{"id":"https://openalex.org/W4409688934","doi":"https://doi.org/10.9790/487x-2703076164","title":"Primary Health Care In Brazil: Challenges And Perspectives","display_name":"Primary Health Care In Brazil: Challenges And Perspectives","publication_year":2025,"publication_date":"2025-03-01","ids":{"openalex":"https://openalex.org/W4409688934","doi":"https://doi.org/10.9790/487x-2703076164"},"language":"en","primary_location":{"id":"doi:10.9790/487x-2703076164","doi":"https://doi.org/10.9790/487x-2703076164","is_oa":true,"landing_page_url":"https://doi.org/10.9790/487x-2703076164","pdf_url":"https://doi.org/10.9790/487x-2703076164","source":{"id":"https://openalex.org/S2765053757","display_name":"IOSR Journal of Business and Management","issn_l":"2278-487X","issn":["2278-487X","2319-7668"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4327892531","host_organization_name":"International Organization Of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4327892531"],"host_organization_lineage_names":["International Organization Of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Business and Management","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://doi.org/10.9790/487x-2703076164","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061839354","display_name":"Camila Miranda Pereira","orcid":"https://orcid.org/0000-0002-8887-6570","observed_orcids":["https://orcid.org/0000-0002-8887-6570"]},"institutions":[{"id":"https://openalex.org/I4210161302","display_name":"Vale Technological Institute","ror":"https://ror.org/05wnasr61","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210161302"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Camila Miranda Pereira","raw_affiliation_strings":["(Biodiversity And Ecosystem Services , Vale Institute Of Technology | Sustainable Development , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Biodiversity And Ecosystem Services , Vale Institute Of Technology | Sustainable Development , Brazil)","institution_ids":["https://openalex.org/I4210161302"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057904670","display_name":"Carolina de Almeida Fa\u00e7anha","orcid":"https://orcid.org/0000-0003-3036-8597","observed_orcids":["https://orcid.org/0000-0003-3036-8597"]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Carolina De Almeida Fa\u00e7anha","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107580779","display_name":"Nat\u00e1lia de Almeida Fa\u00e7anha","orcid":"https://orcid.org/0009-0000-2042-2612","observed_orcids":["https://orcid.org/0009-0000-2042-2612"]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Nat\u00e1lia De Almeida Fa\u00e7anha","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081570809","display_name":"Matheus Vin\u00edcius Mour\u00e3o Parente","orcid":"https://orcid.org/0000-0001-7435-4838","observed_orcids":["https://orcid.org/0000-0001-7435-4838"]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Matheus Vin\u00edcius Mour\u00e3o Parente","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111186838","display_name":"Matheus Moreira de Melo","orcid":"https://orcid.org/0009-0001-9692-179X","observed_orcids":["https://orcid.org/0009-0001-9692-179X"]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Matheus Moreira De Melo","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Daniel Oliveira Kato","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Daniel Oliveira Kato","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002958602","display_name":"Valdenira de Jesus Oliveira Kato","orcid":"https://orcid.org/0009-0000-6048-2425","observed_orcids":["https://orcid.org/0009-0000-6048-2425"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Valdenira De Jesus Oliveira Kato","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088404853","display_name":"J\u00e9ssica Cordovil Portugal Lobato","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J\u00e9ssica Cordovil Portugal Lobato","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099636202","display_name":"L\u00edgia Beatriz Pinho Chaves","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L\u00edgia Beatriz Pinho Chaves","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067595798","display_name":"Jamilly Gon\u00e7alves Zani","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jamilly Gon\u00e7alves Zani","raw_affiliation_strings":["(Health Sciences , Aeronautics Hospital Of Bel\u00e9m/ Medical Residency Program In Internal Medicine -Internal Medicine , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , Aeronautics Hospital Of Bel\u00e9m/ Medical Residency Program In Internal Medicine -Internal Medicine , Brazil)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041346519","display_name":"Yuri de Sousa Azevedo","orcid":"https://orcid.org/0009-0007-9872-4865","observed_orcids":["https://orcid.org/0009-0007-9872-4865"]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Yuri De Sousa Azevedo","raw_affiliation_strings":["(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"(Health Sciences , School Of Medicine / University Center Of The State Of Par\u00e1 , Brazil)","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037347449","display_name":"Ana Paula Silva Feio","orcid":"https://orcid.org/0000-0001-7811-8170","observed_orcids":["https://orcid.org/0000-0001-7811-8170"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ana Paula Silva Feio","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Keitty Anne Silva Neves","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Keitty Anne Silva Neves","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Jefferson Lazarini De Aquino","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jefferson Lazarini De Aquino","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5113195609","display_name":"Osvaldo Junior Miranda Pereira","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Osvaldo Junior Miranda Pereira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.09120101,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"3","first_page":"61","last_page":"64"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.9711999893188477,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.9711999893188477,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.01720000058412552,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.996999979019165},{"id":"https://openalex.org/keywords/unified-health-system-sus","display_name":"Unified Health System (SUS)","score":0.9459999799728394},{"id":"https://openalex.org/keywords/family-health-strategy","display_name":"Family Health Strategy","score":0.9660000205039978},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.5490000247955322},{"id":"https://openalex.org/keywords/regional-health-disparities","display_name":"regional health disparities","score":0.7149999737739563},{"id":"https://openalex.org/keywords/multisectoral-approach","display_name":"multisectoral approach","score":0.625},{"id":"https://openalex.org/keywords/health-care-networks","display_name":"health care networks","score":0.8059999942779541},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.9959999918937683},{"id":"https://openalex.org/keywords/professional-qualification","display_name":"professional qualification","score":0.7870000004768372},{"id":"https://openalex.org/keywords/digital-health-technologies","display_name":"digital health technologies","score":0.9430000185966492},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.7129999995231628},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.6029999852180481}],"concepts":[{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.5512087941169739},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.46185481548309326},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3621380925178528},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.22659236192703247},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.21496376395225525},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.16091200709342957},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.13785552978515625}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.9790/487x-2703076164","doi":"https://doi.org/10.9790/487x-2703076164","is_oa":true,"landing_page_url":"https://doi.org/10.9790/487x-2703076164","pdf_url":"https://doi.org/10.9790/487x-2703076164","source":{"id":"https://openalex.org/S2765053757","display_name":"IOSR Journal of Business and Management","issn_l":"2278-487X","issn":["2278-487X","2319-7668"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4327892531","host_organization_name":"International Organization Of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4327892531"],"host_organization_lineage_names":["International Organization Of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Business and Management","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.9790/487x-2703076164","doi":"https://doi.org/10.9790/487x-2703076164","is_oa":true,"landing_page_url":"https://doi.org/10.9790/487x-2703076164","pdf_url":"https://doi.org/10.9790/487x-2703076164","source":{"id":"https://openalex.org/S2765053757","display_name":"IOSR Journal of Business and Management","issn_l":"2278-487X","issn":["2278-487X","2319-7668"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4327892531","host_organization_name":"International Organization Of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4327892531"],"host_organization_lineage_names":["International Organization Of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Business and Management","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409688934.pdf","grobid_xml":"https://content.openalex.org/works/W4409688934.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3134121871","https://openalex.org/W2032081050","https://openalex.org/W2769000533","https://openalex.org/W2186923872","https://openalex.org/W2503337236","https://openalex.org/W2141722690","https://openalex.org/W82267009","https://openalex.org/W1533329356","https://openalex.org/W2014066010","https://openalex.org/W4390367778"],"abstract_inverted_index":{"Background:":[0],"The":[1,47,70,131],"Primary":[2],"Health":[3,13,76,123],"Care":[4,124],"(PHC)":[5],"is":[6,159],"the":[7,11,17,39,54,64,74,81,90,117,135,141,175,189],"structural":[8],"foundation":[9],"of":[10,20,43,92,119,129,133,137,143,177],"Unified":[12],"System":[14],"(SUS),":[15],"ensuring":[16],"first":[18],"level":[19],"care":[21,94],"and":[22,25,29,41,63,140,169,174,181,192,196],"promoting":[23],"preventive":[24],"assistive":[26],"actions.":[27],"Materials":[28],"Methods:":[30],"This":[31],"study":[32],"conducted":[33],"a":[34,108],"literature":[35,71],"review":[36],"to":[37,59,102,187],"analyze":[38],"challenges":[40],"perspectives":[42],"PHC":[44,99,120,163,198],"in":[45,98,121,200],"Brazil.":[46,201],"main":[48],"findings":[49],"indicate":[50],"that,":[51],"despite":[52],"advancements,":[53],"model":[55,199],"faces":[56],"difficulties":[57],"related":[58],"underfunding,":[60],"regional":[61],"inequality,":[62],"need":[65],"for":[66,84,154],"administrative":[67],"restructuring.":[68],"Results:":[69],"indicates":[72],"that":[73,161,171],"Family":[75],"Strategy":[77],"(FHS)":[78],"has":[79,100],"been":[80],"primary":[82],"reference":[83],"evaluating":[85],"PHC,":[86],"which":[87],"may":[88],"limit":[89],"visibility":[91],"other":[93],"models.":[95],"Additionally,":[96],"violence":[97],"proven":[101],"be":[103,185],"an":[104,194],"underreported":[105],"issue,":[106],"requiring":[107],"more":[109],"comprehensive":[110],"intersectoral":[111],"approach.":[112],"Another":[113],"identified":[114,190],"challenge":[115],"was":[116],"difficulty":[118],"coordinating":[122],"Networks":[125],"(HCN),":[126],"compromising":[127],"continuity":[128],"care.":[130],"qualification":[132],"professionals,":[134],"use":[136],"digital":[138],"technologies,":[139],"strengthening":[142,162],"public":[144],"policies":[145,170],"focused":[146],"on":[147],"intersectorality":[148],"were":[149],"highlighted":[150],"as":[151],"fundamental":[152],"strategies":[153],"improving":[155],"PHC.":[156],"Conclusion:":[157],"It":[158],"concluded":[160],"requires":[164],"financial":[165],"investments,":[166],"professional":[167],"qualification,":[168],"ensure":[172],"equity":[173],"integration":[176],"health":[178],"services.":[179],"Political":[180],"institutional":[182],"commitment":[183],"will":[184],"essential":[186],"overcoming":[188],"barriers":[191],"consolidating":[193],"efficient":[195],"sustainable":[197]},"counts_by_year":[],"updated_date":"2026-10-13T10:08:12.033832","created_date":"2025-10-10T00:00:00"}