Política pública de prevenção no sistema público de saúde: o papel do município nas ações de atenção primária nas cidades

Abstract

The Federal Constitution of 1988 established health as a right of all and the duty of the State, and should be guaranteed through positive actions through social and economic policies, with universal access to actions and services for the promotion, conservation and recovery of health. After thirty years, the fulfillment of this commandment is still limited by factual problems of limitation and scarcity of resources. In this scenario, which involves the constitutionalization of the right to health, economic issues in its effectiveness, considering the scarcity and finitude of public resources, social and moral issues involving the costs of fundamental rights, the present work intends to analyze how the Primary Health Care can contribute as a better cost-effectiveness for municipalities in the management of health resources, providing optimal resource savings and greater efficiency, as well as guaranteeing easier and equitable access of the population to health services, ensuring a better quality of care and satisfaction to users, thus making it possible to guarantee and enforce the constitutional right to health. It is hoped that the work will contribute to the enrichment of the debate on preventive policies through Primary Health Care, through the municipal action, in the structuring of the National Unified Health System.