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Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
MOLANO-BUILES, Patricia E. et al. Concepts and guidelines steering Primary Health Care in diverse Colombian territories (2017). Rev. salud pública [online]. 2020, vol.22, n.5, pp.513-520. Epub Jan 22, 2021. ISSN 0124-0064. https://doi.org/10.15446/rsap.v22n5.90114.
Objective
To unveil the concepts of Primary Health Care among institutional and community actors in diverse municipalities of Colombia and point out the health planning guidelines that steer its implementation.
Method
Multi-case study in 13 municipalities with a hermeneutical approach using the patchwork quilt technique in 21 workshops with different actors.
Results
Four conceptual trends in Primary Health Care were found: i) access to quality health services; ii) emphasis on actions to promote health and prevent disease; iii) basic care provided at the first level of complexity, and iv) a broad perspective, interested in the right to health and the intervention of social determinants. The predominant concept was basic care provided at the first level of complexity. The main guideline was the Ten-Year Public Health Plan.
Discussion
The heterogeneity of guidelines and the conceptual differences imply positions that reveal ethical-political stakes in relation to the organization of health systems and health justice. In Colombia, persisting structural conditions typical of the insurance model restrict the appropriation of a comprehensive conception and the development of a public policy based on Primary Health Care.
Keywords : Primary Health Care; concept formation; health planning guidelines; public policy; Colombia (source: MeSH, NLM).