[Primary health care, basic health care, and family health program: synergies and singularities in the Brazilian context].
This article analyzes the concepts of primary health care, basic health care, and family health care as used in official documents by the Brazilian Ministry of Health, final reports of the National Conferences on Health and Human Resources, the Basic Operational Ruling on Human Resources, and texts accessed on-line by BIREME. The data analysis, through double-entry matrices, showed a lack of these references in Brazilian health policy formulation and implementation. Basic Operational Ruling 96 (NOB/96) plays a distinct role in this regard; the national conference reports show an important gap in this debate, and most of the published articles present the concepts of primary care and basic care with the meaning of health unit or local service. Articles on the Family Health Program refer to it more as a program than a strategy, and the articles analyzing such concepts show the influence of rationalities underlying the different strategies for organization of health services in the Brazilian scenario, namely Health Surveillance and Programmatic Actions in Health and in Defense of Life.
Gil
Célia Regina Rodrigues
CR
Centro de Ciências da Saúde, Universidade Estadual de Londrina, Londrina, Brazil. reginagil@uol.com.br
D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D005192:Family Health; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D009313:National Health Programs; D009862:Online Systems; D011320:Primary Health Care / Q000458:organization & administration*