Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)

Detalhes bibliográficos
Autor(a) principal: Castro , Cristiane Pereira de
Data de Publicação: 2022
Outros Autores: Nigro , Daniele Sacardo, Campos , Gastão Wagner de Sousa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/976
Resumo: This study had the aim of understanding the dynamics of the process of institutionalization of the only Family Health Support Center set up in the city of Campinas, in the state of São Paulo, Brazil. Even though the city is a pioneer in the practice of matrix support, in it, the establishment of the Center happens at a very slow pace, and it is relevant to identify the factors related to the inexpressive presence of this organizational arrangement, as well as to analyze its practices. We chose to make a single-case research, and, in order to produce the empirical material, we used participant observation and focal groups. The data were grouped in two axes: the ‘made history’, which focus on the context of the municipal health policies; and ‘history in the making’, which refers to the comprehension of the perceptions of the participants of that history. We observed that the experience of the studied Family Health Support Center presents potentialities and tensions. The matrix support methodology is the basis of the practice of the team, and favors the bond with primary health care, the development of an interactive interprofessional relationship, guided by the exchange of knowledge and the strengthening of the work in network. However, the difficulties in the expansion of these centers as an imperative organizational arrangement point to the permanence of the tensions regarding the history of the conformation of the matrix practices, which are based on independent teams and are organized by topics.
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spelling Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)Núcleo de Apoyo a la Salud de la Familia y trabajo interprofesional: la experiencia del municipio de Campinas (São Paulo, Brasil)Núcleo de Apoio à Saúde da Família e trabalho interprofissional: a experiência do município de Campinas (SP)apoio matricialNúcleo de Apoio à Saúde da Famíliaatenção primária à saúdematrix supportFamily Health Support Centerprimary health careapoyo matricialNúcleo de Apoyo a la Salud de la Familiaatención primiaria de la saludThis study had the aim of understanding the dynamics of the process of institutionalization of the only Family Health Support Center set up in the city of Campinas, in the state of São Paulo, Brazil. Even though the city is a pioneer in the practice of matrix support, in it, the establishment of the Center happens at a very slow pace, and it is relevant to identify the factors related to the inexpressive presence of this organizational arrangement, as well as to analyze its practices. We chose to make a single-case research, and, in order to produce the empirical material, we used participant observation and focal groups. The data were grouped in two axes: the ‘made history’, which focus on the context of the municipal health policies; and ‘history in the making’, which refers to the comprehension of the perceptions of the participants of that history. We observed that the experience of the studied Family Health Support Center presents potentialities and tensions. The matrix support methodology is the basis of the practice of the team, and favors the bond with primary health care, the development of an interactive interprofessional relationship, guided by the exchange of knowledge and the strengthening of the work in network. However, the difficulties in the expansion of these centers as an imperative organizational arrangement point to the permanence of the tensions regarding the history of the conformation of the matrix practices, which are based on independent teams and are organized by topics.Este estudio busca comprender la dinámica del proceso de institucionalización del único Núcleo de Apoyo a la Salud de la Familia implantado en la ciudad de Campinas, estado de São Paulo. Si bien se trata de un municipio precursor en la práctica de apoyo matricial, la implantación del Núcleo se produce a un ritmo lento, siendo importante identificar los factores relacionados a la inexpresiva presencia de esta estructura organizacional, así como analizar sus prácticas. Se optó por el uso del estudio de caso único, y para la elaboración de material empírico se utilizó la observación participante y grupos focales. Los datos se agruparon en dos ejes: la ‘historia hecha’, centrado en el contexto de las políticas de salud municipales; y la ‘historia en desarrollo’, que hace referencia a la comprensión de las percepciones de los participantes de aquella historia. Se observó que la experiencia del Núcleo de Apoyo a la Salud de la Familia estudiado presenta potenciales y tensiones. La metodología del apoyo matricial da fundamentos al trabajo en equipo y favorece el vínculo con la atención básica, el desarrollo de una relación interprofesional interactiva basada en el intercambio de conocimientos y el fortalecimiento del trabajo en red. Sin embargo, las dificultades para la ampliación de estos núcleos como estructura organizacional prioritaria indican la persistencia de tensiones relacionadas a la conformación histórica de las prácticas con apoyo matricial, basadas en equipos autónomos y organizados por áreas temáticas.Este estudo buscou compreender a dinâmica do processo de institucionalização do único Núcleo de Apoio à Saúde da Família implantado em Campinas, São Paulo. Embora seja município precursor da prática de apoio matricial, nele a implantação do Núcleo ocorre em ritmo lento, sendo relevante identificar fatores relacionados à inexpressiva presença deste arranjo organizacional, assim como analisar suas práticas. Optou-se pelo emprego do estudo de caso único, e para a produção de material empírico utilizou-se a observação participante e grupos focais. Os dados foram agrupados em dois eixos: a ‘história feita’, focalizando o contexto das políticas de saúde municipais; a ‘história se fazendo’, que remete à compreensão das percepções dos participantes daquela história. Observou-se que a experiência do Núcleo de Apoio à Saúde da Família estudado apresenta potencialidades e tensões. A metodologia do apoio matricial fundamenta a atuação da equipe e favorece o vínculo com a atenção básica, o desenvolvimento de uma relação interprofissional interativa, pautada no intercâmbio de conhecimentos e fortalecimento do trabalho em rede. Entretanto, as dificuldades para a ampliação desses núcleos como arranjo organizacional prioritário indicam a permanência de tensões que remetem ao histórico de conformação das práticas de matriciamento, pautadas em equipes autônomas e organizadas por áreas temáticas.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-07-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/97610.1590/1981-7746-sol00143 Trabalho, Educação e Saúde; v. 16 n. 3 (2018)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/976/240Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCastro , Cristiane Pereira de Nigro , Daniele SacardoCampos , Gastão Wagner de Sousa 2022-07-15T17:42:05Zoai:ojs.pkp.sfu.ca:article/976Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:02.169257Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
Núcleo de Apoyo a la Salud de la Familia y trabajo interprofesional: la experiencia del municipio de Campinas (São Paulo, Brasil)
Núcleo de Apoio à Saúde da Família e trabalho interprofissional: a experiência do município de Campinas (SP)
title Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
spellingShingle Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
Castro , Cristiane Pereira de
apoio matricial
Núcleo de Apoio à Saúde da Família
atenção primária à saúde
matrix support
Family Health Support Center
primary health care
apoyo matricial
Núcleo de Apoyo a la Salud de la Familia
atención primiaria de la salud
title_short Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
title_full Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
title_fullStr Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
title_full_unstemmed Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
title_sort Family Health Support Center and interprofessional labor: the experience of the municipality of Campinas (São Paulo, Brazil)
author Castro , Cristiane Pereira de
author_facet Castro , Cristiane Pereira de
Nigro , Daniele Sacardo
Campos , Gastão Wagner de Sousa
author_role author
author2 Nigro , Daniele Sacardo
Campos , Gastão Wagner de Sousa
author2_role author
author
dc.contributor.author.fl_str_mv Castro , Cristiane Pereira de
Nigro , Daniele Sacardo
Campos , Gastão Wagner de Sousa
dc.subject.por.fl_str_mv apoio matricial
Núcleo de Apoio à Saúde da Família
atenção primária à saúde
matrix support
Family Health Support Center
primary health care
apoyo matricial
Núcleo de Apoyo a la Salud de la Familia
atención primiaria de la salud
topic apoio matricial
Núcleo de Apoio à Saúde da Família
atenção primária à saúde
matrix support
Family Health Support Center
primary health care
apoyo matricial
Núcleo de Apoyo a la Salud de la Familia
atención primiaria de la salud
description This study had the aim of understanding the dynamics of the process of institutionalization of the only Family Health Support Center set up in the city of Campinas, in the state of São Paulo, Brazil. Even though the city is a pioneer in the practice of matrix support, in it, the establishment of the Center happens at a very slow pace, and it is relevant to identify the factors related to the inexpressive presence of this organizational arrangement, as well as to analyze its practices. We chose to make a single-case research, and, in order to produce the empirical material, we used participant observation and focal groups. The data were grouped in two axes: the ‘made history’, which focus on the context of the municipal health policies; and ‘history in the making’, which refers to the comprehension of the perceptions of the participants of that history. We observed that the experience of the studied Family Health Support Center presents potentialities and tensions. The matrix support methodology is the basis of the practice of the team, and favors the bond with primary health care, the development of an interactive interprofessional relationship, guided by the exchange of knowledge and the strengthening of the work in network. However, the difficulties in the expansion of these centers as an imperative organizational arrangement point to the permanence of the tensions regarding the history of the conformation of the matrix practices, which are based on independent teams and are organized by topics.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/976
10.1590/1981-7746-sol00143
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/976
identifier_str_mv 10.1590/1981-7746-sol00143
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/976/240
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 16 n. 3 (2018)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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