Desafios da atenção básica em saúde: a experiência de Vila Mariana, São Paulo, Brasil

• Autor(a) principal: Villela, Wilza Vieira [UNIFESP]
• Data de Publicação: 2009
• Outros Autores: Araújo, Eliane Cardoso de [UNIFESP], Ribeiro, Sandra Aparecida [UNIFESP], Cuginotti, Aloísio Punhagui [UNIFESP], Hayama, Eliana Tiemi [UNIFESP], Brito, Francisco Carlos de [UNIFESP], Ramos, Luiz Roberto [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000ds3d
• DOI: 10.1590/S0102-311X2009000600014
• Texto Completo: http://dx.doi.org/10.1590/S0102-311X2009000600014; http://repositorio.unifesp.br/handle/11600/5119
• topic: Primary Health Care; Single Health System; Health Services; Atenção Primária à Saúde; Sistema Único de Saúde; Serviços de Saúde

This article presents the results of a case study aimed at identifying challenges for the delivery of primary health care in a health district in the city of São Paulo, Brazil, considering comprehensiveness as a central device for organizing work at this level of care. Five units in the district's primary care network were studied. We collected the data by observing work routines and flows, conducting interviews with managers and health professionals from different backgrounds, and through focus groups with family health teams. The analysis shows a mismatch between users' characteristics and their presumed needs and the heterogeneity of the health professionals' perceptions concerning their work. Lack of staff and time and difficulties with referrals were the main problems identified by interviewees.