Primary Health Care In Brazil: Challenges And Perspectives

Background: The Primary Health Care (PHC) is the structural foundation of the Unified Health System (SUS), ensuring the first level of care and promoting preventive and assistive actions. Materials and Methods: This study conducted a literature review to analyze the challenges and perspectives of PHC in Brazil. The main findings indicate that, despite advancements, the model faces difficulties related to underfunding, regional inequality, and the need for administrative restructuring. Results: The literature indicates that the Family Health Strategy (FHS) has been the primary reference for evaluating PHC, which may limit the visibility of other care models. Additionally, violence in PHC has proven to be an underreported issue, requiring a more comprehensive intersectoral approach. Another identified challenge was the difficulty of PHC in coordinating Health Care Networks (HCN), compromising continuity of care. The qualification of professionals, the use of digital technologies, and the strengthening of public policies focused on intersectorality were highlighted as fundamental strategies for improving PHC. Conclusion: It is concluded that strengthening PHC requires financial investments, professional qualification, and policies that ensure equity and the integration of health services. Political and institutional commitment will be essential to overcoming the identified barriers and consolidating an efficient and sustainable PHC model in Brazil.