Brazil’s Primary Care Strategy

This case study summarizes the responses to the questionnaire on The Nuts and Bolts of the Program Expanding Health Coverage to the Poor, developed within the framework of the World Bank's UNICO - Universal Challenge Program. By so doing, it assesses the key features and the achievements and ch...

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Bibliographic Details
Main Authors:	Couttolenc, Bernard, Dmytraczenko, Tania
Format:	Working Paper
Language:	en_US
Published:	World Bank, Washington, DC 2013
Subjects:	access to health care access to services administrative rules Adult mortality Adult mortality rate age distribution aged breastfeeding budget allocation capitation capitation system child mortality child mortality rate choice of providers cities citizen Communicable diseases Community Health community participation cost of care cost-effectiveness deaths delivery system democracy dental care dental health developing countries development strategies diabetes disease control drinking water economic growth emergency rooms employment Epidemiology essential drugs families Family Health fee-for-service fee-for-service basis fertility fewer people financial contributions financial management financial risks global budgets gross domestic product health care Health Care Delivery health care needs health care networks health care provision Health Care Use health care utilization Health committees health conditions Health Coverage health determinants Health Economics health education health expenditure Health Expenditures health indicators health insurance Health Interventions health management health organizations health outcomes health planning Health Policy health problems health professionals health professions health promotion health promotion activities health providers health reform Health reforms health risks health sector health services health spending health status health status indicators Health Strategy Health System Health System Performance Health System Reform health systems health workers healthcare services HIV/AIDS home visits hospital hospital beds hospital care hospital services hospitalization hospitals Human Development human resources Hypertension ill health immunization income income countries income distribution indigenous groups Indigenous Peoples inequity in health infant infant mortality infant mortality rate informal sector informal sector workers information campaigns information system information systems inpatient care insurance insurance coverage Insurance premiums insurance schemes integrated health care integration labor supply laws level of poverty Life expectancy Life expectancy at birth live births living conditions living standards low income maternal mortality medical care medical needs Medical School Ministry of Education Ministry of Health morbidity mortality National Health National Health System nonprofit hospitals nurse Nurses nursing nursing care nutrition oral health outpatient care Outpatient Services outreach activities patient patients Pharmacy physician Physicians pocket payments poor families pregnant women Primary Care primary health care Private ambulatory care private financing private health insurance private hospitals private insurance Private insurers Private pharmacies private sector progress provider payment provision of care provision of health care Public Expenditure public expenditure on health public health Public Health Expenditures public health services public health system public sector public services public spending quality of life rate of growth regional networks resource allocation resource constraints right to health care risk factors rural areas school enrolment screening Service Delivery Sick leave social control social marketing social movements social participation social programs social sectors Social Security social services state governments surgery teaching hospitals tuberculosis tuberculosis cases universal access universal right urban areas urban centers vaccination vulnerability vulnerable groups vulnerable populations workers
Online Access:	http://hdl.handle.net/10986/13287

Description
Summary:	This case study summarizes the responses to the questionnaire on The Nuts and Bolts of the Program Expanding Health Coverage to the Poor, developed within the framework of the World Bank's UNICO - Universal Challenge Program. By so doing, it assesses the key features and the achievements and challenges of Brazil s Primary Care Strategy (PCS) and analyzes the contribution of this strategy to the establishment and implementation of universal coverage. Section 2 provides context for the discussion by summarizing key reforms and the impact of the PCS and describes Brazil s health care delivery and financing system. The institutional architecture and interaction of the health care program (HCP), in this case the PCS, is discussed in section 3. Sections 4 through 8 outline the main features of the strategy, including the identification and targeting of beneficiaries, management of public funds, services covered, and the information environment. The case study concludes with a discussion of lessons learned (section 9) and the pending agenda (section 10).

Brazil’s Primary Care Strategy

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