A importância da atenção primária à saúde para a melhoria do SUS: uma revisão integrativa.

Abstract

Primary Care in Brazil has gone through several changes such as the creation of More Doctors Program in 2013 and the new National Policy on Primary Care issued on September 2017, during a controversial political and social background, which entities of health movement warn about a possible of damage to the Unified Health System. Regarding this context, the paper has as objective analysis the scientific production about Primary Care in the Unified Heath System. It’s an integrative review that uses as a tool the Evidence-Based Practice that allows incorporation of evidence into an area of scientific knowledge. Nine articles were included as sample using the criteria of inclusion and exclusion stablished. Through the analysis of the articles, a predominance of some health policies was noted: Family Health Strategy, More Doctors Program, Basic Operational Norm of 1996 (NOB 1996), National Policy on Primary Care of 2006 (PNAB 2006) and National Policy on Primary Care of 2011 (PNAB 2011). For each one policy, potentialities and limiting elements were extracted, considering the development of Primary Care and the improvement of the Unified Health System. In addition, an analysis was made about how a scientific production is expressed regarding the Primary Care and the Unified Health System. It’s concluded that, despite the limiting elements, Primary Care has been important for the improvement of the Unified Health System and for the development of its elementary principles, mainly through the access to care and as the basis of the system, acting as gateway and counter-referral site, but also practicing prevention and health promotion according to the determinants of health. Besides it’s important a further development of researches in Primary Care area, with a solid social involvement to contribute with the process of evaluation and improvement of the health system.