof Peckham).

Correspondence: Fabiana C. Saddi, Post-doc, PhD, MA, BA (Hons), PNPD-CAPES Post-Doctoral Research Fellow at the Programme of Post-Graduation in Political Science, Faculty of Social Sciences, Federal University of Goias, Goias, Brazil (fabianasaddi1@gmail.com;fasaddi@ufg.br).

Authors thank the editors of this supplement for the opportunity, and the 2 blind peer-reviewers for their comments on the article's first version.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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