Limite na implementação dos princípios básicos do SUS: uma reflexão sobre universalidade e equidade

Abstract

The article aims to discuss the notions of universality and equity in the practice of everyday health work. It is a sustained reflection on the theoretical framework related to the theme, it was adopted to the laws and articles on the subject as references.. Constitutional principles presenting a brief historical background on the Health System, Strengths and limitations on exercise of universality and equity have been addressed. The result showed limits in implementing the principles in basic health care, such as lack of financial resources, problems in management and human resources, among others, as potential public health policies, especially with regard to family health units. At the end of this reflection can be said that primary care is the main gateway to the user in the health system, which is configured as a real strategy for civic education and to guarantee the prerogatives of the Unified Health System. Though introduce several changes to continue this process is necessary so that managers are committed to the rights of citizens who seek for health services. Therefore, it is essential to have a new vision, linked to the reality of the individual and resoluteness. Therefore, we need to change thoughts and cultures, including managers, health professionals, and user.