Atenção primária à saúde: sua importância no contexto da saúde pública brasileira

Abstract

ABSTRACT: Studies point out that Primary Health Care encompasses several aspects, among which can be mentioned, prevention and health promotion, in addition to several other practices, which must act in an integrated and qualified manner, through care performed by a multiprofessional team. with sanitary responsibility conducted to the population in an established territory. Thus, it is configured as the main gateway and communication center for Health Care Networks. The present study aims to describe the historical context of primary public health care in Brazil and its impact on access to health for the population. It is a review of the narrative-type literature, carried out from January 2019 to July 2020, with searches carried out in the SciELO database, based on these, it constitutes search strategies formulated with the descriptors: Care Primary Health, Collective Health and Basic health services. It included articles available in full electronically, in Portuguese, English and Spanish, from 1920 to 2020, data from government agencies, laws and ordinances were also used, as well as documents considered historical. Exclusion criteria were: abstracts, studies that were incomplete or that did not meet the research question. The results show that primary health care, since its implantation, has undergone and is still undergoing changes. Since, despite the advances that have already been achieved, there are still gaps to be filled, however, it represents a great importance in accessing and promoting health and comprehensive care, acting in the planning, organization and production of health actions and services. a relevant point to be taken into account is the increase in life expectancy in line with the increase in morbidity due to external causes and the prevalence of infectious diseases, reflecting the need for better training for intervention procedures related to clinical conditions. Thus, it is clear that primary health care tends to provide an improvement in access to quality health care for the population, especially for people from disadvantaged economic classes, in which the social reality would not enable the necessary conditions to be served by the services. private health services, being able to find at this level of care a gateway to all the services that the national public health system offers.

KEYWORDS: Primary Health Care, Collective Health, Basic health services.