National Primary Health Care Policy: where are we headed to?

被引：67

作者：

Giovanella, Ligia ^{[1
]}

Franco, Cassiano Mendes ^{[2
]}

de Almeida, Patty Fidelis ^{[3
]}

机构：

[1] Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, R Leopoldo Bulhoes 1480, Rio De Janeiro, RJ, Brazil

[2] Univ Fed Rio de Janeiro, Fac Med, Rio De Janeiro, RJ, Brazil

[3] Univ Fed Fluminense, Inst Saude Comunidade, Niteroi, RJ, Brazil

来源：

CIENCIA & SAUDE COLETIVA | 2020年 / 25卷 / 04期

关键词：

Primary health care; Health policy; Healthcare models;

D O I：

10.1590/1413-81232020254.01842020

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This paper analyzes recent policies in the field of Primary Health Care (PHC) and their possible implications for the care model in the Unified Health System (SUS). Initially, some of the concepts that influenced the models of care in the Brazilian public system are revived, and we argue that the Family Health Strategy (ESF) bases for reorienting care practices in primary care are consistent with the principles of the SUS. Below, we analyze the central elements of new federal policies for PHC. We show that changes in the PHC care model threaten the teams' multidisciplinarity, prioritize acute illness care, focus in individual care, weaken the community territorial approach and establish coverage by registration, which evidence redirection of the health policy, harming the principles of universality, integrality, and equity in the SUS.

引用

页码：1475 / 1481

页数：7

共 20 条

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