[A history of primary health care policy in the Federal District, Brazil (1960-2007): an analysis based on the theoretical framework of historical neo-institutionalism].
This article analyzes the history of primary health care policy in the Federal District, Brazil, based on the theoretical framework of historical neo-institutionalism, identifying the predominant configurations and trends in the various administrations of the State Health Secretariat (SES-DF) from 1960 to 2007. The study indicates that the characteristics of the Federal District's health policy are dependent on the history of the original health system plans for setting priorities and goals, as well as for the health system's implementation. This influence, in addition to the centralization of decision-making processes and limited political participation, can contribute to making primary care ancillary to hospital care, thus jeopardizing its potential to produce change in the health care model.
Göttems
Leila Bernardo Donato
LB
Universidade Católica de Brasília, Brasília, Brasil. leilad@ucb.br
Evangelista
Maria do Socorro Nantua
Mdo S
Pires
Maria Raquel Gomes Maia
MR
Silva
Aline Ferreira Melgaço da
AF
Silva
Priscila Avelino da
PA
D001938:Brazil; D003256:Community Participation; D003657:Decision Making; D003695:Delivery of Health Care / Q000266:history* / Q000458:organization & administration; D006291:Health Policy / Q000266:history*; D006308:Health Systems Plans / Q000266:history / Q000458:organization & administration; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D009111:Local Government; D011320:Primary Health Care / Q000266:history* / Q000458:organization & administration