O processo de institucionalização das práticas do médico de família : o caso de Vitória

• Ano de defesa: 2005
• Autor(a) principal: Tavares, Geruza Rios Pessanha
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Mestrado em Saúde Coletiva; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Saúde Coletiva
• Palavras-chave em Português: Institutionalizing practices; Family doctor; Organizational culture; Prescriptive work; Real work; Trabalho prescrito; Trabalho real; Institucionalização das práticas; Médico de família; Medicina institucionalizada; Medicina da família; Cultura organizacional - Vitória (ES); Saúde Coletiva; 614
• Link de acesso: http://repositorio.ufes.br/handle/10/5362

The objective of this study was to describe and analyze the institutionalizing process of family doctors’ practices who work in the region of São Pedro - a residential district in Vitória. Most of these professionals are not general practitioners; they are often under a temporary contract for three years. This qualitative research is grounded on a study case whose data was collected through non-participant observation, semistructured interviews and documentary analysis, involving subjects who have had at least two year’s practice as family doctors. The results reveal that the way the family doctors’ practices have been introduced has extended the gap between what has to be done and what really happens in everyday practice. This indicates there is need of reflection on the part of the own institution about its role, its policy and the need of an intervention in conjunction with the family health strategy and the health municipal system as a whole so that we can achieve the effectiveness of the principles and guidelines of the Health Unique System.