Mudanças no Financiamento da Atenção Primária à Saúde (APS) no SUS em 2025

Summary

The video outlines key updates to the financing model for Primary Health Care (APS) in Brazil, introduced by Portaria nº 161/2024. It emphasizes the importance of accurate and up-to-date patient registrations for securing federal funding. New criteria for assigning patients to health teams, based on the number of visits, most recent care, and updated records, are discussed. Additionally, it highlights the role of patient evaluations through the 'Meu SUS Digital' system in influencing funding. Special attention is given to vulnerable populations, with higher funding for municipalities serving them. The new rules aim to improve service quality, engagement, and efficiency in the health system.

Takeaways

• 😀 The new 2025 funding model for Primary Health Care (APS) introduces significant changes, replacing the Previne Brasil system.
• 😀 The Portaria 161, issued on December 10, 2024, outlines the rules for payment and calculations related to the 'linkage' and 'territorial monitoring' components.
• 😀 It emphasizes the importance of maintaining up-to-date and complete patient registration, which will directly impact the funding a municipality receives.
• 😀 The federal government requires not just patient registration, but also updated data, including health conditions, phone numbers, and addresses, every two years.
• 😀 Municipalities will receive different scores based on the quality of their patient registrations, with higher quality resulting in higher funding.
• 😀 There are three tie-breaking criteria for determining patient assignments to teams or municipalities: the number of visits per team, the most recent healthcare visits, and the most up-to-date patient registration.
• 😀 Patients can access the SUS in multiple locations, but their primary affiliation will be based on where they have the most recent healthcare contact or the most up-to-date registration.
• 😀 A patient needs to have at least one healthcare contact with a Family Health team, Primary Health team, or other linked health teams to count toward funding.
• 😀 Feedback from patients via the Meu SUS Digital platform will be used to assess healthcare quality and impact municipal funding. However, patient feedback will not immediately affect funding but will be used for future assessments.
• 😀 The federal government plans to encourage more users to utilize the Meu SUS Digital platform by rewarding municipalities that encourage patient feedback, aiming to improve the quality of service evaluations over time.

Q & A

What is the main change in the funding model for primary health care in SUS for 2025?

The main change is the updated financing model, which includes a more detailed focus on patient registration and the quality of data. This shift emphasizes proper patient updates and the role of municipalities in providing comprehensive care to receive federal funding.

What are the key components involved in the new funding model?

The key components include the Family Health Team (ESF), Primary Care Teams, and associated services such as dental care and multi-disciplinary teams. The funding is linked to accurate and updated patient data, including individual, territorial, and household registrations.

How does the quality of patient registration affect funding?

The quality of patient registration directly impacts funding. A municipality will receive a higher score if patient registrations are complete, up-to-date, and include territorial and household details, rather than just individual registrations.

What is the significance of the patient’s registration update over time?

The patient’s registration must be updated over a period of 24 months. This ensures that changes in patient data, such as health conditions or contact information, are accurately recorded, reflecting the patient’s current status and location.

What are the three tie-breaker criteria for determining patient assignment to a municipality?

The three tie-breaker criteria are: 1) the number of health visits by the patient, 2) the team responsible for the most recent visits, and 3) the team with the most up-to-date patient registration.

How is a patient’s team determined if they visit multiple units or municipalities?

If a patient accesses care in multiple locations, the team with the most recent visits or the most updated patient registration will be considered responsible for that patient. The location of their most recent care also plays a key role in this determination.

How does the government plan to use patient evaluations to improve the system?

The government intends to use evaluations from patients via the 'Meu SUS Digital' platform to improve the healthcare system. These evaluations will influence the funding municipalities receive, rewarding those with better feedback and higher patient engagement.

What role does 'Meu SUS Digital' play in the new financing model?

'Meu SUS Digital' is a platform that will allow users to evaluate the quality of care they receive. These evaluations will contribute to the overall score of the municipality and affect the amount of federal funding it receives.

How does patient access to care impact the funding received by a municipality?

A municipality must ensure that patients are not only registered but also actively accessing care. The municipality will be evaluated based on whether patients have contact with healthcare professionals at least once within a year. This helps determine the allocation of federal resources.

How are vulnerable populations considered in the new funding model?

Vulnerable populations, such as elderly individuals over 60 years old and children under 5, as well as those benefiting from programs like BPC (Continuous Cash Benefit) or Bolsa Família, will be given higher scores in the registration process, which will result in higher funding for municipalities serving these groups.