Challenges and potentials of the production of comprehensive care in Primary Health Care in Brazil

Desafíos y potencialidades para producción del cuidado integrado en la Atención Primaria de Salud brasileña

ABSTRACT

Objective:

To identify relational and organizational barriers related to the production of care and to map strategies and tools that favor comprehensive care.

Methods:

Scoping review of Brazilian publications from 2008 to 2018, related to the production of care in Primary Health Care. From the 348 studies found in the Virtual Health Library, 30 made up the final sample. Three book chapters were added, totaling 33 documents.

Results:

Three thematic categories were organized: Relational dimension between health professionals and users; Interactive dimension of the teamwork process; Organizational dimension and articulation in networks. Challenges of health practices out of context of the users’ needs; inflexible and bureaucratic work processes; and organizational barriers to the access are highlighted. The potentials of mapped tools involved embracement, interprofessional actions and instituting care networks.

Final considerations:

The overview of challenges and processes that induce good practices facilitate a decision-making that is committed with comprehensive care.

Descriptors:
Primary Health Care; Comprehensive Health Care; Patient Care Team; Public Health Practice; Public Health Policy