Políticas de atenção primária e reformas sanitárias: discutindo a avaliação a partir da análise do Programa Saúde da Família em Florianópolis, Santa Catarina, Brasil, 1994-2000

摘要: This article discusses the evaluation of primary health care policies based on a case study Family Health Program in Florianopolis, Santa Catarina, Brazil. The results are presented two stages. First, is placed context Municipality's policies, identifying perceptions at administrative level. Second, author studied Program's practices sample five family teams using an evaluative framework including variables accessibility and comprehensiveness. began relatively late State capital, but developed unique model. There greater supply services available to population not covered by private plans, although there major diversity practices. degree implementation moderately adequate: provided more comprehensive, problems with access (in ratio between staff number families covered). It suggested that such proposals for reorienting models tend towards rationalization, political legitimization, or democratization services. policy can set predominant direction.