A history of primary health care policy in the Federal District, Brazil (1960-2007): an analysis based on the theoretical framework of historical neo-institutionalism

This article analyzes the history of primary health care policy in the Federal District, Brazil, based on the theoretical framework of historical neo-institutionalism, identifying the predominant configurations and trends in the various administrations of the State Health Secretariat (SES-DF) from 1...

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Bibliographic Details
Published in:Cadernos de saúde pública 2009-06, Vol.25 (6), p.1409-1419
Main Authors: Göttems, Leila Bernardo Donato, Evangelista, Maria do Socorro Nantua, Pires, Maria Raquel Gomes Maia, Silva, Aline Ferreira Melgaço da, Silva, Priscila Avelino da
Format: Article
Language:Portuguese
Subjects:
Brazil
Community Participation
Decision Making
Delivery of Health Care - history
Delivery of Health Care - organization & administration
Federal district, Brazil
Health policy
Health Policy - history
Health Systems Plans - history
Health Systems Plans - organization & administration
History, 20th Century
History, 21st Century
Hospitals
Humans
Local Government
Medical service
Primary Health Care - history
Primary Health Care - organization & administration
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Summary:This article analyzes the history of primary health care policy in the Federal District, Brazil, based on the theoretical framework of historical neo-institutionalism, identifying the predominant configurations and trends in the various administrations of the State Health Secretariat (SES-DF) from 1960 to 2007. The study indicates that the characteristics of the Federal District's health policy are dependent on the history of the original health system plans for setting priorities and goals, as well as for the health system's implementation. This influence, in addition to the centralization of decision-making processes and limited political participation, can contribute to making primary care ancillary to hospital care, thus jeopardizing its potential to produce change in the health care model.
ISSN:0102-311X
1678-4464