PRIMARY CARE AND SUPPLEMENTARY HEALTH IN BRAZIL

AN INTEGRATIVE REVIEW

Abstract

To synthesize knowledge about the incorporation of initiatives based on Primary Health Care by the Brazilian Supplementary Health sector. This is an integrative review, which followed six phases: elaboration of the guiding question, literature search, data collection, critical analysis of the articles, discussion, and synthesis. Brazilian publications were searched, in the SciELO, Pubmed, CAPES Periodicals, EBSCOHost, and Google Scholar databases, between 2009 and 2019. 22 publications were analyzed. The articles were about concepts and experiences of Primary Care by private health plan operators. The results point to more effective management with greater beneficiary satisfaction. The resistance of specialist physicians, lack of professional qualification, political motivation, and cultural bias constitute obstacles to this care reorganization. The Primary Care model impacts both the quality of health services and the economic sustainability of the Supplementary Health sector, providing users with comprehensive care, disease prevention, and health promotion.