Detalhes bibliográficos
| Ano de defesa: |
2009 |
| Autor(a) principal: |
Ribeiro, Elisete Maria
 |
| Orientador(a): |
Marsiglia, Regina Maria Giffoni |
| Banca de defesa: |
Não Informado pela instituição |
| 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: |
|
| Palavras-chave em Inglês: |
|
| Área do conhecimento CNPq: |
|
| Link de acesso: |
https://tede2.pucsp.br/handle/handle/18022
|
Resumo: |
The field of health policy has incorporated new concepts that guide the qualification and practice of health professionals, following a trend of ensuring universal health care rights. Health services have required health professionals to adopt distinguished conducts in which they play a central role in delivering technical, operational and political excellence in their practices. This is because they are jointly responsible for ensuring an accessible, humanized, egalitarian and comprehensive health care, among other principles respected by the Brazilian Health System (SUS). This research sought to analyze, from a historic and institutional perspective, the service infrastructure quality, as well as Primary Health Care workers concepts and practices underpinning the implementation and the development of the Family Health Strategy in the Health Office of Curitiba. In order to meet such demand, a new professional profile emerges with a humanized approach, as well as generalist and resolute characteristics within the Family Health Strategy practice. Based on the theories raised by the attributes described by Starfield (2002) as critical or unique in Primary Health Care (first contact, comprehensiveness, longitudinality and coordination), the secondary attributes (family-centeredness, cultural competence and community orientation) and an attribute not only assigned to Primary Health Care (proper recording), the concepts and practices adopted by the Family Health Strategy in Curitiba are analyzed. Family Health was wholly taken and implemented within a specific technical and political timeframe and in a restricted fashion. It is defended only by a portion of significant professionals aligned to understand and embrace values, principles and attributes of Primary Health Care. Significant individuals demonstrate the progresses made in the qualification of working concepts and processes and the contradictions arising from an insufficient appropriation of ideologies by new stakeholders, which impair the delivery of a qualified Family Health Care work. This study presents how the Primary Health Care in Curitiba is organized and operates, in connection with the hegemony and qualified development of a city policy |
