Authors: Elen Rose Lodeiro Castanheira, Lígia Schiavon Duarte, Mônica Martins de Oliveira Viana, Luceime Olívia Nunes, Thais Fernanda Tortorelli Zarili, Carolina Siqueira Mendonça, Patricia Rodrigues Sanine
This study evaluates the organization of primary health care (PHC) services in São Paulo, Brazil, and its alignment with comprehensive care models. Analysis of 461 municipalities reveals two main groups: homogeneous (with similar service arrangements) and heterogeneous (with varied arrangements). Seven patterns are identified, ranging from traditional to mixed setups. Municipalities with Family Health Strategy (ESF) components demonstrate better alignment with comprehensive care models, emphasizing planning and evaluation. Federal and state policies play a crucial role in shaping PHC organization. Results from the model using community health workers (CHWs) indicate that those integrated with family health units (FHU) and basic health units with CHWs and/or family health teams (BHU/FHU) show a pattern closer to a comprehensive model. The findings underscore the importance of municipal management in implementing policies that adapt to local realities, ultimately impacting the quality of care in the Brazilian health system.
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Resource Topic: Primary Health Care
Resource Type: Mixed Methods
Year: 2024
Region:
Country: Brazil
Publisher May Restrict Access: No