Abstract
ABSTRACT Objective: to identify the space in which the Family Health Support Center is structured in the services and how it works within the scope of the Unified Health System. Method: a conceptual study based on partial results of a multicenter, descriptive-exploratory study with a qualitative approach, carried out in 2017, in the State of Santa Catarina, with managers and professionals from the Family Health Support Center. Content thematic analysis was used with the data from semi-structured interviews with professionals and individual interviews with managers, totalling 18 participants. Results: the professionals of the Family Health Support Center are identified as specialists who work in or close interaction with Primary Health Care, in the context of matrix support, in order to assist in the planning of the Health Care Network, which strengthens the general practice in Family Health. In addition to primary health care, they can act in intercessory spaces and perform secondary health care; set forth possibilities for intervention and enhance inter-sectoriality and co-responsibility. Conclusion: the Family Health Support Center was recognized as an important articulator of interdisciplinarity in health work, cabable of promoting comprehensive and intersectoral care, in addition to its initial proposal of supporting the Family Health Strategy, which could help in the coordination and fulfillment of secondary health care in the Brazilian Unified Health Care System, thus being an intersecting space between primary and secondary health care.
Highlights
Primary Health Care (PHC) is, in essence, the basis of health care in countries that adopt universal health care systems
The objective of this study is to identify the space in which the Family Health Support Center is structured in the services and how it operates within the scope of the Unified Health System
Nasfians are not convinced in relation to the space they occupy in the Health Care Network (HCN), as expressed in the following statement: We still do not understand each other well [...] about the NASF, in relation to all primary care
Summary
Primary Health Care (PHC) is, in essence, the basis of health care in countries that adopt universal health care systems. The International Conference on Primary Health Care, held in Alma Ata in 1978, highlighted that the success of a universal and resolute health care system depends on access, good coverage and quality care.[1]. The Family Health Strategy (FHS) is the main model for the reorientation of PHC services and extends qualified care through multiprofessional teams composed of professional generalists. This level of attention must develop actions aimed at the promotion, protection and recovery of health and the prevention of diseases, according to the attributes of humanization, comprehensiveness and longitudinality of care.[1,2]
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