<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342016000300358</article-id>
<article-id pub-id-type="doi">10.21149/spm.v58i3.7895</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Asistencia sanitaria, certificación de calidad y apoyo institucional: la atención primaria en Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Health care, quality certification and institutional support: a focus on primary health care in Brazil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Antônio Thomaz Gonzaga da Matta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Alaneir de Fátima dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[Daisy Maria Xavier de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jorge]]></surname>
<given-names><![CDATA[Alzira Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[Clarice Magalhães Rodrigues dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Angela Maria de Lourdes Dayrell de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Lucas Henrique Lobato de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Federal de Minas Gerais Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Federal de Minas Gerais Centro de Estudios de la Salud Colectiva y Nutrición ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>3</numero>
<fpage>358</fpage>
<lpage>365</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342016000300358&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342016000300358&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342016000300358&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo: Ofrecer un panorama de la distribución del apoyo institucional a la atención primaria en Brasil e identificar la relación entre actividades de apoyo institucional y los resultados de la certificación del Programa Nacional para Mejorar el Acceso y la Calidad de la Atención Primaria (PMAQ).  Material y métodos: Se efectuó un estudio transversal mediante entrevistas con 16 960 equipos en Brasil, en 2012. Para examinar la relación entre apoyo recibido y la calidad de la atención, se efectuó una regresión logística binaria múltiple.  Resultados: Se observó una relación positiva entre el alto apoyo y la certificación en las subdimensiones analizadas: atención de la mujer y niños, diabetes mellitus/ hipertensión y salud mental. Las actividades de apoyo que más contribuyeron fueron autoevaluación, evaluación compartida, talleres con objetivos específicos y formación permanente.  Conclusiones: Las actividades de apoyo institucional ayudaron a mejorar la calidad y el acceso de la población a la asistencia sanitaria en Brasil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective: To provide an overview of the distribution of institutional support in primary care in Brazil and to identify associations between the activities of institutional support and the outcome of the certification of the National Programme for Improving Access and Quality in Primary Health Care (PMAQ).  Materials and methods: A cross-sectional study was conducted through interviews with 16 960 professionals in Brazil in 2012.To examine the relationship between the received support and the quality of health care it was made a multiple binary logistic regression.  Results: A positive relationship between high-level support and certification in the sub-dimensions analyzed was observed: women and child care, diabetes mellitus/ hypertension and mental health.The support activities which contributed most were: self-assessment, shared assessment, targeted workshops and training.  Conclusion: Institutional support activities have helped to improve the quality and access of the population to healthcare in the country.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[atención primaria]]></kwd>
<kwd lng="es"><![CDATA[evaluación de la calidad]]></kwd>
<kwd lng="es"><![CDATA[Brasil]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[primary care]]></kwd>
<kwd lng="en"><![CDATA[quality assessment]]></kwd>
<kwd lng="en"><![CDATA[Brazil]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<source><![CDATA[Histónico de cobertura de saúde da familia, 2013]]></source>
<year></year>
<publisher-loc><![CDATA[Brasil ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud, Departamento de Atención Primaria]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<collab>Ministerio de Salud, Departamento de Atención Primaria</collab>
<source><![CDATA[Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Primaria (PMAQ): manual instructivo]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Brasilia ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Desafios políticos e organizacionais do SUS: vinte anos de política pública]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Cad Saude Publica]]></source>
<year>2008</year>
<volume>24</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2200</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Um método para análise e co-gestão de coletivos: a constituição do sujeito, a produção de valor de uso e a democracia em instituições: o método da roda]]></source>
<year>2007</year>
<edition>3</edition>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Reforma da reforma: repensando a saúde]]></source>
<year>1992</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Inclusão como método de apoio para a produção de mudanças na saúde - aposta da política de humanização da saúde]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pasche]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Passos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Saude em Debate]]></source>
<year>2010</year>
<volume>34</volume>
<numero>86</numero>
<issue>86</issue>
<page-range>423-32</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A Política Nacional de Humanização como política que se faz no processo de trabalho em saúde]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos-Filho]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[MEB]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<source><![CDATA[Interface Comunicação, Saúde, Educação]]></source>
<year>2009</year>
<volume>13</volume>
<numero>^ssupl 1</numero>
<issue>^ssupl 1</issue>
<supplement>supl 1</supplement>
<page-range>603-13</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[O desafio da política nacional de humanização nos processos de trabalho: o instrumento Programa de Formação em Saúde e Trabalho]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[MEB]]></given-names>
</name>
<name>
<surname><![CDATA[Mori]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Bastos]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<source><![CDATA[Cad Saude Publica]]></source>
<year>2006</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-48</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[O apoio institucional no Sistema Único de Saúde (SUS): os dilemas da integração interfederativa e da cogestão]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pereira-Júnior]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Interface Comunicação, Saúde, Educação]]></source>
<year>2014</year>
<volume>18</volume>
<numero>sup1</numero>
<issue>sup1</issue>
<page-range>895-908</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Apoio Institucional Paideia como estratégia para educação permanente em saúde]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Trabalho, Educação e Saúde]]></source>
<year>2014</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>29-50</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A política nacional de humanização e o desenrolar do fio da esperança equilibrista]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eidelwein]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Polis e Psique]]></source>
<year>2012</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>42-60</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[GWS]]></given-names>
</name>
</person-group>
<source><![CDATA[Saúde Paidéia]]></source>
<year>2003</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<collab>Ministerio de Salud</collab>
<source><![CDATA[Ley no 1.654, de 19 de julio de 2011. Instituye, en el ámbito del Sistema Único de Salud, el Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Primaria]]></source>
<year></year>
<publisher-loc><![CDATA[Brasil ]]></publisher-loc>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
