Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Terapia Ocupacional da Universidade de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rto/article/view/46444 |
Resumo: | The Family Healthcare Support Nuclei/NASF were created in 2008 by the Ministry of the Health to support the Family Healthcare Strategy Teams (EqSF) and today they are one of the main fields of work for occupational therapists. Different healthcare providers work at the NASFs, who are supposed to share the work with the EqSFs based on the strategy of interconnected basic (preventive care/public education), secondary (diagnosis/treatment) and tertiary (healing/rehabilitation) public healthcare services. The NASFs have been irregularly implemented, without adequate qualification processes, with a bad definition of roles and work processes sometimes conflicting with those of the EqSFs, without relying on consolidated experiences where to base their practices on. Some demands for rehabilitation cannot be met due to shortage of adequate services in the healthcare network. Starting from a bibliographical review mainly based on the Ministry of the Health’s documents, a previous work experience of one of the authors in NASF teams, and on preliminary results of a research on the theme, this article contextualizes the NASFs implementation and reflects upon the insertion and performance of occupational therapists in those teams. Inserting and defining the work processes of different healthcare providers, particularly those of occupational therapists, have been based on documents with generic guidelines that fail to specify, discriminate or support daily practices. The focus on actions targeted on interconnecting basic, secondary and tertiary public healthcare services disposed in those guidelines conflicts with the population’s demands for specific rehabilitation care, among others, which results in overloaded and unsupported professionals unable to meet such demands. Descriptors: Family healthcare support nuclei, basic healthcare services, work process in healthcare, occupational therapy. |
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Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfacesEstratégia de saúde da família (ESF), Núcleo de Apoio à Saúde da Família (NASF) e terapia ocupacional: problematizando as interfacesSaúde da família/recursos humanosAtenção primária à saúdeSaúde do trabalhadorTerapia ocupacional.Family health/manpowerPrimary health careOccupational healthOccupational therapy.The Family Healthcare Support Nuclei/NASF were created in 2008 by the Ministry of the Health to support the Family Healthcare Strategy Teams (EqSF) and today they are one of the main fields of work for occupational therapists. Different healthcare providers work at the NASFs, who are supposed to share the work with the EqSFs based on the strategy of interconnected basic (preventive care/public education), secondary (diagnosis/treatment) and tertiary (healing/rehabilitation) public healthcare services. The NASFs have been irregularly implemented, without adequate qualification processes, with a bad definition of roles and work processes sometimes conflicting with those of the EqSFs, without relying on consolidated experiences where to base their practices on. Some demands for rehabilitation cannot be met due to shortage of adequate services in the healthcare network. Starting from a bibliographical review mainly based on the Ministry of the Health’s documents, a previous work experience of one of the authors in NASF teams, and on preliminary results of a research on the theme, this article contextualizes the NASFs implementation and reflects upon the insertion and performance of occupational therapists in those teams. Inserting and defining the work processes of different healthcare providers, particularly those of occupational therapists, have been based on documents with generic guidelines that fail to specify, discriminate or support daily practices. The focus on actions targeted on interconnecting basic, secondary and tertiary public healthcare services disposed in those guidelines conflicts with the population’s demands for specific rehabilitation care, among others, which results in overloaded and unsupported professionals unable to meet such demands. Descriptors: Family healthcare support nuclei, basic healthcare services, work process in healthcare, occupational therapy.Os Núcleos de Apoio à Saúde da Família/NASF foram criados em 2008, pelo Ministério da Saúde, com vistas a apoiar as Equipes da Estratégia de Saúde da Família (EqSF) e, constituem-se hoje, num dos principais campos de trabalho para os terapeutas ocupacionais. Trabalham nos NASFs, profissionais de diferentes categorias, que devem atuar de forma compartilhada com as EqSF’s a partir da estratégia do matriciamento. A implantação dos NASFs tem ocorrido de maneira irregular, sem capacitação apropriada, com má definição de papéis, com processos de trabalho por vezes conflituosos com as EqSF e sem contar com experiências já consolidadas que embasem as práticas. Contrasta ainda, demandas por ações de reabilitação, fruto da carência de serviços apropriados na rede de serviços de saúde. A partir de análise de documentos ministeriais, experiência prévia de trabalho de uma das autoras em equipe NASF e dos resultados preliminares de pesquisa sobre a temática, procurou-se contextualizar a implantação dos NASFs e refletir sobre a inserção e atuação dos terapeutas ocupacionais nessas equipes. A inserção e a definição do processo de trabalho dos vários profissionais e, dos terapeutas ocupacionais em particular, têm sido definidas através de documentos norteadores genéricos, que não especificam, não discriminam, nem dão suporte para as práticas cotidianas. O foco em ações de matriciamento previsto nos documentos norteadores conflita com as demandas da população por atendimentos específicos em nível de reabilitação, por exemplo, deixando os profissionais sobrecarregados e sem suporte para responder a essas demandas.Universidade de São Paulo. Faculdade de Medicina2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rto/article/view/4644410.11606/issn.2238-6149.v22i3p263-269Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 Núm. 3 (2011); 263-269Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 No. 3 (2011); 263-269Revista de Terapia Ocupacional da Universidade de São Paulo; v. 22 n. 3 (2011); 263-2692238-61491415-9104reponame:Revista de Terapia Ocupacional da Universidade de São Pauloinstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rto/article/view/46444/50200Lancman, SelmaBarros, Juliana Oliveirainfo:eu-repo/semantics/openAccess2015-06-16T10:57:32Zoai:revistas.usp.br:article/46444Revistahttp://www.revistas.usp.br/rtoPUBhttps://www.revistas.usp.br/rto/oai||revto@usp.br2238-61491415-9104opendoar:2015-06-16T10:57:32Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces Estratégia de saúde da família (ESF), Núcleo de Apoio à Saúde da Família (NASF) e terapia ocupacional: problematizando as interfaces |
title |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
spellingShingle |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces Lancman, Selma Saúde da família/recursos humanos Atenção primária à saúde Saúde do trabalhador Terapia ocupacional. Family health/manpower Primary health care Occupational health Occupational therapy. |
title_short |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
title_full |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
title_fullStr |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
title_full_unstemmed |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
title_sort |
Family health strategy (ESF), Family Health Support Nuclei (NASF) & occupational therapy: questioning the interfaces |
author |
Lancman, Selma |
author_facet |
Lancman, Selma Barros, Juliana Oliveira |
author_role |
author |
author2 |
Barros, Juliana Oliveira |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Lancman, Selma Barros, Juliana Oliveira |
dc.subject.por.fl_str_mv |
Saúde da família/recursos humanos Atenção primária à saúde Saúde do trabalhador Terapia ocupacional. Family health/manpower Primary health care Occupational health Occupational therapy. |
topic |
Saúde da família/recursos humanos Atenção primária à saúde Saúde do trabalhador Terapia ocupacional. Family health/manpower Primary health care Occupational health Occupational therapy. |
description |
The Family Healthcare Support Nuclei/NASF were created in 2008 by the Ministry of the Health to support the Family Healthcare Strategy Teams (EqSF) and today they are one of the main fields of work for occupational therapists. Different healthcare providers work at the NASFs, who are supposed to share the work with the EqSFs based on the strategy of interconnected basic (preventive care/public education), secondary (diagnosis/treatment) and tertiary (healing/rehabilitation) public healthcare services. The NASFs have been irregularly implemented, without adequate qualification processes, with a bad definition of roles and work processes sometimes conflicting with those of the EqSFs, without relying on consolidated experiences where to base their practices on. Some demands for rehabilitation cannot be met due to shortage of adequate services in the healthcare network. Starting from a bibliographical review mainly based on the Ministry of the Health’s documents, a previous work experience of one of the authors in NASF teams, and on preliminary results of a research on the theme, this article contextualizes the NASFs implementation and reflects upon the insertion and performance of occupational therapists in those teams. Inserting and defining the work processes of different healthcare providers, particularly those of occupational therapists, have been based on documents with generic guidelines that fail to specify, discriminate or support daily practices. The focus on actions targeted on interconnecting basic, secondary and tertiary public healthcare services disposed in those guidelines conflicts with the population’s demands for specific rehabilitation care, among others, which results in overloaded and unsupported professionals unable to meet such demands. Descriptors: Family healthcare support nuclei, basic healthcare services, work process in healthcare, occupational therapy. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rto/article/view/46444 10.11606/issn.2238-6149.v22i3p263-269 |
url |
https://www.revistas.usp.br/rto/article/view/46444 |
identifier_str_mv |
10.11606/issn.2238-6149.v22i3p263-269 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rto/article/view/46444/50200 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 Núm. 3 (2011); 263-269 Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 No. 3 (2011); 263-269 Revista de Terapia Ocupacional da Universidade de São Paulo; v. 22 n. 3 (2011); 263-269 2238-6149 1415-9104 reponame:Revista de Terapia Ocupacional da Universidade de São Paulo instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Terapia Ocupacional da Universidade de São Paulo |
collection |
Revista de Terapia Ocupacional da Universidade de São Paulo |
repository.name.fl_str_mv |
Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revto@usp.br |
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1754650228737179648 |