Primary health care in Brazil (1980- 2006): a few prominent points
Keywords:
Primary health care, Health Evaluation, Health Management.Abstract
The evolution of Primary Health Care in Brazil marks a trajectory of possible advances in the health system, about which we can indicate a few prominent points. Hence, our objective is to describe its evolution between 1980 and 2006, highlighting a few relevant aspects of such trajectory. This is a documental, descriptive-reflexive and qualitative study. By having read documents such as ministerial decrees related to Primary Health Care, Technical Norms, reports from DATASUS, reports from the program Saúde da Família, evaluation reports related to the reaching of established goals regarding indicators of Primary Health Care (SISPACTO),Terms of Municipal Qualification, state management reports and the State Health Plan and the PROESF Agreement, enabled us to have a more contextualized view of the different approaches observed in such documents as well as of the advances obtained. It was noticed that health evaluation processes are still incipient, little embedded to the practices of health services, and present a prescriptive, bureaucratic and punitive character that do not support planning and management.
