Local health councils participation in results-based contracting in primary health care: the Curitiba, PR experience

Abstract: This study analyzes the Local Health Councils participation in the agreement of goals, and in the work process in the Basic Attention in Curitiba, PR. This study reproduces the methodology proposed in 2005 by the World Bank, using the framework of democratic goods proposed by Smith (2009). The Councils take part in the discussion of goals, in acknowledging and monitoring the attainment of targets, but do not get involved in negotiating. The Councils help to improve the work in their respective healthcare units.