Mitre Sandra Minardi, Andrade Eli Iola Gurgel, Cotta Rosângela Minardi Mitre
Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de de Minas Gerais, Belo Horizonte, MG, 30130-100, Brazil.
Cien Saude Colet. 2012 Aug;17(8):2071-85. doi: 10.1590/s1413-81232012000800018.
The public policies adopted by the Unified Health System (SUS) in Brazil have gone through successive transformations, striving to reassert health as a universal right. The user acceptance of the guidelines of the National Humanization Policy for Care and Management of the SUS - Humanize SUS - is taking shape and relevance in Primary Healthcare (PHC) to ensure humanized access and resolution of the health demands of users and communities in Brazil. A critical analysis of the bibliographical output in Brazil from 1989 to 2009 was conducted regarding acceptance of implementation and qualification of SUS in PHC. The databases consulted were SciELO, Lilacs and Medline. The results revealed progress in broadening access to PHC services and health professionals more sensitive to the needs of users and communities. However, lack of coordination in integrated networks, excess demand, the hegemonic biomedical model, lack of training and democratic and reflexive spaces to reorganize the work process have been raising increasingly more incisive questions about the potential of this guideline for the implementation and qualification of SUS.
巴西统一卫生系统（SUS）所采用的公共政策经历了一系列变革，力求重申健康是一项普遍权利。用户对SUS护理与管理国家人性化政策指南——“使SUS人性化”——的接受度正在初级卫生保健（PHC）领域形成并具有相关性，以确保巴西用户和社区能够以人性化方式获得医疗服务并解决其健康需求。针对1989年至2009年巴西有关SUS在初级卫生保健中的实施接受度和质量的文献产出进行了批判性分析。所查阅的数据库有SciELO、Lilacs和Medline。结果显示，在扩大初级卫生保健服务的可及性以及使卫生专业人员对用户和社区需求更加敏感方面取得了进展。然而，综合网络缺乏协调、需求过度、生物医学主导模式、缺乏培训以及缺乏用于重新组织工作流程的民主和反思空间等问题，对该指南在SUS实施和质量提升方面的潜力提出了越来越尖锐的质疑。
