Coordination, integration, and continuity of care: what do we need after 30 years of the Family Health Strategy?
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View abstract on PubMed
Summary
This summary is machine-generated.The Family Health Strategy (FHS) has improved health access and quality for thirty years. However, improving networked care coordination remains a challenge for integrated health services within Brazil's Unified Health System (SUS).
Area Of Science
- Public Health
- Health Services Research
- Healthcare Management
Background
- The Family Health Strategy (FHS) is Brazil's primary model for Primary Health Care (PHC).
- Despite advances in access and population health, care coordination within health networks is a persistent challenge.
- Effective integration of PHC with specialized care (SC) is crucial for the Unified Health System (SUS).
Purpose Of The Study
- To analyze challenges and opportunities for care coordination within the FHS.
- To explore factors influencing coordination beyond PHC, including specialized care integration.
- To propose strategies for enhancing care coordination and continuity within the SUS network.
Main Methods
- Review of the current state of care coordination, continuity, and integration in PHC.
- Analysis of internal PHC coordination aspects (access, quality, availability).
- Examination of external factors affecting coordination, particularly specialized care organization and SUS structural issues.
Main Results
- The FHS has achieved significant progress in healthcare delivery over three decades.
- Care coordination and integration between PHC and specialized care remain significant obstacles.
- Structural challenges within the SUS impact the effectiveness of networked care.
Conclusions
- The FHS requires enhanced strategies to overcome coordination barriers.
- Improving integration between PHC and specialized care is essential for seamless patient journeys.
- Technical-political proposals are needed to strengthen care coordination within the FHS and the broader SUS.
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