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dc.contributor.authorEscorel, Sarahes_ES
dc.contributor.authorGiovanella, Ligiaes_ES
dc.contributor.authorMendonça, Maria Helena Magalhães dees_ES
dc.contributor.authorSenna, Mônica de Castro Maiaes_ES
dc.date.accessioned2015-08-25T14:55:22Z
dc.date.available2015-08-25T14:55:22Z
dc.date.issued2007es_ES
dc.identifier.citationEscorel, Sarah,Giovanella, Ligia,Mendonça, Maria Helena Magalhães de,Senna, Mônica de Castro Maia (2007) O Programa de Saúde da Família e a construção de um novo modelo para a atenção básica no Brasil. Rev Panam Salud Publica;21(2/3) 164-176,fev.-mar. 2007. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892007000200011pt_BR
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892007000200011es_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/9334
dc.relation.ispartofseriesRev Panam Salud Publica;21(2/3),feb.-mar. 2007es_ES
dc.subjectAcesso aos Serviços de Saúdept_BR
dc.subjectCuidados primárioses_ES
dc.subjectSUS (BR)es_ES
dc.subjectPrimary Health Careen_US
dc.subjectNational health programses_ES
dc.subjectDelivery of Health Careen_US
dc.subjectHealth Services Accessibilityen_US
dc.subjectBrazilen_US
dc.subjectSaúde da Famíliapt_BR
dc.subjectAtenção Primária à Saúdept_BR
dc.subjectDesenvolvimento de Programaspt_BR
dc.subjectBrasilpt_BR
dc.titleO Programa de Saúde da Família e a construção de um novo modelo para a atenção básica no Brasilpt_BR
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesAs part of the implementation of the country's Unified Health System (Sistema Único de Saúde), the Brazilian Government created, in the second half of the 1990s, the Family Health Program (FHP) (Programa de Saúde da Família), based on community-oriented, multidisciplinary care serving people organized into small groups. For this study, we evaluated the implementation of the FHP, based on three criteria: (1) the construction of the program as an entry point for most health needs and for access to specialized care, (2) the program's linkages with a comprehensive network of health services, and (3) the incorporation of new care practices into the health system. We found that the implementation of the FHP was far from uniform. In some municipalities the FHP is a focused program that runs in parallel with other primary care efforts. However, in other municipalities the FHP is viewed as a strategy aimed at changing the primary care model, and it partially or completely replaces preexisting primary care health units. Our research confirms a trend toward incremental change in the primary care model in Brazil. However, the expansion of the FHP in large urban areas faces several obstacles to guaranteeing all individuals access to comprehensive care with adequate clinical and collective health services, including secondary and tertiary care. The positive results that we found with some of the experiences with the FHP indicate that, in addition to increased federal financial incentives, the success of the FHP depends on creative local strategies to deal with Brazil's diversity.(AU)en_US


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