Changes in the primary care policy and the (un)sustainability of the Family Health Strategy

Datos Bibliográficos

ID5334445
AutoresFernanda De Freitas Mendonça (0000-0002-3532-5070, Universidade Estadual de Londrina, autor de correspondencia), Luciana Dias De Lima (0000-0002-0640-8387, Fundação Oswaldo Cruz), Adelyne Maria Mendes Pereira (0000-0002-2497-9861, Fundação Oswaldo Cruz), Caroline Pagani Martins (0000-0001-6217-4944, Universidade Estadual de Londrina)
Año2023
Volumen47
Número137
Páginas13-30
Fecha de publicación2023-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSaúde em Debate (JOURNAL)
Identificadores de la revistaISSN: 0103-1104 • E-ISSN: 2358-2898
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104202313701i
OpenAlexW4382776253
SCIELO_PIDS0103-11042023000200013
IdiomaEN
Citas recibidas2
Referencias citadas33

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

Accreditation · Business · Economic growth · Economics · Family health · Family medicine · Flexibility (engineering) · Health care · Incentive · Management · Medical education · Multidisciplinary approach · Political science · Primary care · Primary health care · Scope (computer science) · Sustainability · Health, Nursing, Elderly Care · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes