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

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. Fro...

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Bibliographic Details
Main Authors: Danielly Maia de Queiroz, Lucia Conde de Oliveira, Pedro Alves de Araújo Filho, Maria Rocineide Ferreira da Silva
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2021-07-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000500301&tlng=en
Description
Summary: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.
ISSN:1984-0446