Os princípios do Sistema Único de Saúde e a atenção Básica (Programa Saúde da Família): o perigo mora ao lado

Redes regionalizadas de atenção à saúde: desafios à integração assistencial e à coordenação do cuidado

“…(BRASIL, 2012a, p. 19) Tais elementos fertilizam diferentes posicionamentos, mesmo no interior da Saúde Coletiva, e evidenciam os desafios da Atenção Básica e a estratégia de implementação por meio da ESF. Nessa seara, Campos (2008) e Cohn (2008), em debate com um artigo de Conill (2008), assinalam que o "vazio programático para a questão assistencial no SUS" (CONILL, 2008, p. 11) expõe o esmaecimento do debate político em torno dessa questão, colocando-a como um consenso, como um debate definido, cabendo apenas colocar em prática e avaliar tudo que está previsto nas normas ministeriais.…”

A política de atenção básica do Ministério da Saúde: refletindo sobre a definição de prioridades

“…Não deixa de ser consequência disso a baixa capacidade de reverter a 'lei do cuidado inverso', ficando diversos municípios na dependência de capacidade de autonomia política, financeira e de gestão, e da 'vontade política' de desenvolver um sistema de saúde universal, equânime, integral e adequado às necessidades locais específicas (Cohn, 2008). Depender de vontade política é uma situação oposta ao que se considera característica de uma política que agregue institucionalidade.…”

Primary health care in CSP

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The search for primary health care (PHC) focused on people, families and territories, synergistic to the population's health needs and to the principles of the Brazilian Unified National Health System (SUS), is a fruitful and priority field for scientific production and dissemination. Over the course of approximately 30 years of implementation and consolidation of the Family Health Strategy (FHS) as a priority model of PHC in SUS several successful outcomes have been achieved; however, research results suggest some health issues are yet to be resolved, the resurgence of old problems and the advent of new challenges, the most recent being the COVID-19 pandemic.In 2008, Reports in Public Health/Cadernos de Saúde Pública (CSP) published a thematic supplement with an important Editorial 1 and Debate 2,3,4,5,6,7,8 about the challenges of FHS for the organization and strengthening of PHC in Brazil; the country's national policies and programs since the 2010s sought, in some way, to face them. More recently, the journal has also fostered reflections about the deconstruction policies of FHS's trajectory from central elements such as its conception, organization and financing, while the directionality failed to respond to recognized problems, nor do they offer new perspectives that have universality and solidarity as values 9,10 .The wide diversity of themes of this great field of research and practices that make up PHC is reflected in the manuscripts published by CSP over 345 issues (until July 2022), available free of charge for public access since 1985.

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“…In 2008, Reports in Public Health/Cadernos de Saúde Pública (CSP) published a thematic supplement with an important Editorial 1 and Debate 2,3,4,5,6,7,8 about the challenges of FHS for the organization and strengthening of PHC in Brazil; the country's national policies and programs since the 2010s sought, in some way, to face them. More recently, the journal has also fostered reflections about the deconstruction policies of FHS's trajectory from central elements such as its conception, organization and financing, while the directionality failed to respond to recognized problems, nor do they offer new perspectives that have universality and solidarity as values 9,10 .…”