0151/2019 - A territorialização da atenção básica à saúde do sistema único de saúde do Brasil. The territorialization of primary health care in the Brazilian unified health system.
A territorialização da atenção básica à saúde é um processo social e político importante para a realização dos princípios constitucionais do Sistema Único de Saúde (SUS) no Brasil. O SUS é fundamentalmente um projeto de atenção territorializado, organizado em redes de atenção regionalizadas, com centro de comando na Atenção Básica à Saúde (ABS). Por isso, a territorialização reflete o próprio modelo de atenção que se propõe no Brasil. Todavia, mesmo passados trinta anos do texto constitucional, esse projeto assistencial territorializado não se completou. O objetivo desse texto é refletir sobre os processos políticos e ideológicos da territorialização da ABS do SUS no Brasil e indicar algumas razões que explicam as dificuldades de se concretizar esse modelo de atenção territorializado. Observou-se enorme dificuldade do Brasil em unificar seu modelo de atenção, constrangimentos financeiros que jogam contra o discurso estratégico em torno do Saúde da Família e dispositivos recentes que desconstroem as formas de trabalho territorializadas e podem ampliar a fragmentação da ABS no país.
Palavras-chave:
Sistema Único de Saúde; Atenção Básica à Saúde; Política de Saúde.
Abstract:
The territorialization of primary health care is an important social and political process in Brazilian health system. The Unified Health System (UHS), as called in Brazil, is a territorialized care project, organized in regionalized care networks, with command center in primary health care (PHC). For this reason, the territorialization reflects the model of care that is proposed in Brazil. However, after almost thirty years, this territorialized assistance project was not completed. The objective of this text is to reflect on the political and ideological processes of the territorialization of PHC in Brazil and indicate some reasons that explain the difficulties of perform this model of territorialized attention. Difficulties were observed in the unification of the Brazilian care model, financial constraints that play against policy around the Family Health Strategy and recent regulations that disrupt territorialized forms of work and can amplify the fragmentation of ABS in the country.
Keywords:
Unified Health System; Primary Health Care; Health Policy.
The territorialization of primary health care in the Brazilian unified health system.
Resumo (abstract):
The territorialization of primary health care is an important social and political process in Brazilian health system. The Unified Health System (UHS), as called in Brazil, is a territorialized care project, organized in regionalized care networks, with command center in primary health care (PHC). For this reason, the territorialization reflects the model of care that is proposed in Brazil. However, after almost thirty years, this territorialized assistance project was not completed. The objective of this text is to reflect on the political and ideological processes of the territorialization of PHC in Brazil and indicate some reasons that explain the difficulties of perform this model of territorialized attention. Difficulties were observed in the unification of the Brazilian care model, financial constraints that play against policy around the Family Health Strategy and recent regulations that disrupt territorialized forms of work and can amplify the fragmentation of ABS in the country.
Palavras-chave (keywords):
Unified Health System; Primary Health Care; Health Policy.
Faria, R.M. A territorialização da atenção básica à saúde do sistema único de saúde do Brasil.. Cien Saude Colet [periódico na internet] (2019/Mai). [Citado em 29/06/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-territorializacao-da-atencao-basica-a-saude-do-sistema-unico-de-saude-do-brasil/17225?id=17225
