RESUMO Os movimentos sociais ocorridos durante a década de 80 na busca por um Estado democrático aos serviços de saúde impulsionaram a modificação do modelo vigente de controle social da época que culminou com a criação do SUS a partir da Constituição Federativa de 1988. O objetivo deste texto é realizar uma análise deste modelo de participação popular e controle social no SUS, bem como favorecer reflexões aos atores envolvidos neste cenário, através de uma pesquisa narrativa baseada em publicações relevantes produzidas no Brasil nos últimos 11 anos. É insuficiente o controle social estar apenas na lei, é preciso que este aconteça na prática. Entretanto, a sociedade civil, ainda não ocupa de forma efetiva esses espaços de participação.PALAVRAS CHAVE: Participação popular; controle social; Sistema Único de Saúde.
ABSTRACT The social movements that occurred during the 80s seeking for a democratic State to the health services stimulated the modification of the current model of social control of the time that led to the creation of SUS as of the 1988 Federal Constitution. This text' s objective is to perform an analysis of this model of popular participation and social control on SUS, as well as to favor reflections to the involved actors in this scenario
Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordination - Information System were the ones that obtained the lowest and highest scores, (2.98) and (7.82), respectively. The Overall Score, calculated by means of a mean of the attributes, was 6.34. Conclusion: The Primary Care evaluated had a low score, showing the need to discuss mechanisms to boost the attributes that obtained low scores.
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