Family Health Support Centers: conceptions, implications and challenges for the matrix support

Detalhes bibliográficos
Autor(a) principal: Bispo Júnior, José Patrício
Data de Publicação: 2022
Outros Autores: Moreira, Diane Costa
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/1020
Resumo: This study intended to analyze the assigned meaning and the contributions of the work of the Family Health Support Centers, as well as the barriers and challenges to the daily practice of matrix support. This is a qualitative study involving multiple cases, which was performed in six cities in Bahia, Brazil. Semi-structured interviews were conducted with 43 professionals from the support centers and 40 from the family health teams. We used the theoretical reference of the matrix support in the pedagogical, therapeutic and institutional dimensions. The results were grouped into three categories: (Mis) Understandings about the work of the support centers; Infrastructure and working conditions; Appreciation and management of work. Our study has unveiled divergent understandings among supporters and family health teams about the role of the matrix support process, with conflicting expectations and implications for work. The current infrastructure has proved to be insufficient and inappropriate for the work of matrix support. The little appreciation of the support centers was also highlighted through the low adherence of the community to the collective activities, unsatisfactory wages and excessive workload. Misunderstandings about the innovative nature of matrix support and structural difficulties indicate outstanding challenges for achieving the supportive function.
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spelling Family Health Support Centers: conceptions, implications and challenges for the matrix supportNúcleos de Apoyo a la Salud de la Familia: concepciones, implicaciones y desafíos para el apoyo matricialNúcleos de Apoio à Saúde da Família: concepções, implicações e desafios para o apoio matricialatenção primária à saúdesaúde da famíliaequipe de assistência ao pacientepessoal de saúdeprimary health carefamily healthpatient care teamhealth personnelatención primaria de la saludsalud de la familiagrupo de atención al pacientepersonal de saludThis study intended to analyze the assigned meaning and the contributions of the work of the Family Health Support Centers, as well as the barriers and challenges to the daily practice of matrix support. This is a qualitative study involving multiple cases, which was performed in six cities in Bahia, Brazil. Semi-structured interviews were conducted with 43 professionals from the support centers and 40 from the family health teams. We used the theoretical reference of the matrix support in the pedagogical, therapeutic and institutional dimensions. The results were grouped into three categories: (Mis) Understandings about the work of the support centers; Infrastructure and working conditions; Appreciation and management of work. Our study has unveiled divergent understandings among supporters and family health teams about the role of the matrix support process, with conflicting expectations and implications for work. The current infrastructure has proved to be insufficient and inappropriate for the work of matrix support. The little appreciation of the support centers was also highlighted through the low adherence of the community to the collective activities, unsatisfactory wages and excessive workload. Misunderstandings about the innovative nature of matrix support and structural difficulties indicate outstanding challenges for achieving the supportive function.Este estudio teve como meta analizar el sentido atribuido al trabajo de los Núcleos de Apoyo a la Salud de la Familia, así como analizar los obstáculos y desafíos para la práctica cotidiana del apoyo matricial. Es un estudio cualitativo del tipo casos múltiples desarrollado en seis municipios de Bahía, Brasil. Se realizaron entrevistas semiestructuradas a 43 profesionales de los núcleos de apoyo y 40 de los equipos de salud de la familia. Se utilizó el referencial teórico del apoyo matricial en las dimensiones pedagógica, terapéutica e institucional. Los resultados se agruparon en tres categorias: (in)comprensión del trabajo de los núcleos de apoyo; infraestructura y condiciones de trabajo; valorización y gestión del trabajo. El estudio identificó diferentes comprensiones sobre el apoyo matrilcial entre profesionales de los núcleos de apoyo y de los equipos de salud de la família, con expectativas conflictivas e implicaciones para el trabajo. La infraestructura es insuficiente e inadecuada para el trabajo. La baja valorización de los núcleos de apoyo también se mostró com la pequeña adhesión de la comunidad a las actividades colectivas, la remuneración insatisfactoria y la sobrecarga de trabajo. Incomprensiones sobre el carácter innovador del matriciamiento y dificultades estructurales apuntan desafíos aún persistentes para la concreción de la función de apoyoO estudo objetivou analisar o sentido atribuído ao trabalho dos Núcleos de Apoio à Saúde da Família, assim como analisar os entraves e desafios para a prática cotidiana do apoio matricial. É um estudo qualitativo do tipo casos múltiplos, desenvolvido em seis municípios da Bahia. Foram realizadas entrevistas semiestruturadas com 43 profissionais dos núcleos de apoio e 40 das equipes de saúde da família. Utilizou-se o referencial teórico do apoio matricial nas dimensões pedagógica, terapêutica e institucional. Os resultados foram agrupados em três categorias: (in)compreensões sobre o trabalho dos núcleos de apoio; infraestrutura e condições de trabalho; valorização e gestão do trabalho. O estudo revelou existir compreensões divergentes entre os apoiadores e as equipes de saúde da família sobre a função do matriciamento, com expectativas conflitantes e implicações para o trabalho. A infraestrutura existente mostrou-se insuficiente e inadequada para o trabalho do apoio matricial. A baixa valorização dos núcleos de apoio também foi evidenciada por meio da diminuta adesão da comunidade às atividades coletivas, da remuneração insatisfatória e da sobrecarga de trabalho. Incompreensões sobre o caráter inovador do matriciamento e dificuldades estruturais apontam desafios ainda persistentes para a concretização da função de apoio.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/102010.1590/1981-7746-sol00122 Trabalho, Educação e Saúde; v. 16 n. 2 (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/1020/276Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBispo Júnior, José Patrício Moreira, Diane Costa 2022-07-15T17:42:38Zoai:ojs.pkp.sfu.ca:article/1020Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:05.036950Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Family Health Support Centers: conceptions, implications and challenges for the matrix support
Núcleos de Apoyo a la Salud de la Familia: concepciones, implicaciones y desafíos para el apoyo matricial
Núcleos de Apoio à Saúde da Família: concepções, implicações e desafios para o apoio matricial
title Family Health Support Centers: conceptions, implications and challenges for the matrix support
spellingShingle Family Health Support Centers: conceptions, implications and challenges for the matrix support
Bispo Júnior, José Patrício
atenção primária à saúde
saúde da família
equipe de assistência ao paciente
pessoal de saúde
primary health care
family health
patient care team
health personnel
atención primaria de la salud
salud de la familia
grupo de atención al paciente
personal de salud
title_short Family Health Support Centers: conceptions, implications and challenges for the matrix support
title_full Family Health Support Centers: conceptions, implications and challenges for the matrix support
title_fullStr Family Health Support Centers: conceptions, implications and challenges for the matrix support
title_full_unstemmed Family Health Support Centers: conceptions, implications and challenges for the matrix support
title_sort Family Health Support Centers: conceptions, implications and challenges for the matrix support
author Bispo Júnior, José Patrício
author_facet Bispo Júnior, José Patrício
Moreira, Diane Costa
author_role author
author2 Moreira, Diane Costa
author2_role author
dc.contributor.author.fl_str_mv Bispo Júnior, José Patrício
Moreira, Diane Costa
dc.subject.por.fl_str_mv atenção primária à saúde
saúde da família
equipe de assistência ao paciente
pessoal de saúde
primary health care
family health
patient care team
health personnel
atención primaria de la salud
salud de la familia
grupo de atención al paciente
personal de salud
topic atenção primária à saúde
saúde da família
equipe de assistência ao paciente
pessoal de saúde
primary health care
family health
patient care team
health personnel
atención primaria de la salud
salud de la familia
grupo de atención al paciente
personal de salud
description This study intended to analyze the assigned meaning and the contributions of the work of the Family Health Support Centers, as well as the barriers and challenges to the daily practice of matrix support. This is a qualitative study involving multiple cases, which was performed in six cities in Bahia, Brazil. Semi-structured interviews were conducted with 43 professionals from the support centers and 40 from the family health teams. We used the theoretical reference of the matrix support in the pedagogical, therapeutic and institutional dimensions. The results were grouped into three categories: (Mis) Understandings about the work of the support centers; Infrastructure and working conditions; Appreciation and management of work. Our study has unveiled divergent understandings among supporters and family health teams about the role of the matrix support process, with conflicting expectations and implications for work. The current infrastructure has proved to be insufficient and inappropriate for the work of matrix support. The little appreciation of the support centers was also highlighted through the low adherence of the community to the collective activities, unsatisfactory wages and excessive workload. Misunderstandings about the innovative nature of matrix support and structural difficulties indicate outstanding challenges for achieving the supportive function.
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/1020
10.1590/1981-7746-sol00122
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1020
identifier_str_mv 10.1590/1981-7746-sol00122
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/1020/276
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. 2 (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
_version_ 1798943470087307264

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