Temporal analysis of Family Health Strategy indicators from the perspective of the Brazilian National Primary Health Care Policy

Datos Bibliográficos

ID5167940
AutoresAndressa Daiana Nascimento Do Carmo (0000-0001-6448-1390, Universidade Federal de Juiz de Fora), Silvia Lanziotti Azevedo Da Silva (0000-0002-2323-2029, Universidade Federal de Juiz de Fora), Estela Márcia Saraiva Campos (0000-0002-3569-9785, Universidade Federal de Juiz de Fora)
Año2023
Volumen39
Número8
Páginase00042523-e00042523
Fecha de publicación2023-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen042523
PMID37820231
OpenAlexW4387465355
IdiomaEN
Referencias citadas18

Throughout the three editions of the Brazilian National Primary Health Care Policy (PNAB), changes were made in relation to the structure of the Family Health Strategy (FHS), with emphasis on modifications concerning the priority nature of the FHS as an organization and care strategy in primary health care. The objective was to analyze temporal trends in indicators related to the FHS from the perspective of the three PNAB editions: 2006, 2011, and 2017. This is a descriptive study of the temporal trend of indicators selected from a logical model constructed by components related to the FHS in the three editions of the PNAB. The logical model was developed based on the components Territory/Enrollment, Teams, Work Process, Territory Planning and Management, and Care for Priority Groups by Family Health Teams, each one being represented by selected indicators. The construction of the national and regional time series between 2007 and 2020 was carried out using the Joinpoint software. Most of the indicators showed an upward trend in the first time segments identified by the models, followed by segments of stability or decrease, especially after the year 2017. The indicator Number of community health workers stands out, which decreased after 2017 in most geographical regions and in Brazil. The 2017 PNAB may have discouraged the continuation and expansion of the FHS as the priority model of primary health care, by allowing and financing new teamwork arrangements and processes

Economic growth · Economics · Family health · Family medicine · Geography · Health care · Management · Perspective (graphical) · Primary care · Primary health care · Regional science · Teamwork · Work (physics) · Computer Science · Health, Nursing, Elderly Care · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes