Relationship between goals achievement of management contracts and quality of health care: an integrative review

Abstract

This study is a systematic integrative review was carried out on the Virtual Health Library portal to understand whether there is a relationship between the achievement of goals and the quality of health care. The search strategy was built by the poles: goals (phenomenon); management contract (population); and quality (context). The selection of publications was made through the PRISMA protocol by two independent reviewers and data analysis was carried out in the thematic mode, with focus on theme of the relationship between the achievement of goals and quality. 22 articles were included in the review and only 4 answered the object of this research. 7 themes were discussed in the reviewed articles: methodology; goals and compliance with management contracts; types of contracting; quality idea; aspects of compliance with the management contract; management contract goals and, finally, the relationship between achievement of goals and quality. Most of the reviewed articles refer to level 4 of quality evidence. The evidence in this review allows us to conclude that the goals of management contracts are not related to the quality of health care and that studies that comprehend the Brazilian context and SUS are lacking.