Previne Brasil: avanços e retrocessos no financiamento da saúde pública

Abstract

His study aimed to present the positive and negative aspects of the Previne Brasil Program, identifying its advances and setbacks in the history of public health in Brazil. The research was developed through a bibliographic review, focusing on scientific articles and, complementarily, on ministerial ordinances and legislation addressing the trajectory from the Pacto pela Vida (Pact for Life), through the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), Program for Improving Access and Quality in Primary Care, to the implementation of Previne Brasil. It was found that Previne Brasil, centered on weighted capitation, strategic incentives, and performance-based payment, sought to enhance efficiency and equity in the use of resources but faced challenges related to regional inequalities and the guarantee of universal coverage. Although it represented progress by strengthening Primary Health Care, promoting greater transparency in resource allocation, and encouraging innovation, it also presented setbacks, such as the abrupt change in the financing model without broad social discussion, excessive centralization in management, and the difficulty municipalities faced in adapting to new goals and criteria.