{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:53:15Z","timestamp":1781621595489,"version":"3.54.5"},"reference-count":26,"publisher":"Sociedade Brasileira de Computa\u00e7\u00e3o","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"Research Context: Efficient management of Brazil\u2019s Primary Healthcare (PHC) is essential to ensure universal access and quality of care, yet challenges in resource allocation and workforce distribution demand innovative solutions for equitable and sustainable delivery. Practical Problem: A key challenge in PHC management is the lack of integrated efficiency metrics across financial, human, and service dimensions, as current static evaluations limit comparative analysis and hinder effective resource allocation. Proposed Solution: By combining financial, human resource, and service delivery data from official sources, we present a set of operational efficiency indicators designed for PHC in Brazil, that enable comparative and dynamic evaluations across units, supporting equitable and evidence-based healthcare management. Related IS Theory: The solution integrates heterogeneous health data into an information system that supports decision-making, aligning automated tools with managerial workflows to improve efficiency in PHC. Research Method: Following an analytic approach, the study evaluates the proposed indicators through a detailed comparison between the Brazilian cities. A quantitative analysis assesses their practical applicability, ensuring the indicators\u2019 effectiveness in supporting decision-making in PHC. Summary of Results: Experiments demonstrate that the proposed solution provides reliable efficiency indicators for PHC units and municipalities. The results highlight disparities in performance and illustrate how these indicators can support data-driven decisions to optimize financial and human resource allocation. Contributions and Impact to IS area: The study contributes to the IS field by proposing efficiency indicators tailored to Brazil\u2019s Primary Health Care and integrating them into a decision-support system, enhancing transparency, comparability, and equity in public sector governance.<\/jats:p>","DOI":"10.5753\/sbsi.2026.248568","type":"proceedings-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T13:24:57Z","timestamp":1777987497000},"page":"557-576","source":"Crossref","is-referenced-by-count":0,"title":["Primary Healthcare Efficiency Indicators for Analysis and Decision-Making Support for Managers"],"prefix":"10.5753","author":[{"given":"Izabel Yale Neves","family":"Nascimento","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veruska Borges","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Filipe Alves","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago Brasileiro","family":"Ara\u00fajo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caio Guilherme Moreira da","family":"Rocha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Guerra","family":"Medeiros Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Cardoso Amaral de","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor Medeiros","family":"Vanderlei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimas Cassimiro","family":"Nascimento Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3742","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"Almeida, P. F. d., Giovanella, L., Schenkman, S., Franco, C. M., Duarte, P. O., Houghton, N., B\u00e1scolo, E., and Bousquat, A. (2024). Perspectives for primary health care public policy in south america. Ci\u00eancia & Sa\u00fade Coletiva, 29:1\u201310.","DOI":"10.1590\/1413-81232024297.03792024en"},{"key":"2","doi-asserted-by":"crossref","unstructured":"Almeida, P. F. d., Giovanella, L., Schenkman, S., Franco, C. M., Duarte, P. O., Houghton, N., B\u00e1scolo, E., and Bousquat, A. (2025). Vigil\u00e2ncia em sa\u00fade como pilar estrat\u00e9gico de uma concep\u00e7\u00e3o abrangente de aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade. Ci\u00eancia & Sa\u00fade Coletiva, 30(05).","DOI":"10.1590\/1413-81232025305.04572025"},{"key":"3","doi-asserted-by":"crossref","unstructured":"Barbosa, A. C. Q., da Silva Junior, A. G., Turci, M. A., and Mendes, P. S. (2021). Efici\u00eancia e gest\u00e3o p\u00fablica em sa\u00fade na aps. APS em Revista, 3(2).","DOI":"10.14295\/aps.v3i2.209"},{"key":"4","doi-asserted-by":"crossref","unstructured":"Braga, G. B., Ferreira, M. A. M., and Braga, B. B. (2015). A efici\u00eancia da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade: avaliando discrep\u00e2ncias. Administra\u00e7\u00e3o P\u00fablica e Gest\u00e3o Social, 7(2):100\u2013107.","DOI":"10.21118\/apgs.v7i2.776"},{"key":"5","doi-asserted-by":"crossref","unstructured":"Charnes, A., Cooper, W. W., and Rhodes, E. (1978). Measuring the efficiency of decision making units. European journal of operational research, 2(6):429\u2013444.","DOI":"10.1016\/0377-2217(78)90138-8"},{"key":"6","doi-asserted-by":"crossref","unstructured":"Cubas, M. R., Faoro, N. T., Moys\u00e9s, S. T., and Carvalho, D. R. (2017). Avalia\u00e7\u00e3o da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade: valida\u00e7\u00e3o de instrumento para an\u00e1lise de desempenho dos servi\u00e7os. Sa\u00fade em Debate, 41:471\u2013485.","DOI":"10.1590\/0103-1104201711310"},{"key":"7","doi-asserted-by":"crossref","unstructured":"da Silva, D. M., Noronha, K., and Andrade, M. V. (2023). Indicadores municipais da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade no brasil: Desempenho e estrutura no per\u00edodo 2020-2022. APS em Revista, 5(2):65\u201372.","DOI":"10.14295\/aps.v5i2.285"},{"key":"8","doi-asserted-by":"crossref","unstructured":"David, G. C., Shimizu, H. E., and Silva, E. N. d. (2015). Aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade nos munic\u00edpios brasileiros: efici\u00eancia e disparidades. Sa\u00fade em Debate, 39:232\u2013245.","DOI":"10.5935\/0103-1104.2015S005512"},{"key":"9","doi-asserted-by":"crossref","unstructured":"Dias, G. C., Carvalho, R. S., Zaglout, A. M., Resende, F. P., Orso, L. P., Miguel, P. H. N., Norberto, U. G., de Oliveira, V. A., Mendes, L. K. F., and da Costa Oliveira, S. (2024). An\u00e1lise dos indicadores de desempenho da aten\u00e7\u00e3o prim\u00e1ria do munic\u00edpio de porto velho\u2013ro. Revista Eletr\u00f4nica Acervo Sa\u00fade, 24(8).","DOI":"10.25248\/reas.e15115.2024"},{"key":"10","doi-asserted-by":"crossref","unstructured":"Gontijo, T. S. and Reis, I. A. (2021). Os determinantes da efici\u00eancia na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade dos munic\u00edpios paulistas: um modelo georreferenciado. Physis: Revista de Sa\u00fade Coletiva, 31:1\u201317.","DOI":"10.1590\/s0103-73312021310132"},{"key":"11","doi-asserted-by":"crossref","unstructured":"Johnson, M. R., Raitt, M., Asghar, A., Condon, D. L., Beck, D., and Huang, G. D. (2021). Development and implementation of standardized study performance metrics for a va healthcare system clinical research consortium. Contemporary clinical trials, 108.","DOI":"10.1016\/j.cct.2021.106505"},{"key":"12","unstructured":"Massuda, A., Malik, A., Lotta, G., Siqueira, M., Tasca, R., and Rocha, R. (2022). Brazil\u2019s primary health care financing: case study. Lancet Global Health Commission on Financing Primary Health Care."},{"key":"13","doi-asserted-by":"crossref","unstructured":"Mbau, R., Musiega, A., Nyawira, L., Tsofa, B., Mulwa, A., Molyneux, S., Maina, I., Jemutai, J., Normand, C., Hanson, K., et al. (2023). Analysing the efficiency of health systems: a systematic review of the literature. Applied health economics and health policy, 21(2):205\u2013224.","DOI":"10.1007\/s40258-022-00785-2"},{"key":"14","doi-asserted-by":"crossref","unstructured":"McRae, S. (2021). Long-term forecasting of regional demand for hospital services. Operations Research for Health Care, 28.","DOI":"10.1016\/j.orhc.2021.100289"},{"key":"15","unstructured":"Minist\u00e9rio da Sa\u00fade (2022). Nota t\u00e9cnica explicativa do relat\u00f3rio de indicadores de desempenho da aps (previne brasil-2022). Dispon\u00edvel em: [link]<\/a>. Acesso em 02 de dezembro de 2025."},{"key":"16","unstructured":"Minist\u00e9rio da Sa\u00fade (2023). Sisab: Sistema de informa\u00e7\u00e3o em sa\u00fade para a aten\u00e7\u00e3o b\u00e1sica. Dispon\u00edvel em: [link]<\/a>. Acesso em 02 de dezembro de 2025."},{"key":"17","unstructured":"Minist\u00e9rio da Sa\u00fade (2025). Minist\u00e9rio da sa\u00fade apresenta novos indicadores de indu\u00e7\u00e3o de boas pr\u00e1ticas para a aten\u00e7\u00e3o prim\u00e1ria. Dispon\u00edvel em: [link]<\/a>. Acesso em 02 de dezembro de 2025."},{"key":"18","doi-asserted-by":"crossref","unstructured":"Oliveira, A. P. C. d., Gabriel, M., Poz, M. R. D., and Dussault, G. (2017). Desafios para assegurar a disponibilidade e acessibilidade \u00e0 aten\u00e7\u00e3o m\u00e9dica no sistema \u00fanico de sa\u00fade. Ci\u00eancia & Sa\u00fade Coletiva, 22:1165\u20131180.","DOI":"10.1590\/1413-81232017224.31382016"},{"key":"19","doi-asserted-by":"crossref","unstructured":"Pereira, L. F. A., Ferreira, L. B., Nascimento, D. C., Vanderlei, I. M., Silva, D., Santos, V. B., Gomes, M. S., and Melo, I. A. (2025a). Design, integration, and evaluation of a demand forecasting service in the context of primary healthcare. In Simp\u00f3sio Brasileiro de Sistemas de Informa\u00e7\u00e3o (SBSI), pages 506\u2013514. SBC.","DOI":"10.5753\/sbsi.2025.246552"},{"key":"20","doi-asserted-by":"crossref","unstructured":"Pereira, L. F. A., Nascimento, I. Y. N., Santos, V. B., Pinheiro, R. G. S., and do Nascimento Filho, D. C. (2025b). Avalia\u00e7\u00e3o da evolu\u00e7\u00e3o da efici\u00eancia operacional de munic\u00edpios brasileiros na gest\u00e3o de recursos para aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade. In Simp\u00f3sio Brasileiro de Computa\u00e7\u00e3o Aplicada \u00e0 Sa\u00fade (SBCAS), pages 737\u2013747. SBC.","DOI":"10.5753\/sbcas.2025.7743"},{"key":"21","doi-asserted-by":"crossref","unstructured":"Ramos, A. L. P., Seta, M. H. D., and Battesini, M. (2025). Efici\u00eancia da aten\u00e7\u00e3o prim\u00e1ria nas capitais brasileiras e modelos de gest\u00e3o: 2008\u20132019. Revista de Sa\u00fade P\u00fablica, 59.","DOI":"10.11606\/s1518-8787.2025059006346"},{"key":"22","unstructured":"Santos, A. M. d., Giovanella, L., Fausto, M. C. R., Cabral, L. M. d. S., and Almeida, P. F. d. (2024). Dynamics of regionalization and repercussions of gaps in care on health marketing in remote rural municipalities. Cadernos de Saude Publica, 40."},{"key":"23","unstructured":"Scheffer, M., Cassenote, A., Guilloux, A., Biancarelli, A., Miotto, B., and Mainardi, W. (2023). Demografia M\u00e9dica no Brasil 2023. Faculdade de Medicina da USP."},{"key":"24","doi-asserted-by":"crossref","unstructured":"Subramanian, L. (2021). Effective demand forecasting in health supply chains: emerging trend, enablers, and blockers. Logistics, 5(1):12.","DOI":"10.3390\/logistics5010012"},{"key":"25","doi-asserted-by":"crossref","unstructured":"Tomasi, E., da Silveira, D. S., Neves, R. G., Thum\u00e9, E., Cesar, M. A. D. C., Barros, N. R., and Facchini, L. A. (2024). Indicadores de qualidade da aten\u00e7\u00e3o a usu\u00e1rios com diabetes na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade do brasil: 2012 e 2018. Revista Brasileira de Medicina de Fam\u00edlia e Comunidade, 19(46):3678\u20133678.","DOI":"10.5712\/rbmfc19(46)3678"},{"key":"26","doi-asserted-by":"crossref","unstructured":"Wanderley, R. d. A., Correia, D. S., Nascimento, A. L. O. d., Souza, C. A. J. d., and Souza, C. D. F. d. (2024). Indicadores de desempenho da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade em alagoas, brasil: uma an\u00e1lise de situa\u00e7\u00e3o durante o primeiro ano da pandemia de covid-19 (2020). RECIIS (Online).","DOI":"10.29397\/reciis.v18iAhead-of-Print.3755"}],"event":{"name":"Simp\u00f3sio Brasileiro de Sistemas de Informa\u00e7\u00e3o","location":"Brasil","acronym":"SBSI 2026","number":"22"},"container-title":["Anais do XXII Simp\u00f3sio Brasileiro de Sistemas de Informa\u00e7\u00e3o (SBSI 2026)"],"original-title":[],"link":[{"URL":"https:\/\/sol.sbc.org.br\/index.php\/sbsi\/article\/download\/41342\/41112","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sol.sbc.org.br\/index.php\/sbsi\/article\/download\/41342\/41112","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:04:01Z","timestamp":1781618641000},"score":1,"resource":{"primary":{"URL":"https:\/\/sol.sbc.org.br\/index.php\/sbsi\/article\/view\/41342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":26,"URL":"https:\/\/doi.org\/10.5753\/sbsi.2026.248568","relation":{},"subject":[],"published":{"date-parts":[[2026,5,25]]}}}