Ministério da Saúde. Brasília, Distrito Federal, Brazil.
Universidade de Brasília. Brasília, Distrito Federal, Brazil.
Rev Bras Enferm. 2021 May 28;74(2):e20200500. doi: 10.1590/0034-7167-2020-0500. eCollection 2021.
to analyze comprehensiveness elements in Primary Care in Brazil, between 2012 and 2018, considering preventive and assistance aspects, pointing out advances and obstacles to its improvement in different contexts.
a retrospective longitudinal study using data from the Brazilian National Program for Improving Access and Quality in Primary Care. 15,378 teams were selected that participated in both 1st and 3rd cycles of the program.
improvements were found in the prevalence of teams that ensure preventive and assistance care for priority groups, who develop promotion actions, offer essential procedures, including oral health, carry out home visits, receive support from Extended Family Health and Primary Care Center, offer integrative and complementary practices and develop intersectoral actions.
there has been an improvement in comprehensiveness in Primary Health services, but problems remain that still need to be faced for their improvement.
分析 2012 年至 2018 年期间巴西初级保健的综合性元素，考虑预防和保健方面，指出在不同背景下改善其服务的进展和障碍。
使用巴西改善初级保健获取和质量国家计划的数据，进行回顾性纵向研究。选择了参加该计划第一和第三周期的 15378 个团队。
发现优先群体的团队在预防和保健方面的普及率有所提高，这些团队开展促进活动，提供基本程序，包括口腔保健，进行家访，接受家庭延伸健康和初级保健中心的支持，提供综合和补充实践，并开展跨部门行动。
初级卫生服务的综合性有所提高，但仍存在需要解决的问题，以促进其改善。
