Affiliation:
1. Universidade Estadual de Londrina (UEL), Brasil
2. Fundação Oswaldo Cruz (Fiocruz), Brasil
Abstract
ABSTRACT Primary Health Care is a strategic level of care for forming a sustainable health system that responds to diverse needs. This article analyzed federal regulation and its implications for establishing primary care teams in Brazil. Exploratory mixed methods research involves analyzing 25 federal ordinances and secondary data of national scope referring to the teams approved in the National Register of Health Establishments from 2017 to 2021. The results indicate changes in the direction of the policy regarding the configuration, funding, and accreditation of teams. There was an expansion of primary care teams, a reduction in community health agents, and a weakening of the Family Health Support Center. The results suggest that the incentives for other team arrangements, the flexibility of the coverage of the community agent, and the multidisciplinary action compromise the sustainability of the Family Health model in the Unified Health System.
Reference48 articles.
1. Contribution of primary care to health systems and health;Starfield B;Milbank Q,2005
2. Renovação da atenção primária em saúde nas Américas: documento de posicionamento da Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/ OMS),2007
3. Alma-Ata 30 years on: revolutionary, relevant, and time to revitalise;Lawn JE;The Lancet,2008
4. Primary health care: making Alma-Ata a reality;Walley J;The Lancet,2008
5. Atenção primária à saúde na América do Sul em perspectiva comparada: mudanças e tendências;Pereira AMM;Saúde debate,2012
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