A atenção primária à saúde nos países da União Européia: configurações e reformas organizacionais na década de 1990

摘要: During the 1990s, proposals to contain health expenditures and demands raised by changes in epidemiological profile led organizational reforms primary healthcare services European Union countries, aimed at promoting coordination of provided various levels care. Based on a literature review, document analysis, interviews with key informants, current study analyzes institutional configurations for first-level discusses pre-coordination countries. First-level outpatient care is these countries through wide variety configurations, observing different financing mechanisms, range professionals, clinical provided, position occupied physicians within system. Reforms last decade were accompanied diversification models, an expansion clinical, management, functions indicating process transition, redefinition roles played general practitioners as leaders patient