Abstract
This article analyzes federal guidance on the organization of primary healthcare work processes and the modes of production of care aimed at promoting universal access to services. A qualitative document analysis was undertaken of documents related to the National Health Policy, National Program for Improving Primary Care Access and Quality, More Doctors Program, and National Tele health Networks Brazil Program. Five thematic categories were defined for content analysis: staff training, valuing staff and work, organization of health actions for/with people and communities, complexity of healthcare and multiprofessional work, and collective construction of health as a right. The results show that advances were made in promoting universal access, particularly in the documents issued before 2015, with actions related to staff training, welcoming, the establishment of evaluation processes, and expansion of the scope of actions. However, there has been a shift towards the universal coverage model, as shown by measures encouraging reductions in the functional diversity of health teams and the flexibilization of working hours, hindering the implementation of the SUS as an inclusive social policy.
Highlights
Políticas públicas expressam não só prioridades governamentais, mas também as escolhas das sociedades sobre o tipo de nação que pretendem construir
Ofertas de Educação Permanente; Formação na graduação; Formações e normativas referentes ao trabalho na Atenção Primária à Saúde e Estratégia Saúde da Família; Ofertas de apoio à prática cotidiana
Artigo apresentado em 30/05/2019 Aprovado em 07/08/2019 Versão final apresentada em 18/11/2019
Summary
Erica Lima Costa de Menezes (https://orcid.org/0000-0002-3966-6382) 1 Marta Inez Machado Verdi (https://orcid.org/0000-0001-7090-9541) 1 Magda Duarte dos Anjos Scherer (https://orcid.org/0000-0002-1465-7949) 2 Mirelle Finkler (http://orcid.org/0000-0001-5764-9183) 1
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