PRIMARY HEALTH CARE AND ITS CONTRIBUTIONS TO THE PUBLIC HEALTH SYSTEM IN BRAZIL

Abstract

This research aimed to analyze the contributions of Primary Health Care (PHC) to the promotion of equity in the Brazilian public health system. It was characterized as exploratory and qualitative, using in-depth interviews with 20 PHC professionals, selected by convenience. Data collection was carried out through recordings of the interviews, and the analysis was conducted using the discourse analysis technique. The results revealed that, despite the advances, PHC faces significant challenges, such as scarcity of resources, work overload, and regional inequalities in access to health, which compromise the quality of care. However, PHC's proximity to the community and focus on prevention were highlighted as important strategies to promote equity. The professionals emphasized the importance of articulation between the different levels of care, the appreciation of professionals and the implementation of appropriate public policies. It is concluded that, for PHC to play its role effectively, it is necessary to invest in material and human resources, continuous training of professionals and robust public policies, in addition to strengthening inter-institutional articulation and action focused on the needs of vulnerable populations.