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[Primary health care policy in Brazil: notes on Federal regulation and funding].

作者信息

Castro Ana Luisa Barros de, Machado Cristiani Vieira

机构信息

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rua Santa Catarina 930, Rio de Janeiro, Brazil.

出版信息

Cad Saude Publica. 2010 Apr;26(4):693-705. doi: 10.1590/s0102-311x2010000400012.

Abstract

This article analyzes the Federal implementation of primary health care policy in Brazil from 2003 to 2008, considering the government functions of health planning, regulation, financing, and health services delivery. The methodology included literature and document review, interviews with key policy actors, budget analysis, and health database analysis. The analysis showed a reduction in direct Federal health services delivery and weaknesses in Federal planning. Federal performance mainly involved regulation, based on norms linked to financial mechanisms. As for funding, the results showed a slight increase in the share for primary care in the Federal budget, adjustments, and creation of new incentives, some aimed at equity. Although some progress occurred, a remaining challenge is to reconfigure the Federal regulatory model and ensure a greater supply of resources for primary health care in Brazil.

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