Faculdade Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira Cesar. 01246-904 São Paulo SP Brasil.
Instituto de Saúde Coletiva, Universidade Federal da Bahia. Salvador BA Brasil.
Cien Saude Colet. 2020 Dec;25(12):4745-4756. doi: 10.1590/1413-812320202512.23342020. Epub 2020 Jul 4.
Primary Health Care (PHC) is an area of study that has improved remarkably in the last decades. In Brazil, this academic production is highly expressed in the field of Collective Health. This paper aims to analyze the PHC production published in the first 25 years of the "Journal Ciência & Saúde Coletiva" (C&SC). A narrative review was carried out, with analysis of the themes, methods, scale of analysis, partnerships, and authorship. A total of 295 papers were published, which corresponds to 5.9% of the total publications. A growing trend in papers addressing PHC was observed. The studies were mostly empirical (78.6%), with a qualitative approach (58.0%) and were predominantly local or municipal. Studies on health professionals were more frequent. The three prevailing themes were the health care model, PHC performance or effectiveness, and the work process. The profile found dialogues with the rich and diverse experience of Brazilian PHC. However, the incorporation of broader analyses is still challenging. The published papers highlighted the debates and contributed to the reflection and dissemination of the experience of Brazilian PHC, which was and is central to the construction of the Brazilian Health System.
初级卫生保健（PHC）是过去几十年中得到显著改善的研究领域。在巴西，这种学术成果在集体卫生领域得到了高度体现。本文旨在分析《Ciência & Saúde Coletiva》杂志（C&SC）创刊头 25 年发表的 PHC 文献。这是一项叙述性综述，对主题、方法、分析规模、伙伴关系和作者身份进行了分析。共发表了 295 篇论文，占总出版物的 5.9%。观察到涉及 PHC 的论文呈增长趋势。研究大多是经验性的（78.6%），采用定性方法（58.0%），主要是本地或市级研究。关于卫生专业人员的研究更为频繁。三个主要主题是医疗保健模式、PHC 绩效或效果以及工作过程。发现该研究与巴西丰富多样的 PHC 经验相契合。然而，更广泛的分析的纳入仍然具有挑战性。已发表的论文突出了辩论，并为巴西 PHC 的经验的反思和传播做出了贡献，这些经验过去和现在都是巴西卫生系统建设的核心。
