The territorialization of Primary Health Care of the Brazilian Unified Health System
The territorialization of Primary Health Care of the Brazilian Unified Health System
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DOI：
10.1590/1413-812320202511.30662018
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发表时间：
2020-11-01
期刊：
影响因子：
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通讯作者：
Faria, Rivaldo Mauro de
中科院分区：
文献类型：
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作者：
Faria, Rivaldo Mauro de
初级卫生保健的地域化是在巴西实施统一卫生系统宪法原则的一个重要的社会和政治进程。单一保健系统基本上是一个全国性的保健项目，组织成区域化的保健网络，其指挥中心是初级保健。因此，属地化反映了巴西提议的理想护理模式。然而，尽管自宪法法令颁布以来已经过去了近30年，但这一全国性的护理项目尚未得到充分实施。本文的范围是反思的政治和意识形态进程的领土化的初级保健的单一卫生系统在巴西，并提出了一些原因，解释实施这种模式的困难，在全国范围内的照顾。在统一巴西的护理模式方面存在巨大困难，而财政限制阻碍了围绕家庭保健的战略讨论，最近的法规破坏了地域化的工作形式，可能扩大该国初级保健的分散程度。
The territorialization of Primary Health Care is an important social and political process for the implementation of the constitutional principles of the Unified Health System (SUS) in Brazil. The SUS is essentially a nationwide care project, organized into regionalized care networks, with its command center in Primary Health Care (PHC). For this reason, the territorialization reflects the desired model of care that is proposed in Brazil. However, even though almost thirty years have elapsed since the constitutional edict, this nationwide care project has not yet been fully implemented. The scope of this text is to reflect on the political and ideological processes of the territorialization of PHC of the SUS in Brazil and put forward some reasons that explain the difficulties of implementing this model of nationwide care. Enormous difficulties were observed in the unification of the Brazilian care model, while financial constraints worked against the strategic discourse surrounding Family Health, and recent regulations disrupted territorialized forms of work and can broaden the fragmentation of PHC in the country.