2018
DOI: 10.1590/0103-11042018s103
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Abstract: RESUMO O artigo reflete sobre a Política Nacional de Atenção Básica (PNAB) em suas diversas versões. Seus objetivos foram discutir os contextos da revisão da PNAB em sua edição de 2017, comparar com a versão de 2011 e identificar elementos de continuidade, descontinuidade e possíveis agregações. Partiu das portarias que definem a PNAB, seguido de leitura sistemática e eleição de dimensões de análise e de comportamento quanto à coerência e a contradições. Destacou os fóruns de debate e os principais atores envo… Show more

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Cited by 79 publications
(3 citation statements)
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“…A reduction in the OHC in Primary Care was also observed as of 2016 [19]. Factors such as political instability and freezing of investments in health provided by the advance of austerity policies have had a negative impact on access to oral health care in recent years [19,20]. These effects, when added to the impacts of the pandemic, result in a worrying panorama.…”
Section: Discussionmentioning
confidence: 99%
“…A reduction in the OHC in Primary Care was also observed as of 2016 [19]. Factors such as political instability and freezing of investments in health provided by the advance of austerity policies have had a negative impact on access to oral health care in recent years [19,20]. These effects, when added to the impacts of the pandemic, result in a worrying panorama.…”
Section: Discussionmentioning
confidence: 99%
“…The HV should be performed by all professionals who make up the PHC teams, but there is a leading role for the work of Community Health Agents. After reformulating the Brazilian National Primary Care Policy 27 , the CHA no longer constitutes a mandatory member of the teams, thus weakening a potent form of PHC care. Inclusion of CHAs in teams is essential for strengthening primary care.…”
Section: Discussionmentioning
confidence: 99%
“…Next, measures of more considerable effect on the SUS were adopted, such as freezing expenditures via constitutional amendment, the change in SUS funding blocks -which alters the logic of federal resource transfers with potential risks to PHC -besides advocating for low-coverage popular private health plans and supplementary health deregulation 6,7 . In this situation, changes in the National Primary Care Policy (PNAB) were approved by the Tripartite Interagency Committee (CIT) in 2017, despite vigorous questioning from civil society sectors meeting within the National Health Council.…”
Section: Sus and Phc In The National Scenariomentioning
confidence: 99%
“…In this situation, changes in the National Primary Care Policy (PNAB) were approved by the Tripartite Interagency Committee (CIT) in 2017, despite vigorous questioning from civil society sectors meeting within the National Health Council. The most substantial changes were the lower minimum number of community health workers (ACS) per family health team (EqSF), and the indication of more significant financial incentives for PHC formats preceding the Family Health Strategy (ESF), with the active representative role of municipal managers 7 .…”
Section: Sus and Phc In The National Scenariomentioning
confidence: 99%