Rio de Janeiro Primary health s state policy co production / A co-produção da politica estadual de atenção basica do Rio de Janeiro




The objective of this study is to identify characteristics and to analyse a jointly devised policy on the provision of primary health in 2007, deriving from a scenario of ongoing changes in the management of health policy in the State of Rio de Janeiro. In order to identify these characteristics, record analysis as well as a field diary by the researcher - who works as a Primary Health and Care Management Superintendent of the state- were used. The aim was to describe the components of such policy from the State Health Secretary of Rio de Janeiro whilst analysing this information by way of the filter concept, using the Paideia Method proposed by Campos (2000) which relies on joint management and policy- making concepts. The study focuses on reinstating the function of the state in promoting the organisation and consolidation of primary health, through awareness of the need to improve the state?s role as a mediator between federal and municipal policies. This would confer prominence to the State Health and Civil Defence Secretary of Rio de Janeiro, by way of a leading role in this process taking into consideration the historic context determined by innumerable challenges posed by health implementations. This reaches a conclusion by way of a proposal to the Secretary of State for Health, for new arrangements to be made together with external and internal devices, as a strategy for a jointly devised State Primary Health Policy. Key words: Health policies, joint- policy making, primary health care, family health provision


primary health care politica de saude cuidados primarios de saude saude da familia health policy family health

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