4.0 Article

National Primary Health Care Policy: where are we headed to?

Journal

CIENCIA & SAUDE COLETIVA
Volume 25, Issue 4, Pages 1475-1481

Publisher

ABRASCO-ASSOC BRASILEIRA POS-GRADUACAO & SAUDE COLETIVA
DOI: 10.1590/1413-81232020254.01842020

Keywords

Primary health care; Health policy; Healthcare models

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This paper analyzes recent policies in the field of Primary Health Care (PHC) and their possible implications for the care model in the Unified Health System (SUS). Initially, some of the concepts that influenced the models of care in the Brazilian public system are revived, and we argue that the Family Health Strategy (ESF) bases for reorienting care practices in primary care are consistent with the principles of the SUS. Below, we analyze the central elements of new federal policies for PHC. We show that changes in the PHC care model threaten the teams' multidisciplinarity, prioritize acute illness care, focus in individual care, weaken the community territorial approach and establish coverage by registration, which evidence redirection of the health policy, harming the principles of universality, integrality, and equity in the SUS.

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