The ministry of Health's primary care policy: reflecting on the definition of priorities

Detalhes bibliográficos
Autor(a) principal: Borges, Camila Furlanetti
Data de Publicação: 2022
Outros Autores: Baptista, Tatiana Wargas de Faria
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1610
Resumo: The article aims to question the discourse of the national manager, who states that Primary Health Care has been a priority since the 1990s, and to review this policy from the perspective of its institutionality. Both the discourses concerning primary care published in official texts and those presented in scientific articles were analyzed, using the discourse analysis proposed by Foucault as the methodological framework. Primary Health Care appeared on the top of the government priority agenda as a strategy to restructure the health care model in the mid-1990s, with the Family Health Strategy as its flagship. Since Primary Health Care was put on the priority agenda, this policy has gradually incorporated institutionalization, setting resources into motion and including thousands of new players in the political dispute to organize the health system. Still, the stated priority for this policy goes against a backdrop of weakness in health care, specifically primary care, pointing to the need for an analysis of its directionality and construction feasibility.
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spelling The ministry of Health's primary care policy: reflecting on the definition of prioritiesA política de atenção básica do Ministério da Saúde: refletindo sobre a definição de prioridadesatenção primária à saúdeatenção básicapolítica de saúdeagenda de prioridades em saúdeprimary health careprimary carehealth policythe priority agenda in healthThe article aims to question the discourse of the national manager, who states that Primary Health Care has been a priority since the 1990s, and to review this policy from the perspective of its institutionality. Both the discourses concerning primary care published in official texts and those presented in scientific articles were analyzed, using the discourse analysis proposed by Foucault as the methodological framework. Primary Health Care appeared on the top of the government priority agenda as a strategy to restructure the health care model in the mid-1990s, with the Family Health Strategy as its flagship. Since Primary Health Care was put on the priority agenda, this policy has gradually incorporated institutionalization, setting resources into motion and including thousands of new players in the political dispute to organize the health system. Still, the stated priority for this policy goes against a backdrop of weakness in health care, specifically primary care, pointing to the need for an analysis of its directionality and construction feasibility.O artigo busca problematizar o discurso do gestor nacional, que declara a Atenção Básica em Saúde como prioridade desde os anos 1990, e analisar esta política a partir da perspectiva de sua institucionalidade. Para empreender essa análise, recorreu-se tanto aos discursos sobre atenção básica presentes em textos oficiais como àqueles apresentados em artigos científicos, utilizando-se como referencial metodológico a análise de discurso proposta por Foucault. A Atenção Básica em Saúde desponta na agenda de prioridades do governo como estratégia de reestruturação do modelo de atenção em meados dos anos 1990, tendo como carro-chefe a Estratégia de Saúde da Família. Desde a entrada da Atenção Básica em Saúde na agenda de prioridades, essa política incorporou gradativa institucionalidade, mobilizando recursos e incluindo milhares de novos atores na disputa política de organização do sistema de saúde. Ainda assim, a prioridade enunciada para essa política se contrapõe a um cenário de fragilidades na atenção à saúde, especificamente na atenção básica, apontando para a necessidade de análise da direcionalidade e da construção de viabilidade da mesma.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/161010.1590/S1981-77462010000100003Trabalho, Educação e Saúde; v. 8 n. 1 (2010)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1610/738Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBorges, Camila FurlanettiBaptista, Tatiana Wargas de Faria 2022-09-01T17:56:54Zoai:ojs.pkp.sfu.ca:article/1610Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:37.270781Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv The ministry of Health's primary care policy: reflecting on the definition of priorities
A política de atenção básica do Ministério da Saúde: refletindo sobre a definição de prioridades
title The ministry of Health's primary care policy: reflecting on the definition of priorities
spellingShingle The ministry of Health's primary care policy: reflecting on the definition of priorities
Borges, Camila Furlanetti
atenção primária à saúde
atenção básica
política de saúde
agenda de prioridades em saúde
primary health care
primary care
health policy
the priority agenda in health
title_short The ministry of Health's primary care policy: reflecting on the definition of priorities
title_full The ministry of Health's primary care policy: reflecting on the definition of priorities
title_fullStr The ministry of Health's primary care policy: reflecting on the definition of priorities
title_full_unstemmed The ministry of Health's primary care policy: reflecting on the definition of priorities
title_sort The ministry of Health's primary care policy: reflecting on the definition of priorities
author Borges, Camila Furlanetti
author_facet Borges, Camila Furlanetti
Baptista, Tatiana Wargas de Faria
author_role author
author2 Baptista, Tatiana Wargas de Faria
author2_role author
dc.contributor.author.fl_str_mv Borges, Camila Furlanetti
Baptista, Tatiana Wargas de Faria
dc.subject.por.fl_str_mv atenção primária à saúde
atenção básica
política de saúde
agenda de prioridades em saúde
primary health care
primary care
health policy
the priority agenda in health
topic atenção primária à saúde
atenção básica
política de saúde
agenda de prioridades em saúde
primary health care
primary care
health policy
the priority agenda in health
description The article aims to question the discourse of the national manager, who states that Primary Health Care has been a priority since the 1990s, and to review this policy from the perspective of its institutionality. Both the discourses concerning primary care published in official texts and those presented in scientific articles were analyzed, using the discourse analysis proposed by Foucault as the methodological framework. Primary Health Care appeared on the top of the government priority agenda as a strategy to restructure the health care model in the mid-1990s, with the Family Health Strategy as its flagship. Since Primary Health Care was put on the priority agenda, this policy has gradually incorporated institutionalization, setting resources into motion and including thousands of new players in the political dispute to organize the health system. Still, the stated priority for this policy goes against a backdrop of weakness in health care, specifically primary care, pointing to the need for an analysis of its directionality and construction feasibility.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1610
10.1590/S1981-77462010000100003
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1610
identifier_str_mv 10.1590/S1981-77462010000100003
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1610/738
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 8 n. 1 (2010)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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