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PerspectiveInternational Health Care Systems

Brazil's Family Health Strategy — Delivering Community-Based Primary Care in a Universal Health System

List of authors.
  • James Macinko, Ph.D.,
  • and Matthew J. Harris, M.B., B.S., D.Phil.

Brazil's national health system has developed and rapidly scaled up an approach to primary care that relies on lay community health agents and interdisciplinary care teams to provide universal access to proactive first-contact care and public health interventions.

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Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at

Author Affiliations

From the Departments of Health Policy and Management and Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles (J.M.); the Harkness Fellowship Program in Health Care Policy and Practice, Commonwealth Fund, and New York University, New York (M.J.H.); and the School of Public Health, Imperial College London, London (M.J.H.).