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Ciência & Saúde Coletiva

Print version ISSN 1413-8123On-line version ISSN 1678-4561


SENNA, Mônica de Castro Maia  and  COHEN, Mirian Miranda. Health care model and the family health strategy in the local level: analysis of an experience. Ciênc. saúde coletiva [online]. 2002, vol.7, n.3, pp.523-535. ISSN 1678-4561.

This paper examines the impact produced by the implementation of the family's health strategy in the organization of the local services. It takes as reference the experience of the Family Doctor Program (PMF) in Niterói/ RJ. According to the study, the adoption of PMF was stimulated by the progress of health decentralization in course in the country. It discusses the perspective of inauguration of a new health care model in basis of three central subjects: a) the relationship with the local health system; b) the social control and c) the administration of human resources in health. The author conclude that the health care model is not given a priori, but it is built in the day by day of the political relationships among social actors with differentiated degrees of incorporation of its demands for the government. In consequence, various retranslations of the model originally proposed arise.

Keywords : Decentralization; Municipalization; Health care model; Family health strategy.

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