Portal de Periódicos da CAPES

OECD Reviews of Health Systems

2009; Organization for Economic Cooperation and Development; Linguagem: Inglês

10.1787/19901410

1990-1429

Caroline Berchet, Tiago Cravo, Oliveira Hashiguchi, Gabriel Paolantonio, Cristián Herrera, Ece Tom, Raitzik Zonenschein, Angel Eugenio, Benitez Collan, Ana Cavalcante De Lima, Ana Claire Pimenteira Thomaz, Maya Martins, Anna Carvalho, Anna Hormes, Ariene Silva do Carmo, Camila Secundo, Carolina Palhares, Caroline Martins, Corah Prado, Dalila Tusset, Daniela Cristina de Medeiros Araújo, D. Nunes Guedes, Zanardi Dressiane, Eduardo Pereira, Fernandes Augusto, David Nilson, Eduardo Gomes, Erika Nilson, Macedo Almeida, Gisele Rodrigues da Silva, Graziela Bortolini, João Manuel R. S. Tavares, João Ameno, Karla Freitas, Kátia da Silva Wanderley, Ludimila Gomes, Dos Oliveira, Ludimyla Santos, Magali Rodrigues, Casola Cristini, Magali Kumbier, Márcia Kumbier, Márcia Marinho Da Silva, Maria Jovanovic, Melo Angelim, Marize Brasil, Marize Lima De Sousa, Holanda Biazotto, Myrian Cruz, Olívia Lucena de Medeiros, Paloma Abelin, Saldanha Marinho, Paula Fabrício Sandreschi, Rebeca Carmo De Souza Cruz, Renata S. M. Gomes, Rizoneide Soares, Santana Gomes De Oliveira, Maria Lucília dos Santos, Thais Da Costa Araújo, Vania Coutinho De Oliveira, Wendel Canuto, Teixeira Rodrigo, Freire Baeta, Paula Mendes, Renata De, Morais Souza, Ricardo Silva, Rodrigo Martins De Vargas, Antony De, Souza Lima, Tiago Lanius, Katia Audi, Maria Borges, Dos Santos, Oswaldo Gonçalves Cruz, Itamar Bento, Renata Maciel, Carlos Müller, Eduardo Fernandes Marcusso, Hugo Caruso, Nilton De Morais, Aliadne Sousa, Antônio Carlos, Rosa De Oliveira, Eliana Maria, Ribeiro Dourado, Everton Macêdo, Fernando C. Passos, C. Barros, Dobis Bernarde, Maria Oliveira Evangelista, Henrique Mansano, J Romero-Troncoso Rene, Dos Moreira, Rita Santos, Cássia De, Blenda Pereira, Martins Pantaleão, Diogo Demarchi, Marcela Alvarenga, Marizelia Moreira, Aline Guedes, André Tavares, Cristina Shimoda, Davi Iguatu, Fernanda Costa Nunes, Vinícius Torres Pinto, Katiana Santos Telefora, Costa Sousa, Letícia Maria Belarmino Gonçalo, Luis Johns, Alexandre Novachi, Anna Alves, Laura Cury, Márcio Pinheiro Maciel, Marina Mantovani, Raquel Gonçalves Salgado, Adriano Massuda, Alexandre Lemgruber, André Médici, Daniel Soranz, Edson Alves de Araújo, Erno Harzheim, Maria de Fátima Marinho de Souza, James Macinko, Jonas Augusto Cardoso da Silveira, Márcia Cristina Oliveira da Rocha, Mário Roberto Dal Poz, Michael Duncan, Miguel Lago, Renato Tasca, Rudi Rocha, Cristina Vieira, Machado Alexandre, Marina Moreira, Costa Pittella, Rafaela Silva Moreira,

Global Health Care Issues

Primary health care in Brazil has a well-organised approach which is the result of sustained commitment to providing high quality primary health care for the whole population.The Family Health Strategy, launched in 1994, has been a key pillar of the efforts to reorganise and strengthen primary health care in Brazil.Since its implementation, a growing share of the Brazilian population can benefit from free access to a community-based approach to preventive and primary health care services.An extensive body of academic research has provided evidence of the key contributions of the Family Health Strategy to the reduction of almost 18 deaths per 1 000 birth in infant mortality rate observed between 1990 and 2019 in Brazil.The programme has also been associated with reduction in mortality and hospitalisations for chronic disease.Recent estimations also show that the implementation of the Family Health Strategy was associated with a reduction of 45% of the standardised hospitalisation rates per 10 000 inhabitants between 2001 and 2016, mostly for primary care conditions such as asthma, gastroenteritis, cardiovascular and cerebrovascular diseases.However, as some challenges are overcome, new ones approach, as Brazilian population ages, population risk factors such as obesity are on the rise, and emerging pandemic threats require resilience and adaptability. PRIMARY HEALTH CARE IN BRAZIL © OECD 2021This review was prepared by the OECD Secretariat to draw on evidence and best practices from across OECD health care systems to support Brazil in strengthening its primary health care sector, and guarantee it is responsive to people's changing needs, capable of offering preventive, continuous and co-ordinated care equally across the country.