Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos
Ano de defesa: | 2017 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual de Feira de Santana
|
Programa de Pós-Graduação: |
Mestrado Acad?mico em Sa?de Coletiva
|
Departamento: |
DEPARTAMENTO DE SA?DE
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://localhost:8080/tede/handle/tede/590 |
Resumo: | Study on the work process in the Family Health Strategy, after the implantation of the more doctors program. It presents as guiding questions: how does the work process in the Family Health Strategy occur after the implantation of the More Doctors Program in a municipality in Bahia? How are the constituent elements of the health work process presented in the Family Health Strategy in a municipality in Bahia? What are the facilities, difficulties and challenges after the implantation of the More Doctors Program for the work process in the Family Health Strategy in a municipality in Bahia? The general objective is to analyze the work process in health in the Family Health Strategy, after the implantation of the more doctors program in a municipality of Bahia; And specific objectives: to describe the constitutive elements of the health work process in the Family Health Strategy in a municipality of Bahia; To discuss the facilities, difficulties and challenges encountered in the teamwork of the Family Health Strategy after the implantation of the more doctors program in a municipality in Bahia. This is a case study with a qualitative approach,whose project was submitted to the Research Ethics Committee of the UEFS and approved according to opinion number: 1.530.791. The data collection, carried out from June to July 2016, occurred through a semi-structured interview with twelve health workers and ninefamily health unit users analyzed; document analysis; and systematic observation. The empirical material was analyzed using the content analysis technique proposed by Bardin (2011).The care model is centered on the care of the community through clinical procedures and consultations to the detriment of activities aimed at health promotion. The actions developed are based on ministerial programs and the fragmentation of care, where each worker performs his actions individually, with few moments of interaction between the teams, especially the Oral Health Teams. Regarding the implantation of the program more doctors, no changes were found in the work process of other health workers, but the adaptation of foreign physicians to a biological health system.However, it was noticed the recognition of the community and the majority of the workers regarding the differentiated care of the doctors of the program who started to stay in the family health unit full-time, having only an employment relationship. Also, difficulties were not recognized that prevented care on behalf of the language of doctors. Among the difficulties, it should be noted that the program has not yet contributed to the advancement of the family health unit infrastructure, being found problems regarding the lack of materials, instruments and inputs important for the continuity of work, as well as the of the users, for the accomplishment of educative activities in detriment to the assistencialist practices. In this sense, the great challenge is the reformulation of the health work process, so that the core of the professional activity is centered on the users, breaking the paradigm of individualized actions, with a view to strengthening teamwork. |
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Santos, Silvone Santa B?rbara da Silva3591242152033334012806http://lattes.cnpq.br/6881769087614553Santana, L?via Leal Lopes de2018-01-30T23:00:25Z2017-04-11SANTANA, L?via Leal Lopes de. Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos. 2017. 185 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017.http://localhost:8080/tede/handle/tede/590Study on the work process in the Family Health Strategy, after the implantation of the more doctors program. It presents as guiding questions: how does the work process in the Family Health Strategy occur after the implantation of the More Doctors Program in a municipality in Bahia? How are the constituent elements of the health work process presented in the Family Health Strategy in a municipality in Bahia? What are the facilities, difficulties and challenges after the implantation of the More Doctors Program for the work process in the Family Health Strategy in a municipality in Bahia? The general objective is to analyze the work process in health in the Family Health Strategy, after the implantation of the more doctors program in a municipality of Bahia; And specific objectives: to describe the constitutive elements of the health work process in the Family Health Strategy in a municipality of Bahia; To discuss the facilities, difficulties and challenges encountered in the teamwork of the Family Health Strategy after the implantation of the more doctors program in a municipality in Bahia. This is a case study with a qualitative approach,whose project was submitted to the Research Ethics Committee of the UEFS and approved according to opinion number: 1.530.791. The data collection, carried out from June to July 2016, occurred through a semi-structured interview with twelve health workers and ninefamily health unit users analyzed; document analysis; and systematic observation. The empirical material was analyzed using the content analysis technique proposed by Bardin (2011).The care model is centered on the care of the community through clinical procedures and consultations to the detriment of activities aimed at health promotion. The actions developed are based on ministerial programs and the fragmentation of care, where each worker performs his actions individually, with few moments of interaction between the teams, especially the Oral Health Teams. Regarding the implantation of the program more doctors, no changes were found in the work process of other health workers, but the adaptation of foreign physicians to a biological health system.However, it was noticed the recognition of the community and the majority of the workers regarding the differentiated care of the doctors of the program who started to stay in the family health unit full-time, having only an employment relationship. Also, difficulties were not recognized that prevented care on behalf of the language of doctors. Among the difficulties, it should be noted that the program has not yet contributed to the advancement of the family health unit infrastructure, being found problems regarding the lack of materials, instruments and inputs important for the continuity of work, as well as the of the users, for the accomplishment of educative activities in detriment to the assistencialist practices. In this sense, the great challenge is the reformulation of the health work process, so that the core of the professional activity is centered on the users, breaking the paradigm of individualized actions, with a view to strengthening teamwork.Estudo sobre o processo de trabalho na Estrat?gia Sa?de da Fam?lia, ap?s a implanta??o do programa mais m?dicos. Apresenta como perguntas norteadoras: como se d? o processo de trabalho na Estrat?gia Sa?de da Fam?lia, ap?s a implanta??o do Programa Mais M?dicos em um munic?pio da Bahia? De que forma s?o apresentados os elementos constitutivos do processo de trabalho em sa?de na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia? Quais as facilidades, dificuldades e desafios ap?s a implanta??o do Programa Mais M?dicos para o processo de trabalho na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia? O objetivo geral ? analisar o processo de trabalho em sa?de na ESF, ap?s a implanta??o do programa mais m?dicos em um munic?pio da Bahia; e objetivos espec?ficos: descrever os elementos constitutivos do processo de trabalho em sa?de na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia; discutir as facilidades, dificuldades e os desafios encontrados no trabalho em equipe da Estrat?gia Sa?de da Fam?lia ap?s a implanta??o do programa mais m?dicos em um munic?pio da Bahia. Trata-se de um estudo de caso de abordagem qualitativa, cujo projeto foi submetido ao Comit? de ?tica em Pesquisa da UEFS e aprovado conforme parecer n?mero: 1.530.791. A coleta de dados, realizada no per?odo de junho a julho de 2016, ocorreu por meio de entrevista semiestruturada com doze trabalhadores de sa?de e nove usu?rios das USF analisadas, an?lise de documentos; e observa??o sistem?tica. O material emp?rico foi analisado utilizando-se a t?cnica de an?lise de conte?do proposta por Bardin (2011). O modelo de aten??o ? centrado no atendimento a comunidade por meio de procedimentos e consultas cl?nicas em detrimento de atividades voltadas para a promo??o da sa?de. As a??es desenvolvidas, baseiam-se em programas ministeriais e na fragmenta??o do cuidado, onde cada trabalhador executa suas a??es individualmente, com poucos momentos de intera??o entre as equipes, principalmente as Equipes de Sa?de Bucal. Sobre a implanta??o do programa mais m?dicos, n?o foram encontradas mudan?as no processo de trabalho dos demais trabalhadores de sa?de e sim a adapta??o dos m?dicos estrangeiros a um sistema de sa?de biologicista. No entanto, notou-se o reconhecimento da comunidade e da maioria dos trabalhadores quanto ao atendimento diferenciado dos m?dicos do programa que passaram a ficar nas USF em per?odo integral, possuindo apenas um v?nculo empregat?cio. Tamb?m n?o foram reconhecidas dificuldades que inviabilizassem o atendimento por conta do idioma dos m?dicos. Dentre as dificuldades, destaca-se que o programa ainda n?o contribuiu para o avan?o da infraestrutura das USF, sendo encontrados problemas quanto a falta de materiais, instrumentos e insumos importantes para a continuidade do trabalho, assim como na valoriza??o, tanto dos demais trabalhadores quanto dos usu?rios, para a realiza??o de atividades educativas em detrimento ?s pr?ticas assistencialistas. Nesse sentido, o grande desafio ? a reformula??o do processo de trabalho em sa?de, de maneira que o cerne da atua??o profissional esteja centrado nos usu?rios, rompendo o paradigma de atua??es individualizadas, com vistas ao fortalecimento de um trabalho em equipe.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-30T23:00:25Z No. of bitstreams: 1 disserta??o VERS?O FINAL PDF.pdf: 2988819 bytes, checksum: aee6403751f41f9de88d75a037db2c94 (MD5)Made available in DSpace on 2018-01-30T23:00:25Z (GMT). No. of bitstreams: 1 disserta??o VERS?O FINAL PDF.pdf: 2988819 bytes, checksum: aee6403751f41f9de88d75a037db2c94 (MD5) Previous issue date: 2017-04-11Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEBapplication/pdfporUniversidade Estadual de Feira de SantanaMestrado Acad?mico em Sa?de ColetivaUEFSBrasilDEPARTAMENTO DE SA?DEProcesso de trabalhoEstrat?gia Sa?de da Fam?liaPrograma Mais M?dicosWork processFamily Health StrategyMore Doctors ProgramCIENCIAS DA SAUDE::SAUDE COLETIVAProcesso de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-21222253766072083266006006006001006395569471477890-6173167103754495199-8233071094704392586info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALdisserta??o VERS?O FINAL PDF.pdfdisserta??o VERS?O FINAL PDF.pdfapplication/pdf2988819http://tede2.uefs.br:8080/bitstream/tede/590/2/disserta%C3%A7%C3%A3o+VERS%C3%83O+FINAL+PDF.pdfaee6403751f41f9de88d75a037db2c94MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/590/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/5902018-01-30 20:00:25.844oai:tede2.uefs.br:8080:tede/590Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSP1BSSUEgTElDRU4/QQpFc3RhIGxpY2VuP2EgZGUgZXhlbXBsbyA/IGZvcm5lY2lkYSBhcGVuYXMgcGFyYSBmaW5zIGluZm9ybWF0aXZvcy4KCkxJQ0VOP0EgREUgRElTVFJJQlVJPz9PIE4/Ty1FWENMVVNJVkEKCkNvbSBhIGFwcmVzZW50YT8/byBkZXN0YSBsaWNlbj9hLCB2b2M/IChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSA/IFVuaXZlcnNpZGFkZSAKWFhYIChTaWdsYSBkYSBVbml2ZXJzaWRhZGUpIG8gZGlyZWl0byBuP28tZXhjbHVzaXZvIGRlIHJlcHJvZHV6aXIsICB0cmFkdXppciAoY29uZm9ybWUgZGVmaW5pZG8gYWJhaXhvKSwgZS9vdSAKZGlzdHJpYnVpciBhIHN1YSB0ZXNlIG91IGRpc3NlcnRhPz9vIChpbmNsdWluZG8gbyByZXN1bW8pIHBvciB0b2RvIG8gbXVuZG8gbm8gZm9ybWF0byBpbXByZXNzbyBlIGVsZXRyP25pY28gZSAKZW0gcXVhbHF1ZXIgbWVpbywgaW5jbHVpbmRvIG9zIGZvcm1hdG9zID91ZGlvIG91IHY/ZGVvLgoKVm9jPyBjb25jb3JkYSBxdWUgYSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZT9kbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byAKcGFyYSBxdWFscXVlciBtZWlvIG91IGZvcm1hdG8gcGFyYSBmaW5zIGRlIHByZXNlcnZhPz9vLgoKVm9jPyB0YW1iP20gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGM/cGlhIGEgc3VhIHRlc2Ugb3UgCmRpc3NlcnRhPz9vIHBhcmEgZmlucyBkZSBzZWd1cmFuP2EsIGJhY2stdXAgZSBwcmVzZXJ2YT8/by4KClZvYz8gZGVjbGFyYSBxdWUgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byA/IG9yaWdpbmFsIGUgcXVlIHZvYz8gdGVtIG8gcG9kZXIgZGUgY29uY2VkZXIgb3MgZGlyZWl0b3MgY29udGlkb3MgCm5lc3RhIGxpY2VuP2EuIFZvYz8gdGFtYj9tIGRlY2xhcmEgcXVlIG8gZGVwP3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/P28gbj9vLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3U/bS4KCkNhc28gYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jPyBuP28gcG9zc3VpIGEgdGl0dWxhcmlkYWRlIGRvcyBkaXJlaXRvcyBhdXRvcmFpcywgdm9jPyAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzcz9vIGlycmVzdHJpdGEgZG8gZGV0ZW50b3IgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIHBhcmEgY29uY2VkZXIgPyBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgCm9zIGRpcmVpdG9zIGFwcmVzZW50YWRvcyBuZXN0YSBsaWNlbj9hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Q/IGNsYXJhbWVudGUgCmlkZW50aWZpY2FkbyBlIHJlY29uaGVjaWRvIG5vIHRleHRvIG91IG5vIGNvbnRlP2RvIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28gb3JhIGRlcG9zaXRhZGEuCgpDQVNPIEEgVEVTRSBPVSBESVNTRVJUQT8/TyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0M/TklPIE9VIApBUE9JTyBERSBVTUEgQUc/TkNJQSBERSBGT01FTlRPIE9VIE9VVFJPIE9SR0FOSVNNTyBRVUUgTj9PIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0M/IERFQ0xBUkEgUVVFIFJFU1BFSVRPVSBUT0RPUyBFIFFVQUlTUVVFUiBESVJFSVRPUyBERSBSRVZJUz9PIENPTU8gClRBTUI/TSBBUyBERU1BSVMgT0JSSUdBPz9FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKQSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgc2UgY29tcHJvbWV0ZSBhIGlkZW50aWZpY2FyIGNsYXJhbWVudGUgbyBzZXUgbm9tZSAocykgb3UgbyhzKSBub21lKHMpIGRvKHMpIApkZXRlbnRvcihlcykgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28sIGUgbj9vIGZhcj8gcXVhbHF1ZXIgYWx0ZXJhPz9vLCBhbD9tIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2VuP2EuCg==Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2018-01-30T23:00:25Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false |
dc.title.por.fl_str_mv |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
title |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
spellingShingle |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos Santana, L?via Leal Lopes de Processo de trabalho Estrat?gia Sa?de da Fam?lia Programa Mais M?dicos Work process Family Health Strategy More Doctors Program CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
title_full |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
title_fullStr |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
title_full_unstemmed |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
title_sort |
Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos |
author |
Santana, L?via Leal Lopes de |
author_facet |
Santana, L?via Leal Lopes de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Santos, Silvone Santa B?rbara da Silva |
dc.contributor.advisor1ID.fl_str_mv |
35912421520 |
dc.contributor.authorID.fl_str_mv |
33334012806 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6881769087614553 |
dc.contributor.author.fl_str_mv |
Santana, L?via Leal Lopes de |
contributor_str_mv |
Santos, Silvone Santa B?rbara da Silva |
dc.subject.por.fl_str_mv |
Processo de trabalho Estrat?gia Sa?de da Fam?lia Programa Mais M?dicos |
topic |
Processo de trabalho Estrat?gia Sa?de da Fam?lia Programa Mais M?dicos Work process Family Health Strategy More Doctors Program CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Work process Family Health Strategy More Doctors Program |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
Study on the work process in the Family Health Strategy, after the implantation of the more doctors program. It presents as guiding questions: how does the work process in the Family Health Strategy occur after the implantation of the More Doctors Program in a municipality in Bahia? How are the constituent elements of the health work process presented in the Family Health Strategy in a municipality in Bahia? What are the facilities, difficulties and challenges after the implantation of the More Doctors Program for the work process in the Family Health Strategy in a municipality in Bahia? The general objective is to analyze the work process in health in the Family Health Strategy, after the implantation of the more doctors program in a municipality of Bahia; And specific objectives: to describe the constitutive elements of the health work process in the Family Health Strategy in a municipality of Bahia; To discuss the facilities, difficulties and challenges encountered in the teamwork of the Family Health Strategy after the implantation of the more doctors program in a municipality in Bahia. This is a case study with a qualitative approach,whose project was submitted to the Research Ethics Committee of the UEFS and approved according to opinion number: 1.530.791. The data collection, carried out from June to July 2016, occurred through a semi-structured interview with twelve health workers and ninefamily health unit users analyzed; document analysis; and systematic observation. The empirical material was analyzed using the content analysis technique proposed by Bardin (2011).The care model is centered on the care of the community through clinical procedures and consultations to the detriment of activities aimed at health promotion. The actions developed are based on ministerial programs and the fragmentation of care, where each worker performs his actions individually, with few moments of interaction between the teams, especially the Oral Health Teams. Regarding the implantation of the program more doctors, no changes were found in the work process of other health workers, but the adaptation of foreign physicians to a biological health system.However, it was noticed the recognition of the community and the majority of the workers regarding the differentiated care of the doctors of the program who started to stay in the family health unit full-time, having only an employment relationship. Also, difficulties were not recognized that prevented care on behalf of the language of doctors. Among the difficulties, it should be noted that the program has not yet contributed to the advancement of the family health unit infrastructure, being found problems regarding the lack of materials, instruments and inputs important for the continuity of work, as well as the of the users, for the accomplishment of educative activities in detriment to the assistencialist practices. In this sense, the great challenge is the reformulation of the health work process, so that the core of the professional activity is centered on the users, breaking the paradigm of individualized actions, with a view to strengthening teamwork. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-04-11 |
dc.date.accessioned.fl_str_mv |
2018-01-30T23:00:25Z |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTANA, L?via Leal Lopes de. Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos. 2017. 185 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017. |
dc.identifier.uri.fl_str_mv |
http://localhost:8080/tede/handle/tede/590 |
identifier_str_mv |
SANTANA, L?via Leal Lopes de. Processo de trabalho na estrat?gia sa?de da fam?lia ap?s a implanta??o do Programa Mais M?dicos. 2017. 185 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017. |
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Universidade Estadual de Feira de Santana |
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