Avaliação da Política Nacional de Atenção Básica: a vinculação, impactos e desafios para a gestão das UBS no contexto do Previne Brasil

Abstract

This research addresses the Previne Brasil Program, established as a new funding model for Primary Health Care (PHC) in Brazil, which introduced significant changes in how municipalities organize the registration and linkage of citizens to health teams. The user linkage process is essential to ensure planning, service delivery, and monitoring within the Family Health Strategy (eSF). The study aims to assess how Previne Brasil contributes to Citizen linkage in PHC, considering the principles and guidelines of the National Primary Care Policy (PNAB). A qualitative methodology was employed, using bibliographic and documentary approaches, grounded in official documents from the Unified Health System (SUS), scientific literature on PHC, New Public Management, and Performance Management. The analysis focused on the registration and linkage of citizens to specific PHC teams and the role of Primary Care Unit (UBS) managers under performance-driven management. Various valid types of registration were considered, such as the Complete Individual Record (FCI), quick registration (e-SUS), and records from Individual Care Forms (FAI), Home Visit Forms (FVD), and Procedure Forms (FP). The results indicate that Previne Brasil has improved user linkage processes, as evidenced by data extracted from the Health Information System (SISAB), facilitating health planning. However, structural and operational limitations were also identified, highlighting the need for adjustments and investments to ensure greater equity, efficiency, and continuity in primary care services