期刊名称：Revista Brasileira de Medicina de Família e Comunidade
印刷版ISSN：1809-5909
电子版ISSN：2179-7994
出版年度：2019
卷号：14
期号：41
页码：1945-1957
DOI：10.5712/rbmfc14(41)1945
出版社：Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
摘要：This article presents some organizational and operational characteristics of UK Primary Health Care (PHC). The objective is to show relevant points in the functioning of PHC clinics that facilitate the dynamic balance between same-day appointments and programmatic health actions. It derives from empirical material of an ethnographic study, conducted in the United Kingdom in the period of 2013/14, which analyzed the pay-for-performance model in the country. The issues covered include: (a) composition of English PHC teams; (b) PHC clinic functional organogram; (c) 10 minute consultation of family physician and clinic opening hours; (d) reception; (e) nursing team; and (f) information technology system. The supporting references allow to simultaneously explore websites and tutorials to better understand some aspects of the English PHC dynamics. The UK has professionalized patients’ access to PHC. This has entailed larger number of administrative personnel, a smaller population/family physician ratio, greater autonomy of the nursing team and a robust information technology system. In Brazil, the Family Health Strategy (FHS) needs to follow a similar path in order to improve the primary healthcare quality in the country.
关键词：Medicina Familiar y Comunitaria;Atención Primaria de Salud;Estrategia de Salud Familiar;Acceso Universal a los Servicios de Salud;Acceso de los Pacientes a los Registros;Medicina de Família e Comunidade;Atenção Primária à Saúde;Estratégia Saúde da Família;Acesso Universal aos Serviços de Saúde;Acesso dos Pacientes aos Registros
其他关键词：Family Practice;Primary Health Care;Family Health Strategy;Universal Access to Health Care Services;Patient Access to Records
