Integrality and comprehensiveness of service provision in Primary Health Care in Brazil (2012-2018)

Abstract

Objectives: to analyze comprehensiveness elements in Primary Care in Brazil, between 2012 and 2018, considering preventive and assistance aspects, pointing out advances and obstacles to its improvement in different contexts. Methods: a retrospective longitudinal study using data from the Brazilian National Program for Improving Access and Quality in Primary Care. 15,378 teams were selected that participated in both 1st and 3rd cycles of the program. Results: improvements were found in the prevalence of teams that ensure preventive and assistance care for priority groups, who develop promotion actions, offer essential procedures, including oral health, carry out home visits, receive support from Extended Family Health and Primary Care Center, offer integrative and complementary practices and develop intersectoral actions. Conclusions: there has been an improvement in comprehensiveness in Primary Health services, but problems remain that still need to be faced for their improvement.

Atención en salud y modernas prácticas de enfermería en el contexto de los países luso-hispanos

“…Health care and modern nursing practices in the context of Luso-Hispanic countries de la integralidad, el cual se hace presente en las prácticas asistenciales de salud de los países luso-hispánicos, cuyo enfoque es el acceso y la promoción del cuidado en todos los niveles de atención, de forma que transcienda la mera práctica curativa (2,3).…”

Dez anos do Prontuário Eletrônico do Cidadão e-SUS APS: em busca de um Sistema Único de Saúde eletrônico

“…Implementing the Brazilian Unified Health System (SUS) in 1988 enabled the creation of a triad of principles based on the universality, completeness, and equity of health services. In 1990, the Atenção Primária à Saúde (APS – Primary Healthcare) was established as a national policy based on Basic Operational Standard 96 (NOB 96), which guaranteed support for the implementation of Family Health and Community Health Agents programs throughout the Brazilian territory 1 , 2 .…”

“…A implementação do Sistema Único de Saúde (SUS) em 1988 viabilizou a criação de uma tríade de princípios baseados na universalidade, integralidade e equidade dos serviços de saúde. Em 1990, a Atenção Primária à Saúde (APS) se firmou como política nacional, a partir da Norma Operacional Básica 96 (NOB 96), que garantiu fomentos para a implementação dos programas de Saúde da Família e dos Agentes Comunitários de Saúde (ACS) em todo o território brasileiro 1 , 2 .…”