Abstract

To analyze the representation and participation of the management, attention, teaching and social control segments in management committees of health teaching-service integration. Qualitative research with exploratory-analytical approach that involved representatives of these segments who participate in the management instances of the Pro-Health integrated proposal of Chapecó, Santa Catarina, Brazil. The data was collected through semi-structured interviews with 11 members of the segments and observation of six meetings of instances between October 2012 and April 2013. The following categories emerged: Representation through dialogue: possibility to negotiate; Legitimacy of representation: establishing fecund relationships; Disparity in the representation of the segments: the four-way approach in disharmony. It is incipient participation of some segments; there are different understandings as to the perception of the meaning of representation. There are conflicts, but the dialogue prevails, provided that the subjects need improve their communication skills.

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