Atuação estatal na atenção primária à saúde: análise dos programas mais médicos e médicos pelo Brasil

Abstract

The 1988 Federal Constitution established health as a universal right and a duty of the State, consolidated through the Unified Health System (SUS). In recent decades, the SUS has faced significant challenges in ensuring equal access in a country with profound regional inequalities. In this scenario, several programs were created with the aim of strengthening the system and addressing difficulties in providing health services. Among them, the Mais Médicos Program (PMM), established during the Dilma Rousseff government to expand primary care in priority areas of the SUS, and the Doctors for Brazil Program (PMB), launched by the government of Jair Bolsonaro, stand out. Therefore, the general objective of this research is to evaluate the state's performance in guaranteeing universal and equal access to health through the PMM and PMB. The guiding question is: when offering basic care, did the PMM and PMB follow the constitutional principles that recommend the majority of state provision? The hypothesis is that both programs, in addition to providing doctors, also developed other actions related to improving basic health care in the country. For the analysis proposed here, the methodology adopted was bibliographic and documentary research. In this sense, the research findings demonstrate that the PMM privileged the Ministries of Health and Education in the management and execution of the program, while the PMB strengthened the role of the private sector by creating the Agency for the Development of Primary Health Care (ADAPS).