title: The benefits and challenges of the Family Health Strategy in Brazilian Primary Health care: a literature review.
abstract: The aim of this study was to analyze what contributions the Family Health Strategy has made towards the development of primary healthcare in Brazil, and what challenges it faces. A literature review was conducted and articles were analyzed from three dimensions: political/institutional, organizational, and technical/healthcare. In the first dimension, the Family Health Strategy was found to have helped expand primary healthcare, the institutionalization of evaluations, and the promotion of equity. The main challenges identified were funding, the training, education, and management of personnel, and cross-sectoral action. In terms of organization, the benefits include a broader supply of services, access to health services through organized initiatives for specific diseases or age groups, and more comprehensive healthcare. The challenges involve access, the entry point, integration with the healthcare network, planning, and social participation. As for technical/healthcare considerations, the main benefits identified were the fostering of multidisciplinary working practices, family focus, reception, rapport, humanization, community orientation, production of care, and performance. The challenges for its improvement are associated with complex factors and require greater political/institutional effort.
authors.affiliation: Universidade de Brasília, Brasília, DF, Brasil, shimizu@unb.br.
authors.forename: Luciano José
authors.initials: LJ
authors.lastname: Arantes
authors.affiliation: Universidade de Brasília, Brasília, DF, Brasil, shimizu@unb.br.
authors.forename: Helena Eri
authors.initials: HE
authors.lastname: Shimizu
authors.affiliation: Universidade de Brasília, Brasília, DF, Brasil, shimizu@unb.br.
authors.forename: Edgar
authors.initials: E
authors.lastname: Merchán-Hamann
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D005192:Family Health; D006297:Health Services Accessibility; D006801:Humans; D033183:Interdisciplinary Communication; D011320:Primary Health Care / Q000458:organization & administration*