Contexto de mediação: o trabalho do agente comunitário de uma Unidade Básica de Saúde do município de São Paulo, (SP)

• Autor(a) principal: Justo, Celia Maria Patriani [UNIFESP]
• Data de Publicação: 2010
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://repositorio.unifesp.br/handle/11600/9258
• topic: Assistência à saúde; Atenção primária à saúde; Comunicação em saúde; Saúde pública; Sistema Único de Saúde; Programa de Saúde da Família

Aim: To understand the conceptions of the Health Comunitarian Agents about mediation work at the interface between the team of Health Family Program and the population registered, in the presence of the extension of all attributions and the possibility of emancipation in theoretical perspective of communicative action of Jürgen Habermas. Methods: Ethnical searching on Milton Santos unit, at São Paulo city, between August 2007 and April 2009, being supported by interviews and also with research of analysis documentation. Considering a total of 22 agents involved, only 14 were able to be part of it basis the minimum 02 years of experience previously requested for this job. Results: The mediation always tend to cause a tense working situation whenever it comes to get a better solution involving different interests and expectation for the community, being so the right the community has to have access to all public health care services rendered. Despite of asking for prompt actions and replies from the agents, the patients also must understand that they shall comply with agents requests in order they can try to solve the daily problems the patients are facing. A reasonable decision based on some technical discretions can determine the planning, availability and the importance of the daily working reports – being quite important tools to deal with for the life style condition for the comunity. A very productive goal can help analising the quantity of daily visits that should be done and considered through group activities enabling each one to have a compromise within the system and its obligation. Working as a team is a very good possibility to everyone understand and see all the problems involved without it being imposed because it allows anyone to be part of the whole common thing. As for the agents, the fact of listening is as much fundamental as informing and helping the patients during these visits, which with them a open mind conversation between agents and patients can reach their mutual needs. Through the dialogue a cooperative process can easily find many ways to achieve good results even so for risky matters. Conclusions: Throughout the research it was possible to notice the comunity’s intention to fullfil every one’s need, even so being provisional regarding to all existing tensions and conflicts among them, which still go on with the comunitarian agents, the comunity disposal is a must to still try to talk and find a better and reasonable way for everybody.