Democratic management and institutional support in primary care in the Federal District, Brazil

Abstract

The study was performed within the framework of the Brazilian Unified National Health System (SUS) in the Federal District, Brazil, focusing on the role of institutional support in reframing work and management practices in primary care. The study aimed to map practices for supporting primary care in the Recanto das Emas Regional Administration, correlated with the Federal District's health priorities. The study design included qualitative intervention research with participant methods and production of collective narratives. Testing the support provided qualification and alignment of institutional measures with management priorities, qualification, humanization, and improvement of work and management processes, collegiate decision-making, and intervention in daily practices in primary care services. The study concludes that support practices can enhance democratic management processes and contribute to improving care.