Programa saúde da família: uma estratégia em construção

Abstract

The Family Health Program (FHP) was created 16 years ago and has contributed effectively to the strengthening of Primary Health Care (APS) and to consolidate the Single Health System (SUS).The FHP no longer a program, is a strategy of redeployment of health care model, which has as principles the family as the focus of approach, the territory defined, adscrição clientele, work in interdisciplinary team, co-responsibility, comprehensiveness, solving, intersectoriality and stimulation of social participation. Based on this assumption, this study aimed to identify how the ESF is implementing changes in the process of organization of health care model and services, as well as their main difficulties. The study was developed using bibliographic review. The results revealed the principles and importance of APS and ESF to the efficiency and effectiveness of health systems, mainly in the SUS, but it is clear that there is a range of challenges and difficulties for its strengthening. that must been had in mind that transform the health of the family of a program to a strategy within a national policy has already been a step forward, but that alone, does not mean change full of health care model, requiring amplify the insertion of ESF in the system with extension of coverage, improving coordination, communication and coordination capacity of care in the various points of the health system