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Efficiency, planning and good management, determining factors for a greater equity on health care expenses: the experience from the program family health strategy in Brazil


  • Luiz Oscar Machado Martins Universidade do Porto
  • Davi Oliveira Chaves University of São Paulo
  • Marcio Fernandes dos Reis Fernandes dos Reis University Center President Antônio Carlos
  • Alfredo Chaoubah Federal University of Juiz de Fora
  • Guilhermina Rego Faculty of Medicine, University of Porto


The present work presents as a research problem the importance of efficiency, planning, and principles of good management aiming at capillarity and equity to generate greater access and quality of services. The objective of this article was to identify the expansion of the Family Health Strategy in Brazil between 2007 and 2020, and which variables may explain this evolution. This is a descriptive, ecological research, developed between 2007 and 2020 in Brazil; its variable of interest was the estimated population coverage of this strategy (%). An increase in the coverage of the Family Health Strategy was observed in all regions of Brazil between 2007 and 2020, especially in the Northeast region. At the state level, this coverage showed a significant positive relationship with the following variables: towns with fewer than 40,000 inhabitants and monthly income inferior to half a minimum salary. The Brazilian version of the Family Health Strategy seeks inspiration from the best and most successful health models to achieve high performance and efficiency to provide equity and access to health services.


strategy of family health, equity, management, unified health system, public management