Bases for Brazilian Primary Health Care Reform in 2019: structural changes after 25 years of the Family Health Program

• Autor(a) principal: Harzheim, Erno
• Data de Publicação: 2020
• Outros Autores: Martins José dos Santos, Caroline, Pereira D’Avila, Otávio, Wollmann, Lucas, Pinto, Luiz Felipe
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2354
• topic: Primary Health Care; Family Health Strategy; Ministry of Health; Brazil.; Atención Primaria de Salud; Estrategia de Salud Familiar; Ministerio de Salud; Brasil; Atenção Primária à Saúde; Estratégia de Saúde da Família; Ministério da Saúde; Brasil

The year was 2019. It marked the foundations for a profound Primary Health Care (PHC) Reform in Brazil. The challenges faced through this were the lack of real PHC political prioritization, insufficient PHC funding and focused on the service structure, obstacles to first contact access, the shortage of qualified professionals, the need for greater PHC computerization and the lack of integration of clinical data. Also, the clinical fragility and the need to expand the professional scope and the lack of quality information for clinical and managerial decision making. Actions were directed to each of these challenges, and the Ministry of Health’s Secretariat of Primary Health Care created systemic and integrated strategies which represented structural changes and investments in clinical governance to transform Brazilian PHC, ensuring more and better health for the population, with transparent and technical mechanisms for its financing, organization, provision, monitoring and evaluation.