Núcleo ampliado de saúde da família : potencialidades, desafios e impasses para a afirmação de um paradigma emergente em saúde

• Ano de defesa: 2019
• Autor(a) principal: Belotti, Meyrielle
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Doutorado em Psicologia; UFES; Programa de Pós-Graduação em Psicologia
• Palavras-chave em Português: Public health policies; Health services; Basic Attention; Health Unic System; Políticas públicas de saúde; Serviços de saúde; Atenção Básica; Sistema Único de Saúde; Sistema Único de Saúde (Brasil); Políticas públicas; Pessoal da área médica; Psicologia; 159.9
• Link de acesso: http://repositorio.ufes.br/handle/10/11035

The Expanded Family Health Center (NASF) is responsible for expanding the scope of action of Primary Care (AB) teams, seeking to promote integral care. The objective of this thesis was to know the conceptions and meanings given by health professionals about NASF. Based on the thoughts of Boaventura de Souza Santos, it is assumed that the health field experiences a period of paradigmatic transition, generated from the observation that the dominant paradigm of health / biomedical model is insufficient to respond to complexity which runs through the health-disease process. Given this scenario, we sought to understand if the NASF can be characterized as one of the devices present in the SUS, which will contribute to the affirmation of the emerging paradigm. This is a qualitative research. Eight NASF teams from the city of Vitória-ES participated in the study. For the data collection, we used the focal group technique. The data treatment was performed based on the proposed content analysis. Discursive regularities were found that delineated four categories: NASF implantation in the city of Vitória-ES; the conceptions of the NASF professionals about their work assignments; the changes produced in the work process in the face of NASF implementation and, finally, the potentialities and difficulties experienced from the NASF implementation. The results of this study demonstrated that: the NASF are moving towards preserving the precepts of the dominant paradigm, or negotiating the elaboration of care in a way that is more coherent with what is desired in the emerging paradigm, or establishing conflicting or complementary coexistence between the different modes of health care. Thus, zigzagging between coexisting paradigms, NASF can be characterized as a device capable of fostering the emergence of the new paradigm of health.