Pelos caminhos da integralidade: o que uma usuária-guia pode ensinar sobre a produção de redes de cuidado?

• Ano de defesa: 2017
• Autor(a) principal: Nardez, Danielle Abujamra Siufy [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: eng
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Primary Health Care; Integrality In Health; Comprehensive Health Care; Qualitative Research; Education Continuing; Atenção Básica; Integralidade em Saúde; Cuidados Integrais de Saúde; Pesquisa Qualitativa; Educação Permanente
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5542042; https://repositorio.unifesp.br/handle/11600/49866

The Brazilian Unified Health System (SUS) has brought about significant changes in the way of caring for the health of the population and is a result of the ideals and struggles of social movements and the Sanitary Reform of the 1970s and 1980s. comprehensiveness of care and the study of their dimensions, giving evidence for the interface of the concept with the development of synergistic actions that optimize resources and prioritize established bonds between professionals and these with the community, surpassing the uniquely biologicist view of care. This research was aimed at analyzing the conformation of the networks constituted in primary care from the perspective of a guiding user and a family health team in the construction of integrality of care, understanding how the links are produced in order to extend the knowledge about the connections existing in the different configurations of a local health-producing network. It is a qualitative research in the research-intervention modality that made use of the mapping device to follow the processes of network formation for expanded care in health. The production of data was performed through workshops with the team and with the guide user and the production of the research diaries by the researcher and the team. The material was organized and categorized according to the research objectives. The results show that the way in which the guiding user produces care reveals the relationship between the formal and informal network. They also show that affectivity and bonding were perceived as unique experiences in this research process. The emphasis on the light / relational component of the linkages established between users and health workers also refers to the acceptance of this relationship. The path taken by the guiding user has left important marks in the way to understand the limits of the professional performance of health workers, as well as the reckless view of wholeness as totality. The reflection that now arises refers to the place where users are daily located in the health services of the network and what status their suffering acquires for the different levels of attention. It is also concluded that the method chosen for the production of data showed to be revealing clues to the research process bringing important analyzers to the center of the discussion of the results, providing an opening for new possibilities of investigation of the integrality and formation of the networks, key points for the analysis of health care production. Finally, the study suggests that affections occupy a central place in the processes of health production and that networks constructed from the singularities present in the cases should avoid being guided by the comprehension of integrality as an objective image, in order not to negate the subject and its history in the composition of extended care.