Violence and Primary Health Care in Brazil: an integrative literature review

Abstract Violence is a challenge for health services in Brazil, especially within primary care. This study analyses national publications on violence and Primary Health Care. An integrative literature review was conducted resulting in a final sample of 18 articles. The most predominant theme was violence against women (nine articles), followed by violence against children and adolescents (four articles), and violence against the elderly (three articles). The population group that accounted for the least number of publications was men, with two articles. The studies show the invisibility of violence in primary healthcare services in Brazil and the need to reorganize the work process beyond a complaint-based approach towards a sociocultural approach based on intersectorality. Comprehensiveness and intersectorality are essential elements of an effective violence care network.

暴力行为是巴西医疗服务体系，尤其是基层医疗卫生服务（Primary Health Care）领域面临的一项严峻挑战。本研究针对暴力与基层医疗卫生服务相关的国家级出版物展开分析，采用整合性文献综述方法，最终纳入18篇文献作为分析样本。占比最高的研究主题为针对女性的暴力行为（共9篇文献），其次为针对儿童与青少年的暴力行为（4篇文献）以及针对老年人的暴力行为（3篇文献）；发文量最少的人群群体为男性，相关研究仅2篇。研究结果表明，巴西基层医疗卫生服务体系中暴力相关议题长期处于被忽视的状态，且亟需重构工作流程，摒弃仅以投诉为导向的处理模式，转向基于跨部门协作的社会文化视角。全面性与跨部门协作是构建高效暴力干预护理网络的核心要素。