Family health and primary health care expanded Support center: analysis of the work process

Detalhes bibliográficos
Autor(a) principal: Nascimento, Arthur Grangeiro do
Data de Publicação: 2022
Outros Autores: Cordeiro, Joselma Cavalcanti
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/893
Resumo: The present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center locatedin a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.
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spelling Family health and primary health care expanded Support center: analysis of the work processNúcleo ampliado de salud de la familia y atención básica: análisis del proceso de trabajoNúcleo ampliado de saúde da família e atenção Básica: análise do processo de trabalhoAtenção primária à saúdeTrabalho em saúdePessoal de saúdeEstratégia Saúde da FamíliaPesquisa qualitativaprimary healthcarework in healthhealth personnelfamily health strategyqualitative researchatención primaria de la saludtrabajo en saludpersonal de saludEstrategia de Salud de la Familiainvestigación cualitativaThe present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center locatedin a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.El artículo tiene el objetivo de analizar el proceso de trabajo de un equipo del Núcleo Ampliado de Salud de la Familia y Atención Básica ubicado en un municipio del Estado de Pernambuco, Brasil. Se trata de un estudio de caso con enfoque cualitativo, de carácter analítico-descriptivo. Las técnicas empleadas para la recogida de datos fueron los grupos focales y mapas analíticos; para organización y análisis, se adoptó la técnica del Discurso del Sujeto Colectivo. El análisis del proceso de trabajo reveló concepciones en el discurso del equipo de un ‘deber ser’ pautado por lo propuesto por el Ministerio de Salud de Brasil. Sin embargo, se identificaron los siguientes aspectos: poco éxito en ejecutar el apoyo matricial; no se logra obtener éxito en la construcción de acuerdos sobre el proceso de trabajo; el trabajo es fragmentado y con foco asistencialista; no se utilizan tecnologías de análisis e intervención familiar y poblacional. Se observó además una escasa práctica de planificación de las acciones. Esto revela una actuación distante de lo que se concibe como adecuado por el propio equipo. Se identificaron factores problemáticos, internos y externos al equipo. Se indica partir de un análisis del proceso de trabajo realizado por el propio equipo, contribuyendo para obtener una mayor capacidad de resolución.O artigo tem o objetivo de analisar o processo de trabalho de uma equipe do Núcleo Ampliado de Saúde da Família e Atenção Básica localizado em um município de Pernambuco. Trata-se de um estudo de caso com enfoque qualitativo, de caráter analítico-descritivo. As técnicas empregadas para a coleta de dados foram os grupos focais e mapas analíticos; para organização e análise, adotou-se a técnica do Discurso do Sujeito Coletivo. A análise do processo de trabalho revelou concepções no discurso da equipe de um ‘dever ser’ pautado no que é preconizado pelo Ministério da Saúde. Entretanto, foram identificados os seguintes aspectos: há pouco êxito em executar o apoio matricial; não há sucesso na construção de pactuações sobre o processo de trabalho; o trabalho é fragmentado e com foco assistencialista; não há utilização de tecnologias de análise e intervenção familiar e populacional. Observouse, também, escassa prática de planejamento das ações. Isso revela uma atuação distante do que se concebe como adequada pela própria equipe. Fatores problemáticos, internos e externos à equipe foram identificados. Indicase partir de uma análise do processo de trabalho realizadapela própria equipe, contribuindo para o alcance de maior resolutividade.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/89310.1590/1981-7746-sol00194Trabalho, Educação e Saúde; v. 17 n. 2 (2019); 201981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/893/195Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNascimento, Arthur Grangeiro do Cordeiro, Joselma Cavalcanti 2022-06-24T18:57:00Zoai:ojs.pkp.sfu.ca:article/893Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:58.219751Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Family health and primary health care expanded Support center: analysis of the work process
Núcleo ampliado de salud de la familia y atención básica: análisis del proceso de trabajo
Núcleo ampliado de saúde da família e atenção Básica: análise do processo de trabalho
title Family health and primary health care expanded Support center: analysis of the work process
spellingShingle Family health and primary health care expanded Support center: analysis of the work process
Nascimento, Arthur Grangeiro do
Atenção primária à saúde
Trabalho em saúde
Pessoal de saúde
Estratégia Saúde da Família
Pesquisa qualitativa
primary healthcare
work in health
health personnel
family health strategy
qualitative research
atención primaria de la salud
trabajo en salud
personal de salud
Estrategia de Salud de la Familia
investigación cualitativa
title_short Family health and primary health care expanded Support center: analysis of the work process
title_full Family health and primary health care expanded Support center: analysis of the work process
title_fullStr Family health and primary health care expanded Support center: analysis of the work process
title_full_unstemmed Family health and primary health care expanded Support center: analysis of the work process
title_sort Family health and primary health care expanded Support center: analysis of the work process
author Nascimento, Arthur Grangeiro do
author_facet Nascimento, Arthur Grangeiro do
Cordeiro, Joselma Cavalcanti
author_role author
author2 Cordeiro, Joselma Cavalcanti
author2_role author
dc.contributor.author.fl_str_mv Nascimento, Arthur Grangeiro do
Cordeiro, Joselma Cavalcanti
dc.subject.por.fl_str_mv Atenção primária à saúde
Trabalho em saúde
Pessoal de saúde
Estratégia Saúde da Família
Pesquisa qualitativa
primary healthcare
work in health
health personnel
family health strategy
qualitative research
atención primaria de la salud
trabajo en salud
personal de salud
Estrategia de Salud de la Familia
investigación cualitativa
topic Atenção primária à saúde
Trabalho em saúde
Pessoal de saúde
Estratégia Saúde da Família
Pesquisa qualitativa
primary healthcare
work in health
health personnel
family health strategy
qualitative research
atención primaria de la salud
trabajo en salud
personal de salud
Estrategia de Salud de la Familia
investigación cualitativa
description The present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center locatedin a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-24
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/893
10.1590/1981-7746-sol00194
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/893
identifier_str_mv 10.1590/1981-7746-sol00194
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/893/195
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. 17 n. 2 (2019); 20
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
_version_ 1798943469265223680

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