Laboratory for innovation in Primary Health Care: implementation and results

Abstract This article presents and problematizes innovation actions aimed at improving the quality of Primary Health Care (PHC), describing an experience that can be adapted to different contexts, considering diverse sociodemographic, economic, cultural and epidemiological realities. We conducted an exploratory study using documentary sources referring to the implementation of the Campo Grande Laboratory for Innovation in Primary Health Care (INOVAAPS). The project proposes the reorientation of the care model adopted in the municipality’s public primary care services, redefining work processes and improving the quality of practice. We identified product, process and organizational innovations that have the potential to transform and tailor health care practices to the population’s health needs. It is concluded that the proposals implemented by the project focus on the consolidation and expansion of access to primary care, recruitment and training of adequately qualified health professionals, adoption of resolutive technologies, regulatory improvement, and strengthening the mediating role of primary health care.

摘要：本文提出并剖析了旨在提升初级卫生保健（Primary Health Care, PHC）服务质量的创新实践，同时阐述了一项可适配多元场景的实践经验——该经验需综合考量不同社会人口、经济、文化与流行病学现实背景。本研究采用文献资料法开展探索性研究，所涉文献围绕大坎普初级卫生保健创新实验室（Campo Grande Laboratory for Innovation in Primary Health Care, INOVAAPS）的落地实施展开。该项目旨在重新定位该市公立初级卫生保健服务所采用的照护模式，重塑工作流程并提升临床实践质量。研究团队识别出产品、流程与组织三类创新举措，这些举措有望推动卫生保健实践转型，并实现服务的个性化适配以贴合人群的健康需求。研究结论表明，该项目所推行的各项方案聚焦于以下核心方向：巩固并扩大初级卫生保健服务的可及性、招募并培训具备合格资质的卫生专业人员、采用可解决实际问题的技术、完善监管体系，以及强化初级卫生保健的中介枢纽作用。