0074/2024 - PERSPECTIVAS PARA LAS POLÍTICAS PÚBLICAS DE ATENCIÓN PRIMARIA EN SALUD EN SURAMÉRICA PERSPECTIVES FOR PRIMARY HEALTH CARE PUBLIC POLICY IN SOUTH AMERICA
El objetivo es realizar un análisis comparativo de la implementación de la APS en nueve países de Suramérica. A partir de fuentes documentales fueron destacadas tres dimensiones: compromiso político, liderazgo y gobernanza; modelo de atención; involucramiento de comunidades y otros actores. Los resultados indican la existencia de compromiso formal que localiza la APS en el centro de los esfuerzos para lograr el acceso universal. Se observan procesos de revitalización en los subsistemas públicos, basados en la garantía de acciones preventivas, promocionales, de cura y rehabilitación; puerta de entrada; enfoque familiar y comunitario; población y territorio adscriptos; equipos multiprofesionales, y, en algunos casos, énfasis en la interculturalidad expresada en la concepción de “buen vivir”. Los procesos de revitalización de la APS fueron afectados por cambios políticos. Entre avances y retrocesos, no se logró superar la segmentación de cobertura. El momento actual es de rescate de políticas públicas más inclusivas y amplias, en el contexto de recomposición de los campos progresistas y democráticos. Difundir experiencias de los países puede contribuir para el desarrollo de un enfoque de APS integral, integrada y de calidad en la Región.
Palavras-chave:
Atención Primaria en Salud; Prestación Integrada de Atención de Salud; Acceso Universal en los Sistemas de Salud
Abstract:
The objective is to carry out a comparative analysis of the implementation of PHC in nine South American countries. Based on documentary sources, three dimensions were highlighted: political commitment, leadership, and governance; model of care; engagement of communities and other stakeholders. The results indicate the existence of a formal commitment that places PHC at the center of efforts to achieve universal access. Revitalization processes are observed in the public subsystems, based on the guarantee of preventive, promotional, healing and rehabilitation actions; APS as first contact services; family and community focus; assigned population and territory; multi-professional teams, and, in some cases, emphasis on interculturality expressed in the concept of \"good living\". The PHC revitalization processes were affected by political changes. Between advances and setbacks, it was not possible to overcome the coverage segmentation. The current moment is for the rescue of more inclusive and broad public policies, in the context of recompositing of the progressive and democratic camps. Disseminating country experiences can contribute to the development of a comprehensive, integrated, and quality PHC approach in the Region.
Keywords:
Primary Health Care; Delivery of Health Care; Universal Access to Health Care Services
PERSPECTIVES FOR PRIMARY HEALTH CARE PUBLIC POLICY IN SOUTH AMERICA
Resumo (abstract):
The objective is to carry out a comparative analysis of the implementation of PHC in nine South American countries. Based on documentary sources, three dimensions were highlighted: political commitment, leadership, and governance; model of care; engagement of communities and other stakeholders. The results indicate the existence of a formal commitment that places PHC at the center of efforts to achieve universal access. Revitalization processes are observed in the public subsystems, based on the guarantee of preventive, promotional, healing and rehabilitation actions; APS as first contact services; family and community focus; assigned population and territory; multi-professional teams, and, in some cases, emphasis on interculturality expressed in the concept of \"good living\". The PHC revitalization processes were affected by political changes. Between advances and setbacks, it was not possible to overcome the coverage segmentation. The current moment is for the rescue of more inclusive and broad public policies, in the context of recompositing of the progressive and democratic camps. Disseminating country experiences can contribute to the development of a comprehensive, integrated, and quality PHC approach in the Region.
Palavras-chave (keywords):
Primary Health Care; Delivery of Health Care; Universal Access to Health Care Services
Almeida, P. F., Giovanella, L., Schenkman, S., Franco, C. M., Duarte, P. O., Houghton, N., Bascolo, E, Bousquat, A.. PERSPECTIVAS PARA LAS POLÍTICAS PÚBLICAS DE ATENCIÓN PRIMARIA EN SALUD EN SURAMÉRICA. Cien Saude Colet [periódico na internet] (2024/Mar). [Citado em 16/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perspectivas-para-las-politicas-publicas-de-atencion-primaria-en-salud-en-suramerica/19122?id=19122
