ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 157
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Community approach and the performance of family and
community doctors in the Brazilian family health strategy
A/Prof Brenda Costa1, Marcio Henrique Silva2, Maria Inez Padula Anderson3, Mr Rodrigo Oliveira4
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Universidade Estadual Do Rio De Janeiro, 2Universidade Estadual Do Rio De Janeiro, 3Universidade
Estadual do Rio de Janeiro, 4Univerisidade Estadual do Rio de Janeiro
In her famous book Primary care: Balancing health needs, services, and technology from 1998,
Barbara Starfield describes the attributes of primary care, describing four structuring elements, namely
first-contact access, integrality, longitudinality and coordination of care, and three other derivatives,
namely family orientation, community orientation and cultural competence. Brazilian authors such as
Giovanella in the 2016 book Politics and the health system in Brazil discuss these attributes in other
terms, with the three named derivative attributes by Starfield being understood as founding attributes
of the Family Health Strategy, a Brazilian model for primary care health in the unified health system.
The family doctor or general practice in Brazil has the name ‘family and community doctor’ registered
as a speciality, carrying the word community in their name, and having competencies in the field of
Community Approach foreseen in the curriculum of the Brazilian Society of Family and Community
Medicine (SBMFC), to be carried out. The aim of this paper is to present a review of the scope carried
out by the Community Approach Work Group linked to the SBMFC, which points to the expansion of
the MFC’s activities in the community, and to report the experience of the residency program in family
and community medicine at the State University of Rio de Janeiro, through the experience of ‘Saúde
na Vila’ (health in the village) and the community approach discipline. The forum format will allow
exposition of the research carried out as well as the experience report, followed by questions and
answers to broaden the proposed debate.
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