Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.
Freepik

Previne Brasil and the changes in the work process of the Family Health Support Center: repercussions on the production of health care



Abstract

Primary Health Care is a strategic approach aimed at transforming the model of health care and service delivery, characterized by four essential attributes: first contact, comprehensiveness, continuity, and care coordination. The Family Health Support Center, established in 2008 to broaden the scope of health care, has undergone structural and financial changes over the years. This study aims to analyze the impact of the “Previne Brasil” Program on health care delivery within the territory, from the perspective of the Family Health Support Center. A single- case, qualitative study was conducted, based on normative documents and interviews with Primary Health Care professionals in the municipality of Recife. The findings suggest that the 2016 shift in policy, marked by the ongoing dismantling of Primary Health Care, undermines the commitment to the principles of the Unified Health System. The “Previne Brasil” Program exposed these disruptions, and despite the continued presence of Family Health Support Center teams in Recife, the theoretical model remains unestablished, becoming increasingly ambiguous and a source of insecurity for professionals. Curative actions have intensified, distancing professionals from the core promotional and preventive activities of Primary Health Care, resulting in a decline in the quality of care.

Keywords

primary health care,
matrix support,
health policy,
Brazilian Unified Health System

Download


Metrics

  • Views - 204

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio

Downloads

Download data is not yet available.

Most read articles by the same author(s)