Integrality in Brazil and Venezuela: similarities and complementarities

Carla Targino Bruno dos Santos Ione Silva Barros Anne Caroline Coelho Leal Árias Amorim Dais Gonçalves Rocha Ana Valéria Machado Mendonça Maria Fátima de Sousa About the authors

Abstract

This study aims to compare Primary Health Care (PHC) in Brazil and Venezuela, considering its characteristics as to integrality. It has a qualitative approach, using documental analysis, semi-structured interviews with key informants and field diary notes. We observed the three realms of integrality inherent to the health work process: comprehensive and holistic care, the individual viewed as a complex being with multiple needs, requiring the connection of various health knowledge; continuity of care in institutional micro-policy with interprofessional articulation, in order to consider individual care; continuity of care in macro-policy, when a shift to other levels of care is needed; intersectoriality was also included, when the needs of an individual and community require a cross-sectoral coordination, with action on determinants and conditionants of the health-disease process. It is worth highlighting the natural tendency to include a comprehensive community medical training. We conclude that those countries strengthened by democracy draw their integrality practices closer, as well as the construction of social and health policies for underprivileged populations to achieve equity.

Key words
Integrality in health; Primary Health Care; Comparative study

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