Atenção primária à saúde: qual o lugar da participação da sociedade?

• Autor(a) principal: Oliveira, Andréia de
• Data de Publicação: 2012
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/17580
• topic: Política de saúde; Atenção primária à saúde; Democratização; Participação da sociedade; Conselhos; Health policy; Primary health care; Democratization; Society participation; Advice; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

This thesis focuses on deepening depoliticization of the expressions of social issues in health, remained expressed in the hegemonic medical model and public health in the organization, operationalization of actions / services within the health policy. The participatory dimension intersects this context, with a strong tendency to the impermeability of health policy for civil society participation in Primary Health Care, accentuated by neoliberal hegemony. We analyze the expressions and trends in society participation in Primary Health Care, as well as its limits and possibilities. The research was based on bibliographic and documentary, complemented by empirical research in Primary Health Care in the Federal District, more precisely the Region of Itapoã through interviews with people from popular segments of organized / local / users, health professionals and manager. The trend in society participation in social policies in the current context of neoliberal hegemony has characterized a set of practices and actions of managerial nature, aimed to improve the efficiency and effectiveness of policies to ensure legitimacy, optimize scarce resources, among other things. There is an erosion of local participatory processes, the struggle for health is now almost exclusively by institutional channels, limiting itself to questions of financing, organization, management. Recognizing the limits of strategies participacionistas, which alone are not carriers of processing capacity, the study suggests two dimensions of participatory health considered important in the APS: the first refers to the institutionalized spaces, such as councils and conferences. The second relates to the field of implementation of health policy. It is important to recognize the use of participatory strategies in health, clarity of its limits, in different spheres of activities and services in order to enhance their political-educational component of re-politicization of health, which contributes to the expansion of political bases and in the struggle for social rights to health, with the formation of new individuals and groups