Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o?
Ano de defesa: | 2010 |
---|---|
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://tede2.uefs.br:8080/handle/tede/1178 |
Resumo: | This paper discusses the practice of health staff at the Family Health Strategy (FHS), which occurs through access to services, transversalized by the possibility of development of the link-responsibility in Bahia, Brazil in 2009. This is a qualitative research, with the techniques of data collection: semi-structured interviews and systematic observation. The flowchart analyzer guided the data analysis. The study subjects were 29 people: group I (health workers-18): group II (users-9), group III (managers - 2). Results showed that access occurs preferentially through the arrival order, the family registration and programs aimed at specific groups. The initial contact in the "Family Health" is held at reception, a privileged space for the use ofsoft technology, being manifested in a tense and conflicting way, but with the potential to construct new ways to welcome the user. The practice procedure guides focused attention on the FHS, emphasizing also the emergency room, pictured in emergency/ urgency care. The therapeutic process varies: clinical appointment, emergency care, scheduled returns, health education, home visits, team meetings and with the community or by referral to other network services. However, the health teams perform various forms of "attention" at the entrance, being dependent on the commitment and subjectivity of that work in practice and the development or not of the link responsibility in the (co) production of care. The network of relations established in practice for health care manifests itself from different carer acts of subjects intertwined in practice (management, workers and users), according to the uniqueness and commitment of everyone who works in the strategy, which depending on the intent, express several degrees of link- responsibility. However, some activities performed by nurses were more susceptible to new therapeutic attitudes, expressed by the users' satisfaction. The study highlights the need to advance in the (re) signification of practices to enhance the improvement of access at "gateway" system. |
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Assis, Marluce Maria de Ara?jo81171900449http://lattes.cnpq.br/5088411605267393Amorim, Anne Caroline Coelho Leal Arias2020-06-15T21:17:41Z2010-03-25AMORIM, Anne Caroline Coelho Leal Arias. Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o?. 2010. 112 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2010.http://tede2.uefs.br:8080/handle/tede/1178This paper discusses the practice of health staff at the Family Health Strategy (FHS), which occurs through access to services, transversalized by the possibility of development of the link-responsibility in Bahia, Brazil in 2009. This is a qualitative research, with the techniques of data collection: semi-structured interviews and systematic observation. The flowchart analyzer guided the data analysis. The study subjects were 29 people: group I (health workers-18): group II (users-9), group III (managers - 2). Results showed that access occurs preferentially through the arrival order, the family registration and programs aimed at specific groups. The initial contact in the "Family Health" is held at reception, a privileged space for the use ofsoft technology, being manifested in a tense and conflicting way, but with the potential to construct new ways to welcome the user. The practice procedure guides focused attention on the FHS, emphasizing also the emergency room, pictured in emergency/ urgency care. The therapeutic process varies: clinical appointment, emergency care, scheduled returns, health education, home visits, team meetings and with the community or by referral to other network services. However, the health teams perform various forms of "attention" at the entrance, being dependent on the commitment and subjectivity of that work in practice and the development or not of the link responsibility in the (co) production of care. The network of relations established in practice for health care manifests itself from different carer acts of subjects intertwined in practice (management, workers and users), according to the uniqueness and commitment of everyone who works in the strategy, which depending on the intent, express several degrees of link- responsibility. However, some activities performed by nurses were more susceptible to new therapeutic attitudes, expressed by the users' satisfaction. The study highlights the need to advance in the (re) signification of practices to enhance the improvement of access at "gateway" system.O estudo discute a pr?tica da equipe de sa?de na Estrat?gia Sa?de da Fam?lia (EFS), que ocorre por meio do acesso aos servi?os, transversalizada pela possibilidade de desenvolvimento do v?nculo-responsabiliza??o em um cen?rio do rec?ncavo baiano, Brasil, em 2009. Trata-se de uma pesquisa qualitativa, tendo como t?cnicas de coleta de dados: entrevista semi-estruturada e observa??o sistem?tica. O fluxograma analisador orientou a an?lise dos dados. Os sujeitos de estudo foram 29 pessoas: grupo I(trabalhadores de sa?de-18): grupo II (usu?rios-9): grupo III (gestores ? 2). Os resultados revelaram que o acesso ocorre, preferencialmente, por meio da ordem de chegada, do cadastramento familiar e de a??es program?ticas dirigidas a grupos espec?ficos. O contato inicial no ?Sa?de da Fam?lia? realiza-se na recep??o, espa?o privilegiado para utiliza??o das tecnologias leves, sendo manifestado de forma tensa e conflitante, por?m com potencialidade para construir novas formas\de acolher o usu?rio. A pr?tica procedimento centrada orienta a aten??o na ESF, priorizando, ainda, o pronto-atendimento, retratado nas urg?ncias/emerg?ncias. O processo terap?utico ocorre de distintas maneiras: consulta cl?nica, atendimento de urg?ncia, retornos programados, educa??o em sa?de, visitas domiciliares, reuni?es de equipe e desta com a comunidade ou mediante encaminhamentos externos a outros servi?os da rede. Contudo, as equipes de sa?de imprimem diferentes formas de ?aten??o? na porta de entrada, ficando na depend?ncia do comprometimento e subjetividade dos sujeitos que atuam na pr?tica e do desenvolvimento ou n?o do v?nculo-responsabiliza??o na (co)produ??o do cuidado. A rede de rela??es estabelecida na pr?tica das equipes de sa?de manifesta-se a partir de diferentes atos cuidadores dos sujeitos imbricados na pr?tica (gestores, trabalhadores e usu?rios), de acordo com o compromisso e singularidade de cada um que atua na estrat?gia, que a depender da intencionalidade, exprime diferentes graus de v?nculo responsabiliza??o. Entretanto, algumas atividades realizadas pelo enfermeiro mostraram-se mais suscept?veis a novas posturas terap?uticas, manifestadas pela satisfa??o dos usu?rios. O estudo sinaliza para a necessidade de avan?ar na (re)significa??o das pr?ticas para potencializar a melhoria do acesso na ?porta de entrada? do sistema.Submitted by Bruno Matos Nascimento (brunomatos@uefs.br) on 2020-06-15T21:17:41Z No. of bitstreams: 1 DISSERTA??O DE ANNE CAROLINE COELHO LEAL ARIAS AMORIM EM PDF.pdf: 536803 bytes, checksum: d67a8902fae481ac6bafc5e53b7f747d (MD5)Made available in DSpace on 2020-06-15T21:17:41Z (GMT). No. of bitstreams: 1 DISSERTA??O DE ANNE CAROLINE COELHO LEAL ARIAS AMORIM EM PDF.pdf: 536803 bytes, checksum: d67a8902fae481ac6bafc5e53b7f747d (MD5) Previous issue date: 2010-03-25application/pdfporUniversidade Estadual de Feira de SantanaMestrado Acad?mico em Sa?de ColetivaUEFSBrasilDEPARTAMENTO DE SA?DEAcesso aos Servi?os de Sa?dePrograma Sa?de da Fam?liaEquipePr?tica de Sa?deSistema ?nico de Sa?deV?nculoResponsabiliza??oAccess to Health ServicesFamily Health ProgramTeamHealth PracticeNational Health SystemLink-responsibilityCIENCIAS DA SAUDECIENCIAS DA SAUDE::SAUDE COLETIVAProdu??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-212222537660720832660060060060010063955694714778908765449414823306929-6173167103754495199info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALDISSERTA??O DE ANNE CAROLINE COELHO LEAL ARIAS AMORIM EM PDF.pdfDISSERTA??O DE ANNE CAROLINE COELHO LEAL ARIAS AMORIM EM PDF.pdfapplication/pdf536803http://tede2.uefs.br:8080/bitstream/tede/1178/2/DISSERTA%C3%87%C3%83O+DE+ANNE+CAROLINE+COELHO+LEAL+ARIAS+AMORIM+EM+PDF.pdfd67a8902fae481ac6bafc5e53b7f747dMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/1178/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/11782020-06-15 18:17:41.629oai:tede2.uefs.br:8080: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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:2020-06-15T21:17:41Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false |
dc.title.por.fl_str_mv |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
title |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
spellingShingle |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? Amorim, Anne Caroline Coelho Leal Arias Acesso aos Servi?os de Sa?de Programa Sa?de da Fam?lia Equipe Pr?tica de Sa?de Sistema ?nico de Sa?de V?nculo Responsabiliza??o Access to Health Services Family Health Program Team Health Practice National Health System Link-responsibility CIENCIAS DA SAUDE CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
title_full |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
title_fullStr |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
title_full_unstemmed |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
title_sort |
Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o? |
author |
Amorim, Anne Caroline Coelho Leal Arias |
author_facet |
Amorim, Anne Caroline Coelho Leal Arias |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Assis, Marluce Maria de Ara?jo |
dc.contributor.authorID.fl_str_mv |
81171900449 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5088411605267393 |
dc.contributor.author.fl_str_mv |
Amorim, Anne Caroline Coelho Leal Arias |
contributor_str_mv |
Assis, Marluce Maria de Ara?jo |
dc.subject.por.fl_str_mv |
Acesso aos Servi?os de Sa?de Programa Sa?de da Fam?lia Equipe Pr?tica de Sa?de Sistema ?nico de Sa?de V?nculo Responsabiliza??o |
topic |
Acesso aos Servi?os de Sa?de Programa Sa?de da Fam?lia Equipe Pr?tica de Sa?de Sistema ?nico de Sa?de V?nculo Responsabiliza??o Access to Health Services Family Health Program Team Health Practice National Health System Link-responsibility CIENCIAS DA SAUDE CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Access to Health Services Family Health Program Team Health Practice National Health System Link-responsibility |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
This paper discusses the practice of health staff at the Family Health Strategy (FHS), which occurs through access to services, transversalized by the possibility of development of the link-responsibility in Bahia, Brazil in 2009. This is a qualitative research, with the techniques of data collection: semi-structured interviews and systematic observation. The flowchart analyzer guided the data analysis. The study subjects were 29 people: group I (health workers-18): group II (users-9), group III (managers - 2). Results showed that access occurs preferentially through the arrival order, the family registration and programs aimed at specific groups. The initial contact in the "Family Health" is held at reception, a privileged space for the use ofsoft technology, being manifested in a tense and conflicting way, but with the potential to construct new ways to welcome the user. The practice procedure guides focused attention on the FHS, emphasizing also the emergency room, pictured in emergency/ urgency care. The therapeutic process varies: clinical appointment, emergency care, scheduled returns, health education, home visits, team meetings and with the community or by referral to other network services. However, the health teams perform various forms of "attention" at the entrance, being dependent on the commitment and subjectivity of that work in practice and the development or not of the link responsibility in the (co) production of care. The network of relations established in practice for health care manifests itself from different carer acts of subjects intertwined in practice (management, workers and users), according to the uniqueness and commitment of everyone who works in the strategy, which depending on the intent, express several degrees of link- responsibility. However, some activities performed by nurses were more susceptible to new therapeutic attitudes, expressed by the users' satisfaction. The study highlights the need to advance in the (re) signification of practices to enhance the improvement of access at "gateway" system. |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010-03-25 |
dc.date.accessioned.fl_str_mv |
2020-06-15T21:17:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
AMORIM, Anne Caroline Coelho Leal Arias. Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o?. 2010. 112 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2010. |
dc.identifier.uri.fl_str_mv |
http://tede2.uefs.br:8080/handle/tede/1178 |
identifier_str_mv |
AMORIM, Anne Caroline Coelho Leal Arias. Produ??o do cuidado na estrat?gia sa?de da fam?lia em um cen?rio da Bahia: acesso, v?nculo e responsabiliza??o?. 2010. 112 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2010. |
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http://tede2.uefs.br:8080/handle/tede/1178 |
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