What are the challenges for the qualification of Primary Care in the view of municipal managers?

In the last years, the Primary Care has provided many advances in the community health, however, many challenges still remain. This paper seeks to analyze the main challenges of Primary Care in the view of the municipal health managers, identifying and analyzing descriptively the five most common ones at the levels national, regional and by stratum of municipalities. It was held a quantitative approach with the analysis of secondary data of the Primary Health Care, derived from the databases of the Ministry of Health. It was noted that many challenges are recurrent and others are shown in some specific region or stratum, suggesting their dimension in the local context.

近年来，基层医疗（Primary Care）在社区卫生领域取得了诸多进展，但仍存在诸多挑战。本研究旨在从市级卫生管理者的视角出发，剖析基层医疗面临的核心挑战，并在国家、区域以及市级辖区分层三个层面，对五种最常见的挑战开展描述性识别与分析。本研究采用定量研究方法，对源自卫生部（Ministry of Health）数据库的初级卫生保健（Primary Health Care）二手数据进行分析。研究发现，诸多挑战具有反复出现的共性，另有部分挑战仅在特定区域或辖区层级显现，这反映了各类挑战在当地场景中的影响维度。