PRIMARY HEALTH CARE AND THE TRANSFORMATION OF THE CARE MODEL: THE ROLE OF WELCOMING IN THE PRODUCTION OF BONDING AND RESOLUTIVENESS
DOI:
https://doi.org/10.66104/sfykfy94Keywords:
Primary Health Care, Welcoming, Bonding, Resoluteness, Humanization in HealthAbstract
Primary Health Care (PHC) occupies a strategic position in the organization of health systems guided by the principles of universality, comprehensiveness, equity, longitudinality, and coordination of care. In the context of the Brazilian Unified Health System (SUS), welcoming stands out as one of the main mechanisms for reorienting the care model, as it goes beyond the logic of bureaucratic triage and affirms itself as an ethical, relational, and organizational practice aimed at qualified listening, accountability, and timely responses to users’ health needs. This study aimed to critically analyze the role of welcoming in PHC as a mechanism for changing the care model, with emphasis on its contribution to the production of bonding and resoluteness. This is an integrative literature review, with a qualitative approach and a descriptive-analytical character, grounded in scientific publications and institutional documents on welcoming, humanization, bonding, resoluteness, and the organization of the work process in PHC. The findings show that welcoming, when structurally incorporated into the daily routine of health teams, favors expanded access, strengthening of bonding, improvement in continuity of care, greater care coordination, and more resolutive responses to individual and collective needs. On the other hand, challenges remain related to service fragmentation, precarious working conditions, organizational rigidity, insufficient network articulation, and socio-structural inequalities that limit the transformative potential of this practice. It is concluded that welcoming constitutes a central mechanism for changing the care model in PHC, provided that it is supported by professional qualification, reorganization of work processes, strengthening of care management, and multilevel strategies capable of integrating subjective, organizational, and structural dimensions of the health system.
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Copyright (c) 2026 Vinicius de Lima Lovadini, Élder Jonata Dos Santos Medeiros , Mariana dos Santos Souza , Elzimar Gomes dos Santos, Vítor Pedreiro Machado, Aislan Ramalho Bezerra Santos, Isabella de Paula Castilho, Fabiula Paula Vieira Silva, Andriele Valentim da Costa, Daniele Muniz da Costa , Ana Carolina Tavares Martins , Everaldo Garcia Santos Júnior , Jaqueline de Brito Oliveira , José Antonio Santos Souza
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