Reestruturação da Atenção Básica em Saúde em Mesquita

Abstract

The 1988 Federal Constitution, the result of a period of intense political participation, provides spaces for social participation and redefines the role of the different federative entities in state management, pointing to another type of planning with very different characteristics from previous models, especially the one adopted by the military civil dictatorship. In other words, the 1988 Federal Constitution becomes a guideline for planning in Brazil, defining general guidelines that must be respected, such as transparency, decentralization and social participation. The Organic Health Law 8080/1990 organizes the Unified Health System into a health care network, defining the levels of complexity of care, making each federative entity responsible according to its level in the administrative structure. Thus, equipment with a more robust and technological structure capable of dealing with more complex health situations such as surgeries, specific exams and invasive treatments are the responsibility of the federal sphere, which is characterized as tertiary care; less complex cases (in relation to the health condition of the physical body) and urgent cases or cases that are already at a rehabilitation level and require outpatient follow-up are the responsibility of the state level, classified as secondary care and the responsibility for less complex cases, health promotion, prevention and surveillance actions are the responsibility of the municipalities, characterized as Primary or Basic Care. In this paper we describe how the municipality of Mesquita has restructured primary health care, looking at hospital admission rates for conditions sensitive to primary care, and conducting a partial quantitative and qualitative analysis of this process.