Primary Health Care Community of Practice: collective health management horizon memory

• Autor(a) principal: Guizardi, Francini Lube
• Data de Publicação: 2022
• Outros Autores: Machado, Felipe Rangel de Souza, Lemos, Ana Silvia Pavani
• 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/216
• topic: Atenção Primária à Saúde; gestão em saúde; organização e administração; democracia; Primary Health Care; health management; organization and administration; democracy; Atención Primaria de Salud; manejo de la salud; organización y administración; democracia

The research that originated this article aimed to identify experiences of institutional support withinthe scope of Primary Health Care, in order to understand how the proposal is disseminated, the limits, difficulties and results it has achieved in different contexts and realities. The mapping was carried out through documentary research in the Primary Care Community of Practice, resulting in the inclusion of 38 experience reports. The data corroborate the potential of institutional support to foster shared management practices and arrangements in the implementation of health policies and programs, in promoting changes in the teamwork process and in intra- and inter-institutional integration. It is used as a resource to transform normative indicators into social relations and organizational devices in the daily care and management of the Brazilian Unified Health System. The main challenges identified refer to resistance arising from cultural and communicational dynamics related to management concepts and practices influenced by the classical administration model, in addition to a set of operational issues that negatively affect the results achieved. The systematization of experiences made it possible for us to understand that institutional support demands complex mediation skills, which need to be better understood and implemented, especially with regard to community participation.