Tasca Renato, Ventura Iasmine Lorena Silva, Borges Vanessa, Leles Fernando Antônio Gomes, Gomes Rosane de Mendonça, Ribas Antonio Neves, Carvalho Wellington Mendes, Jimenez Julio Manoel Suarez
Organização Pan-Americana de Saúde, Organização Mundial da Saúde. Setor de Embaixadas Norte lote 19, Asa Norte. 70800-400 Brasília DF Brasil.
Cien Saude Colet. 2019 Jun 27;24(6):2021-2030. doi: 10.1590/1413-81232018246.08672019.
This article emphasizes PHC as a fundamental strategy for the sustainability of the SUS, based on its impact on health indicators. The attributes and requirements for Robust PHC are based on statements from researchers, policy makers and institutions, including the PAHO/WHO Representation in Brazil. The model proposed is the result of discussions with workers, researchers and health managers in Brazil, endorsing the commitments outlined in the Alma Ata Declaration. The article details the methodology of Health Innovation Laboratories used by PAHO/WHO in Brazil to systematize knowledge generated by innovative health experiences, including the Healthy Brasilia Project, an ongoing activity run by the Health Department of the Federal District (DF) of Brasilia, which has made important changes in the healthcare model, with emphasis on the expansion of Family Health Strategy coverage. This article analyzes the results of the Innovation Laboratories in Robust PHC in the FD that will be consolidated in a Case Study. The initiative aims to raise awareness amongst managers and health workers about innovation in health processes and policies that are essential for the sustainability of theSUS, focusing on the exchange of knowledge between peers about relevant initiatives in PHCin Brazil.
本文强调初级卫生保健是统一卫生系统可持续发展的一项基本战略，其依据是初级卫生保健对健康指标的影响。强有力的初级卫生保健的属性和要求基于研究人员、政策制定者及机构（包括泛美卫生组织/世界卫生组织驻巴西代表处）的声明。所提出的模式是与巴西的工作人员、研究人员及卫生管理人员进行讨论的结果，认可了《阿拉木图宣言》中概述的承诺。本文详细介绍了泛美卫生组织/世界卫生组织在巴西用于将创新性卫生经验所产生的知识系统化的卫生创新实验室方法，其中包括“健康巴西利亚项目”，这是巴西利亚联邦区卫生部开展的一项正在进行的活动，该项目在医疗保健模式方面做出了重大改变，重点是扩大家庭健康战略的覆盖范围。本文分析了联邦区在强有力的初级卫生保健方面创新实验室的成果，这些成果将在一个案例研究中得到巩固。该倡议旨在提高管理人员和卫生工作者对卫生流程和政策创新的认识，这些创新对统一卫生系统的可持续性至关重要，重点是同行之间就巴西初级卫生保健的相关倡议交流知识。
