Modelo assistencial e estratégia saúde da família no nível local: análise de uma experiência

Ciência & Saúde Coletiva

Mônica De Castro Maia Senna²  Mirian Miranda Cohen¹ 

[1] ,Universidade Federal FluminenseSão Gonçalo RJ

关键词: Decentralization;    Municipalization;    Health care model;    Family health strategy;    Descentralização;    Municipalização;    Modelo assistencial em saúde;    Saúde da família;   

DOI  :  10.1590/S1413-81232002000300010

来源: SciELO

【 摘 要 】

This paper examines the impact produced by the implementation of the family's health strategy in the organization of the local services. It takes as reference the experience of the Family Doctor Program (PMF) in Niterói/ RJ. According to the study, the adoption of PMF was stimulated by the progress of health decentralization in course in the country. It discusses the perspective of inauguration of a new health care model in basis of three central subjects: a) the relationship with the local health system; b) the social control and c) the administration of human resources in health. The author conclude that the health care model is not given a priori, but it is built in the day by day of the political relationships among social actors with differentiated degrees of incorporation of its demands for the government. In consequence, various retranslations of the model originally proposed arise.

【 授权许可】

CC BY   
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