O processo de trabalho dos profissionais da estratégia saúde da família: um estudo sobre as demandas sociais na saúde

• Ano de defesa: 2010
• Autor(a) principal: Wiese, Michelly Laurita
• Orientador(a): Yasbek, Maria Carmelita
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Serviço Social
• Departamento: Serviço Social
• País: BR
• Palavras-chave em Português: Processo de trabalho em saúde; Estratégia saúde da família; Demandas sociais
• Palavras-chave em Inglês: Work process in health; Family health strategy; Social demands
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: https://tede2.pucsp.br/handle/handle/17486

This study analyzes the work of professionals in the Family Health Strategy (FHS) as part of Primary Health Care (PHC) and its relationship to social demands in the area of the Health Technical supervision Lapa/Pinheiros in the city of São Paulo SP. To achieve this goal, it starts the discussion of the work process in health, the relevance of PHC, as a space for construction of new parameters in the profession, especially within the framework of the FHS, and recently with the establishment of the Center for Health Support Families (CHSF). Adds up the study of social recognition from social demands and ways of coping in the everyday work of professionals of the FHS and CHSF. The theoretical direction taken is located within the health social issue, which observes two assistance projects in the dispute. The biomedical model focuses on remedial actions, procedures and doctor-centered, and the social model of health, valuing humanized professional practices in view of the expanded clinic, bringing the centrality of the subject. In this context, there are health professionals through their work processes within the PHC, actualizing practices and concepts that show the models of health imposed. The research is qualitative, utilizing the technique of participant observation, semistructured interview and the use of field notes. Eight groups from FHS in some of their professional practices were studied, such as home visits, group meetings, team meetings. There were twenty and two interviews with the professionals of the FHS and the CHSF. These practices aimed to identify the tasks and the work done by professionals of the FHS, to identify the insertion of CHSF to FHS teams together and work within the PHC; to see how the demands are worked by health professionals of the FHS and CHSF; and to verify how the professionals of the FHS and CHSF identify the social demands and how these demands are worked. The main results show that even the professionals included in the proposal to implement the social model of health, still bind professional practices related to the biomedical model. The construction of collective actions that aim to broaden the view on the demands that come to health facilities is still hindered by the presence of former job parameters, aiming not caring, but the cessation of symptoms / healing. With the insertion of CHSF, some devices extend, allowing to realize the demands of health and social problems not as individuals but as opportunities for collective action and greater effectiveness, responding to the real needs of users, which is not always a cure, but the possibility of care. These devices are the reception, the clinic expanded through the support matrix with the teams and pairs of references and the therapeutic project. In this sense, the social, from the perspective of law, be extended as part of work processes, is required to understand health as a universal right, the integration of actions and the effectiveness of building a social model of health that values its humanization (Health). The professional actions must be guided in creating the bond with the community to reorganize the services from the real demands expressed by individual users, establishing a demand centered in the user linked to caring practices. It is argued that establishing work processes from the perspective of humanization and expanded clinic, working with the social demands in the law perspective are broadened