0169/2023 - A territorialidade da Atenção Básica à Saúde do SUS: a difusão das clínicas médicas populares na Região Metropolitana de Belém, Pará, Brasil The territoriality of Basic Health Care under Brazil\'s unified public health system: the spread of popular medical clinics in the Metropolitan Region of Belém, Pará, Brazil
O presente artigo apresenta uma análise sobre a difusão das clínicas médicas populares nos municípios que compõem a Região Metropolitana de Belém (RMB). Com o propósito de compreender as razões e as origens do avanço do setor de saúde popular, promoveu-se uma investigação sobre a atuação da rede de atenção básica à saúde (ABS) do Sistema Único de Saúde (SUS). A discussão se fundamenta na revisão de dados primários e secundários, captados via trabalho de campo nas 119 clínicas populares da RMB e via informações do DATASUS. Constatou-se que o setor das clínicas de saúde popular foi beneficiado amplamente nos últimos anos, mediante a intensificação do subfinanciamento do SUS, em particular da rede de ABS, que passa por um processo de fragmentação, responsáveis pela redução e pela desarticulação das equipes multiprofissionais de ABS, além das perdas apresentadas no setor de saúde suplementar. As clínicas populares seguem um modelo assistencial inacabado e contraditório, criado pela própria iniciativa privada para o preenchimento da demanda reprimida do SUS, em razão de o acesso a estas instituições não garantir uma assistência universal e gratuita ou assegurar um tratamento continuo, razão pela qual uma ampla parcela destes usuários é devolvida ao SUS.
Palavras-chave:
Clínicas médicas populares. Região Metropolitana de Belém. Territorialidade da atenção básica. Saúde popular.
Abstract:
This article presents an analysis of the spread of popular medical clinics in the municipalities that make up the Metropolitan Region of Belem. In search of a better understanding of the reasons and origins of the advancement of the popular health sector, it was promoted an investigation on the performance of the basic health care network of the Brazil\'s Unified Public Health System. The discussion is based on the review of primary and secondary data, captured through field work in 119 popular clinics in the Metropolitan Region of Belem and through informationBrazil\'s Unified Public Health System data center. It was found that the popular health clinics sector has benefited extensively in recent years, through the intensification of underfunding of the Brazil\'s Unified Public Health System, in particular the basic health care network, which is undergoing a process of fragmentation, responsible for the reduction and disarticulation of multiprofessional basic health care teams, in addition to the losses presented in the supplementary health sector. The popular clinics follow an unfinished and contradictory care model, created by the private initiative itself to fill the repressed demand of Brazil\'s Unified Public Health System, because access to these institutions does not guarantee universal and free care or ensure continuous treatment, which is why a large portion of these users are returned to Brazilian Public Health System.
Keywords:
Popular medical clinics. Metropolitan Region of Belem. Territoriality of primary care. Popular health.
The territoriality of Basic Health Care under Brazil\'s unified public health system: the spread of popular medical clinics in the Metropolitan Region of Belém, Pará, Brazil
Resumo (abstract):
This article presents an analysis of the spread of popular medical clinics in the municipalities that make up the Metropolitan Region of Belem. In search of a better understanding of the reasons and origins of the advancement of the popular health sector, it was promoted an investigation on the performance of the basic health care network of the Brazil\'s Unified Public Health System. The discussion is based on the review of primary and secondary data, captured through field work in 119 popular clinics in the Metropolitan Region of Belem and through informationBrazil\'s Unified Public Health System data center. It was found that the popular health clinics sector has benefited extensively in recent years, through the intensification of underfunding of the Brazil\'s Unified Public Health System, in particular the basic health care network, which is undergoing a process of fragmentation, responsible for the reduction and disarticulation of multiprofessional basic health care teams, in addition to the losses presented in the supplementary health sector. The popular clinics follow an unfinished and contradictory care model, created by the private initiative itself to fill the repressed demand of Brazil\'s Unified Public Health System, because access to these institutions does not guarantee universal and free care or ensure continuous treatment, which is why a large portion of these users are returned to Brazilian Public Health System.
Palavras-chave (keywords):
Popular medical clinics. Metropolitan Region of Belem. Territoriality of primary care. Popular health.
Godoy, C.V, Rocha, G.M. A territorialidade da Atenção Básica à Saúde do SUS: a difusão das clínicas médicas populares na Região Metropolitana de Belém, Pará, Brasil. Cien Saude Colet [periódico na internet] (2023/jul). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-territorialidade-da-atencao-basica-a-saude-do-sus-a-difusao-das-clinicas-medicas-populares-na-regiao-metropolitana-de-belem-para-brasil/18795?id=18795
