A produção do cuidado no contexto de inflexão das políticas públicas: análise das práticas dos serviços da Atenção Básica

• Ano de defesa: 2024
• Autor(a) principal: Concilio, Isabela Leite
• Orientador(a): Rosa, Elisa Zaneratto
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Pós-Graduação em Psicologia: Psicologia Social
• Departamento: Faculdade de Ciências Humanas e da Saúde
• País: Brasil
• Palavras-chave em Português: Cuidado; Políticas públicas; Inflexão das políticas públicas; Atenção Básica; Processos de trabalho; Psicologia sócio-histórica
• Palavras-chave em Inglês: Care; Public policy; Inflection of public policies; Basic Care; Work processes; Socio-historical psychology
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA SOCIAL
• Link de acesso: https://repositorio.pucsp.br/jspui/handle/handle/41794

This research focuses on primary health care provided by public health, aiming to analyse potentialities and limitations of redirection of public policies from social welfare to neoliberal logic, a moviment marked by the legal-media-parliamentary coup of president Dilma Roussef (2011-2016) in 2016. In this process, public health, historically a subject of contention between social rights and market interests, was heavily impacted. The research is guided by the framework of Socio-historical Psychology, and the methodology used is action-research, which includes action-reflection of the inestigated reality. The data were collected through monitoring and participation in training activities developed in two Primary Health Care services in Brasilândia, enabled by its partnership with PUC-SP, in order to analyse the work processes carried out by new health care configurations. During the training process, the researcher engaged in supervision meetings and internship activities, observing, participating and registering the work processes developed by the health teams. For data analysis, the records were analysed and two perspectives were identified based on the research objectives: Perspective 1 - "Chaos, isolation, and exhaustion": reorganization of the work process and new parameters of regulation in the context of the New Primary Health Care Policy and the COVID 19 pandemic, and Perpesctive 2 - From Policy of Abandonment to the power of territorial articulation strategies. Based on these perspectives, current regulations determined by redirection of public policies were analyzed, in particular reducing SUS (Unified Health System) funding and directing it towards operational health care. This logic of work leads to distancing democratic principles in care practices. However, workers still sustain collective resistance, reflecting on care practices and responding to health needs despite of new regulations. The sustenance of groups and longitudinal care also produce democratic spaces to resist to the operational model, supported by territory collectives and training processes in order to reconquer the democratic perspective of SUS