A política de atenção primária à saúde no Brasil: notas sobre a regulação e o financiamento federal

• Autor(a) principal: Castro, Ana Luisa Barros de
• Data de Publicação: 2010
• Outros Autores: Machado, Cristiani Vieira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4372
• topic: Financiamento da Saúde; Gestão em Saúde; Política de Saúde; Atenção Primária à Saúde

This article analyzes the Federal implementation of primary health care policy in Brazil from 2003 to 2008, considering the government functions of health planning, regulation, financing, and health services delivery. The methodology included literature and document review, interviews with key policy actors, budget analysis, and health database analysis. The analysis showed a reduction in direct Federal health services delivery and weaknesses in Federal planning. Federal performance mainly involved regulation, based on norms linked to financial mechanisms. As for funding, the results showed a slight increase in the share for primary care in the Federal budget, adjustments, and creation of new incentives, some aimed at equity. Although some progress occurred, a remaining challenge is to reconure the Federal regulatory model and ensure a greater supply of resources for primary health care in Brazil.