TERRITORIALIZATION AS A STRUCTURING AXIS OF COLLECTIVE HEALTH PRACTICES IN PRIMARY HEALTH CARE
Abstract
Territorialization is a central element in the organization of Collective Health practices within Primary Health Care, guiding planning, management, and care delivery based on the concrete living conditions of the population. Territory, understood as a socially constructed space, allows the identification of vulnerabilities, potentials, and inequalities that directly influence health and disease processes. This study aimed to analyze territorialization as a structuring axis of Collective Health practices in Primary Health Care, considering its organizational, care-related, educational, and political implications. This qualitative bibliographic study was developed through an interpretative analysis of national and international scientific publications. Searches were conducted in recognized databases using descriptors in Portuguese and English, combined through Boolean operators to ensure alignment with the proposed objective. The findings indicate that territorialization strengthens care coordination, enhances the bond between health teams and communities, supports integrated multiprofessional work, and guides equity-oriented actions. - Furthermore, its strategic role in health education and in addressing socio-spatial inequalities is highlighted. It is concluded that territorialization represents an essential foundation for consolidating Primary Health Care and strengthening Collective Health practices, contributing to the organization of more integrated, effective, and socially responsive health services.
Author Biographies
Graduada em Enfermagem pela FUNESO- Fundação de ensino superior de Olinda
Mestrando em Anestesiologia Veterinária pela Universidade Federal de Santa Maria (UFSM)
Mestranda pela IFPI
Mestre em Ciências Biológicas pela Universidade Federal de Pernambuco
Graduando em Medicina pelo Centro Universitário Fametro (UNIFAMETRO)
Mestrado pela Universidade Estadual do Ceará
Mestre em Saúde do Adulto pela Universidade Federal do Maranhão (UFMA)
Fonoaudióloga pelo Centro Universitário Uninta-Inta
Graduada em Enfermagem, Gestão em Saúde e Mestrado em Gastroenterologia e Hepatologia pela Universidade Federal do Rio Grande do Sul (UFRGS)
Graduada em Medicina e Residência em Medicina de Família e Comunidade pela Universidade Estadual de Montes Claros
References
1. AYRES, José Ricardo de Carvalho Mesquita et al. Risco, vulnerabilidade e práticas de prevenção e promoção da saúde. In: CAMPOS, Gastão Wagner de Sousa et al. (org.). Tratado de saúde coletiva. São Paulo: Hucitec; Rio de Janeiro: Fiocruz, 2009. p. 375–417.
2. CLET, Élodie et al. Integrating prevention into primary care organizations: a case study in France. BMC Primary Care, Londres, v. 26, n. 1, p. 1–11, 2025 DOI: https://doi.org/10.1186/s12875-025-02314-6 DOI: https://doi.org/10.1186/s12875-025-02849-3
3. CRUZ NETO, João et al. Nursing diagnoses related to cardiovascular function in primary care: a scoping review. International Journal of Nursing Studies, Oxford, v. 148, 104690, 2024 DOI: https://doi.org/10.1016/j.ijnurstu.2023.104690
4. D’AGOSTINO, Fabio et al. A review of nursing diagnoses prevalence in different populations and healthcare settings. International Journal of Nursing Studies, Oxford, v. 148, 104687, 2024 DOI: https://doi.org/10.1016/j.ijnurstu.2023.104687 DOI: https://doi.org/10.1016/j.tate.2024.104687
5. GAUTIER, Sylvain et al. How primary healthcare sector is organized at the territorial level in France? A typology of territorial structuring. International Journal of Health Planning and Management, Hoboken, v. 39, n. 1, p. 112–126, 2024 DOI: https://doi.org/10.1002/hpm.3704 DOI: https://doi.org/10.34172/ijhpm.2024.8231
6. GONÇALVES, N. V. et al. The territorialization of severe acute respiratory syndrome and its socioeconomic, demographic and public health policy risk factors in Belém, state of Pará, Eastern Amazon, Brazil: a cross-sectional and ecological study. PLOS ONE, San Francisco, v. 20, n. 1, e0298743, 2025 DOI: https://doi.org/10.1371/journal.pone.0298743 DOI: https://doi.org/10.1371/journal.pone.0318607
7. KHAN, Zoheb et al. Community participation and contracting between state and non-state actors in primary care: a scoping review of evidence. International Journal for Equity in Health, Londres, v. 24, n. 1, p. 1–17, 2025 DOI: https://doi.org/10.1186/s12939-025-02134-8 DOI: https://doi.org/10.1186/s12939-025-02567-3
8. MERHY, Emerson Elias. Saúde: a cartografia do trabalho vivo. 2. ed. São Paulo: Hucitec, 2002.
9. MILANI, C. et al. How to promote changes in primary care? The Florentine experience of the House of Community. Frontiers in Public Health, Lausanne, v. 11, 1198342, 2023 DOI: https://doi.org/10.3389/fpubh.2023.1198342 DOI: https://doi.org/10.3389/fpubh.2023.1216814
10. MINAYO, Maria Cecília de Souza. O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec, 2014.
11. MONTEIRO, Vinícius Costa Maia et al. Digital health technologies in primary health care in rural territories: a protocol for scoping review. PLOS ONE, San Francisco, v. 20, n. 2, e0301124, 2025 DOI: https://doi.org/10.1371/journal.pone.0301124 DOI: https://doi.org/10.1371/journal.pone.0331902
12. PAIM, Jairnilson Silva. O que é o SUS. Rio de Janeiro: Fiocruz, 2008.
13. SANTOS, Lucas Cardoso dos et al. Liderança e comportamento empoderador: compreensões de enfermeiros-gerentes na Atenção Primária à Saúde. Acta Paulista de Enfermagem, São Paulo, v. 36, eAPE02121, 2023 DOI: https://doi.org/10.37689/acta-ape/2023AO02121 DOI: https://doi.org/10.37689/acta-ape/2023AO00051
14. SANTOS, Milton. A natureza do espaço: técnica e tempo, razão e emoção. 4. ed. São Paulo: Editora da Universidade de São Paulo, 2006.
15. SILVA, D. A. et al. “Academia da Saúde” program: mapping evidence from the largest health promotion community program in Brazil. Frontiers in Public Health, Lausanne, v. 11, 1189031, 2023 DOI: https://doi.org/10.3389/fpubh.2023.1189031 DOI: https://doi.org/10.3389/fpubh.2023.1227899
16. SOUZA, Celina. Políticas públicas: uma revisão da literatura. Sociologias, Porto Alegre, v. 20, n. 48, p. 20–45, 2018 DOI: https://doi.org/10.1590/15174522-020004802 DOI: https://doi.org/10.1590/S1517-45222006000200003
17. STARFIELD, Barbara. Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília: UNESCO; Ministério da Saúde, 2002.
18. TAKAHARA, A. B.; RODRIGUES, G. G.; MIRANDA, C. M.; ROZIN, L. R.; FORTE, L. T.; BERNARDO DE LIMA, M. L.; PAIVA NETO, F. T. Teaching-Community integration as an educational strategy in Brazilian primary health care. European Journal of Public Health, Oxford, v. 35, Suppl. 4, p. ckaf161.918, 27 out. 2025 DOI: https://doi.org/10.1093/eurpub/ckaf161.918 DOI: https://doi.org/10.1093/eurpub/ckaf161.918
19. THOMAS, R. et al. Redefining territorial health and social care: the proactive multidisciplinary clinic for frailty. European Journal of Public Health, Oxford, v. 35, n. 1, p. 45–51, 2025 DOI: https://doi.org/10.1093/eurpub/ckae251 DOI: https://doi.org/10.1093/eurpub/ckaf161.1225
20. WORLD HEALTH ORGANIZATION. Global strategy on digital health 2020–2025. Geneva: WHO, 2021. Disponível em: https://www.who.int/publications/i/item/9789240020924 Acesso em: 27 fev. 2026.
License
Copyright (c) 2026 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.