Abstract
to analyze comprehensiveness elements in Primary Care in Brazil, between 2012 and 2018, considering preventive and assistance aspects, pointing out advances and obstacles to its improvement in different contexts. a retrospective longitudinal study using data from the Brazilian National Program for Improving Access and Quality in Primary Care. 15,378 teams were selected that participated in both 1st and 3rd cycles of the program. improvements were found in the prevalence of teams that ensure preventive and assistance care for priority groups, who develop promotion actions, offer essential procedures, including oral health, carry out home visits, receive support from Extended Family Health and Primary Care Center, offer integrative and complementary practices and develop intersectoral actions. there has been an improvement in comprehensiveness in Primary Health services, but problems remain that still need to be faced for their improvement.
Highlights
METHODSThe construction of the Unified Health System (SUS – Sistema Único de Saúde) institutionalized a triad of principles, universality, integrality, and equity, which began to constrain the space to formulate and implement health policies and programs that, from on, began to constitute themselves[1,2]
In Brazil, Primary care (PC) was constituted heterogeneously, with diversified ways of structuring and developing actions. It was with the implementation of Family Health (FH that the country started to have more outlined outlines of a PC organization model guided by a comprehensive concept, which understands it as part of the social and economic development process[5]
The study used secondary public domain data made available by the Ministry of Health (MoH)(23), without identifying the respondents, without the need for an opinion issued by the ethics committee
Summary
METHODSThe construction of the Unified Health System (SUS – Sistema Único de Saúde) institutionalized a triad of principles, universality, integrality, and equity, which began to constrain the space to formulate and implement health policies and programs that, from on, began to constitute themselves[1,2]. Comprehensiveness must involve individual therapeutic practices, and collective and collectivizing practices that permeate the health-disease process, in order to ensure desirable conditions of health well-being for the population[1]. In Brazil, PC was constituted heterogeneously, with diversified ways of structuring and developing actions. It was with the implementation of Family Health As an important element for the effectiveness of comprehensiveness, access to PC has gained greater momentum and has experienced a period of rapid expansion of population coverage under Family Health Strategy (FHS), rising from 6.5% in 1998 to 64.2% in 2018(6)
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