Previne Brasil Program: the apex of threats to Primary Health Care?

Ciencia e Saude Coletiva

article

Seta, Marismary Horsth De¹  Ocké-Reis, Carlos Octávio²  Ramos, André Luis Paes³ 

[1]Fundação Oswaldo Cruz

[2]Instituto de Pesquisa Econômica Aplicada

[3]Secretaria Municipal de Saúde do Rio de Janeiro

关键词: Healthcare financing;    Financial resources in health;    Primary Health Care;   

DOI  :  10.1590/1413-81232021269.2.01072020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

Since 2017, the Brazilian health system is facing a wave of counter-reforms in policies that have expanded coverage and access and intended to change the care model. Primary Health Care (PHC) has been substantially modified by synergistic and complementary federal official acts. The creation of federal autonomous social service for the provision of doctors; public consultation to institute basket of consumption in healthcare; the flexibility of the weekly workload of doctors and nurses, who may integrate more than one team; the non-setting of a minimum number of community health workers per team form the context in which the Previne Brasil Program was launched to be in force by 2020. The government’s argument is to increase: flexibility and local autonomy to organize services, greater efficiency and valorization. of performance. Criticism from sanitarians, some state councils of municipal authorities and the National Health Council points to the privatizing, marketing, selective and focused character of the proposal that is moving towards universal health coverage. This paper analyzes the Previne Brazil Program which, among other things, alters funding and suggests increasing resources for PHC in a context of freezing social spending. Contradictions and alternatives are identified to minimize potential damage to existing policies.

【 授权许可】

CC BY