Atención primaria, de la teoría a la práctica

Gérvas, Juan

doi:10.1590/s0102-311x2008001300007

Cited by 8 publications

(7 citation statements)

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“…There are simple preventive actions that are safely implemented and evaluated, while others, more complex, may be valued differently by people, can cause damage, and its benefits are not directly transferable to individuals (Gérvas, 2008).…”

Section: Geoffrey Rose: Criticism Of the High-risk Preventive Strategymentioning

confidence: 99%

“…Thus, some potential consequences of preventive measures include "[...] disruption of cultural and individual capacities to cope with sickness, pain, and death" (Gérvas;Heath, 2008Heath, , p. 1997. The accurate evaluation of preventive interventions must be crucial for determining the type of preventive care services offered to the population, which should be made only when it is certain that it will bring more good than harm.…”

Section: Population Dimensionmentioning

confidence: 99%

“…In terms of health outcomes, health care systems have a very valuable, specific, but limited role, since most health achievements are produced by other sectors of society such as: formal education, redistribution of wealth, effective deployment of democracy and transparency in public power, the development of a profession/work in acceptable working conditions, access to proper housing, clean drinking water, and basic sanitation (Gérvas, 2008;WHO, 2009). Therefore, prevention and treatment of diseases/illnesses are more directly dependent on the health system, while the other responsibilities belong mainly to other sectors of the State and society.…”

Section: Introductionmentioning

confidence: 99%

“…The proposed organizational model for Primary Health Care (PHC) services has been the Family Health Strategy (FHS). Taking into account PHC 'filter function' (Gérvas;Pérez-Fernández, 2005), which is essential to the effectiveness, fairness and rationality of care, FHS carries this dual nature: the clinical care and health promotion/disease prevention.…”

Section: Introductionmentioning

confidence: 99%

“…Paim (2008) and Coelho (2008), in synthesizing care models for the SUS and PHC, agree that these proposals are complementary rather than antagonistic and that health care practices should be included in them. Therefore, to find a balance between prevention, health promotion and treatment of illness becomes a daily challenge for professionals and PHC/FHS services (Gérvas;Heath, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Acesso ao cuidado na Estratégia Saúde da Família: equilíbrio entre demanda espontânea e prevenção/promoção da saúde

Norman

Tesser

2015

Saude soc.

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This article presents some guidelines for organizing the working process in Primary Health Care (PHC) and Family Health Strategy (FHS) concerning the challenges of providing access and balancing the everyday healthcare services activities which includes health promotion and prevention of diseases, as well as access for those suffering ill-health. Firstly, it addresses some specific ideas about the importance of access to the quality of the health care services, followed by a brief critique -based on Geoffrey Rose's concepts -to the high-risk preventive strategy that has had high impact on health care organizational routines. Secondly, it contextualizes health promotion and its relations to individual health care in PHC/FHS, discussing the synergic potential of care and health promotion in their individual and collective dimensions to transcend the biomedicalmechanistic model. Finally, based on the above topics and concerning their operational consequences, as well as using a concrete example, it outlines general guidelines for organizing the working process and the agenda of doctors and nurses in the FHS, in order to facilitate both balance and synergy between access to health care and prevention/promotion, aiming to strengthen the FHS as local coordinator of care and main entrance of the Brazilian National Health System.

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Section: Geoffrey Rose: Criticism Of the High-risk Preventive Strategymentioning

confidence: 99%

Section: Population Dimensionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acesso ao cuidado na Estratégia Saúde da Família: equilíbrio entre demanda espontânea e prevenção/promoção da saúde

Norman

Tesser

2015

Saude soc.

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Prestación de servicios sanitarios: Qué, quién, cuándo y dónde

Gérvas¹,

Fernández²

2011

La Refundación De La Atención Primaria

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Primary health care in CSP

Almeida

Santos

2022

Cad. Saúde Pública

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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. Even if the journal does not comprise the whole of the production on FHS, we chose to consider, in this reflection, the articles published since 2000 -because that year is a milestone in the expansion and evaluation of FHS in Brazil 11 . This retrospective invites us to identify the main topics already addressed and those not yet sufficiently explored in the publication about FHS/PHC in CSP.The first decade of the 2000s presents us with a diversity of publications centered on the representations, attitudes and perceptions of users living with some health problem. We identified analyses related to access and reception, the attribute of care coordination, evaluation of the organization, offer of different care practices and adequacy of the program to ministerial standards, in addition to federal choices in financing and expansion. Topics such as pharmaceutical care, mental health, prenatal care and evaluation of oral health implantation under FHS also permeated the productions. Publications with results

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Atención primaria, de la teoría a la práctica

Cited by 8 publications

References 0 publications

Acesso ao cuidado na Estratégia Saúde da Família: equilíbrio entre demanda espontânea e prevenção/promoção da saúde

Acesso ao cuidado na Estratégia Saúde da Família: equilíbrio entre demanda espontânea e prevenção/promoção da saúde

Prestación de servicios sanitarios: Qué, quién, cuándo y dónde

Primary health care in CSP

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