Conselhos locais de saúde na atenção básica: um estudo de revisão da literatura

• Ano de defesa: 2013
• Autor(a) principal: Brito, Laiz Ayres
• Orientador(a): Queiroz, Maria Goretti
• Banca de defesa: Queiroz, Maria Goretti, Nunes, Maria de Fátima, Marcelo, Vânia Cristina
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Saúde Coletiva (PRPG)
• Departamento: Pró-Reitoria de Pós-graduação (PRPG)
• País: Brasil
• Palavras-chave em Português: Conselhos de saúde; Atenção primária à saúde; Participação comunitária
• Palavras-chave em Inglês: Health councils; Primary health care; Consumer participation
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/4357

Local Health Councils (LHC) were institutionalized through a Federal Resolution number 333/2003 , which recognizes these institutions as mechanisms for popular participation in health , directly linked to health unities in Brazil , Basic Health Units (BHU), outpatient and hospitals. This paper aims to describe the popular participation of LHC in UBS in Brazil. This is a descriptive study of qualitative nature, which uses the integrative literature review as a strategy type like collection and data analysis. Pateman (1992) was used as theoretical reference, about the gradual scale of participation; Demo (2009), which addresses the political quality and organizational capacity from the community to participate, besides the educative function of participation (Pateman, 1992; DEMO, 2009; Freire, 2011a; 2011b; 1979). The LHC educative function in primary health care was not a priority for articles discussion, however, it was realized in the advisor member of Local Councils. In addition, the LHC plays a formative and informative role for counselors and community. In LHC prevails a false participation like barriers for whole community participation, the unfavorable positioning of health management to councils and the difficulty to information access. There is also a difficulty in organization of LHC to participate, considered as a result of incipient culture of participation among councilors and community. The criteria of policy quality participation emphasizes: representativeness, mobilization for people participation, self - support and legitimacy. We identified a low substantive representation of local councilors and the drama of isolated leadership as mobilization for people participation. The LHC also need clearer definitions about their roles, especially collective initiatives. It is suggested an educational investment in councils, which stimulates daily life and culture of participation in all stages of life.