The effect of the Family Health Strategy on usual source of care in Brazil: data from the 2013 National Health Survey (PNS 2013)

Dourado, Inês; Medina, María Guadalupe; Aquino, Rosana

doi:10.1186/s12939-016-0440-7

Cited by 50 publications

(58 citation statements)

References 33 publications

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“…Boccolini et al [14] identify characteristics of the more than 20 million people who still underutilize the Brazilian health system and Dourado et al [15] demonstrate the importance of the Family Health Strategy in providing a usual source of healthcare as well as remaining regional disparities in its distribution. The article by Lopes et al [16] highlights individual and regional factors associated with disparities in the prevalence of depression and in access to effective treatment and Theme-Filha et al [17] document inequalities in preventive cancer screening for women, regional disparities and correlation with other health behaviors.…”

mentioning

confidence: 99%

A panorama of health inequalities in Brazil

Landmann-Szwarcwald

Macinko

2016

Int J Equity Health

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mentioning

confidence: 99%

A panorama of health inequalities in Brazil

Landmann-Szwarcwald

Macinko

2016

Int J Equity Health

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“…A strong positive association between being enrolled in the FHS and having as a usual source of care a PHC unit has been demonstrated. There was also a negative association with the reference to emergency/urgency units as the usual source of care, which was stronger in the poorer regions of the Country (North, Northeast and Central West) 28 .…”

Section: Expansion Of Supply Use Of Phc Services In Sus and Reductiomentioning

confidence: 92%

“…Two studies with information from the National Health Survey (PNS) deserve to be highlighted 27,28 . The first one revealed the similarity of the FHS coverages estimated for Brazil and the Federated Units, from the PNS and administrative data of the Department of Primary Care of the Ministry of Health, reinforcing the validity of official coverage data.…”

Section: Expansion Of Supply Use Of Phc Services In Sus and Reductiomentioning

confidence: 99%

Contribuição para uma agenda política estratégica para a Atenção Primária à Saúde no SUS

2018

Saúde debate

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This document expresses the position of the Primary Health Care Research Network (PHC Network) of the Brazilian Association of Collective Health (Abrasco) in a context of threats to the principles and guidelines of the Brazilian Unified Health System (SUS) and the Family Health Strategy (FHS), aggravated in the last two years with the democratic rupture in the Country. The document is signed by the group of researchers of the PHC Network and contains propositions to compose a strategic political agenda for the SUS, main object of the debate held during the XII Brazilian Congress of Collective Health in Rio de Janeiro in July 2018. In this year of 2018 we celebrated 30 years of SUS, the culminating moment of the Brazilian Sanitary Reform Movement and one of the milestones in the redemocratization process of the Country. The SUS was created by the Citizen Constitution of 1988, which established 'Health as a right of all and duty of the State'. From this milestone, Brazil has established health as a fundamental right, through a universal public system and the interaction between social and economic policies 1. This year, we also celebrate the 40th anniversary of the Declaration of the International Conference on Primary Health Care held in 1978 in the city of Alma Ata, Kazakhstan, in the former Union of the Soviet Socialist Republics (USSR), under the auspices of the World Health Organization (WHO) 2. Since Alma Ata, and its slogan of 'Health for all by the year 2000', many initiatives for the implementation of PHC have been undertaken worldwide with different conceptions and approaches: from very selective proposals of minimum baskets to populations in extreme poverty, 'poor medicine for the poor', to integral PHC as the basis of universal public health systems. These approaches have produced different results on the organization of health systems, the right to health and citizenship. Selective PHC corresponds to a conception of residual citizenship, and the integral PHC of the universal systems corresponds to full citizenship 3. To mark the 40th anniversary of the Alma Ata Declaration, WHO will hold the Global Conference on PHC in Astana, capital of Kazakhstan, in October 2018. At that time, the Astana Declaration will be signed, whose preliminary versions indicate a setback in the defense of integral PHC 4. The versions in consultation caused concern to the scientific community in Abrascão 2018, by proposing the Universal Health Coverage without emphasizing the relevance of integral PHC and universal health systems in guaranteeing the full right of citizenship and equitable access to health services according to need. Among the critical points of the proposal, there is little emphasis on guaranteeing the universal human right to health and the segmentation inherent in Universal Health Coverage, to be achieved through insurance

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“…There is abundant evidence on the association of PHC-organized systems with a more equitable distribution in access to health care, lower costs, better control of chronic and infectious diseases, and lower infant mortality when compared to the care provided by specialists 7,9,[12][13][14][15][16] . The FHS brought a new organization to PHC, adding several improvements to the previously predominant model, commonly called the traditional model 4,11,17 , in which primary care was centered on the physician and fragmented among the Internal Medicine, Pediatrics and Gynecology and Obstetrics specialties.…”

Section: Introductionmentioning

confidence: 99%

Movimentos de reforma do sistema de saúde do Distrito Federal: a conversão do modelo assistencial da Atenção Primária à Saúde

Corrêa

Moura

Quito

et al. 2019

Ciênc. saúde coletiva

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Resumo O Sistema Único de Saúde tem passado por constante evolução e ampliação desde a publicação da Constituição Federal de 1988. O Distrito Federal apresentou contribuições no campo da Política de Atenção Primária à Saúde, sobretudo entre os anos 2016 e 2018, ao definir a Estratégia Saúde da Família como forma definitiva de organização dos serviços na APS e estabelecer um conjunto de ações orientadas para a conversão ao modelo. Esse artigo descreve e analisa os principais processos dessa mudança. Utilizou-se o método de análise documental de portarias, resoluções, relatórios e outros documentos, bem como dados disponíveis nas bases oficiais. Destacam-se a elaboração de um arcabouço normativo que inclui a implantação das equipes, os processos de trabalho dos profissionais, mudanças nas especialidades médicas e reordenamento dos profissionais de saúde que já atuavam na APS. A experiência demonstra a viabilidade de mudanças incrementais nas políticas de saúde em prol da ampliação de acesso da população aos serviços de saúde, por meio da definição de prioridades, melhor gestão da força de trabalho, capacitação e planejamento descentralizado, repercutindo na elevação da cobertura populacional de Saúde da Família dos iniciais 28% para 69%, alcançados em um período de dois anos.

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The effect of the Family Health Strategy on usual source of care in Brazil: data from the 2013 National Health Survey (PNS 2013)

Cited by 50 publications

References 33 publications

A panorama of health inequalities in Brazil

A panorama of health inequalities in Brazil

Contribuição para uma agenda política estratégica para a Atenção Primária à Saúde no SUS

Movimentos de reforma do sistema de saúde do Distrito Federal: a conversão do modelo assistencial da Atenção Primária à Saúde

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