The challenge of cultural changes for the reorganization of the health service

Abstract

To explore the impact of cultural changes on the reorganization of health services, highlighting the importance of valuing the multidisciplinary team for Primary Health Care. This is a reflective analysis based on the discursive expression of the obstacles faced by cultural changes in the restructuring of health services in PHC with a view to the performance of the multidisciplinary team. This study had its origins in the provocations and debates promoted by the Research Group "Techno-Care Models and Health Promotion" at the School of Nursing of the University of São Paulo (EEUSP). A literature review was carried out to compile evidence and analysis related to the challenges of cultural changes in the reorganization of health services. The content was divided into two points of reflection: the figure of the doctor in the health context and the cultural obstacles in the reorganization of the health service. Resistance rooted in organizational culture, marked by traditions and norms, is a significant obstacle to the introduction of innovations in PHC. Overcoming these barriers demands a profound cultural transformation, challenging medical hegemony in favor of a collaborative and interdisciplinary approach to care. Building effective cultural competence not only overcomes resistance, but also strengthens trust in healthcare institutions, enabling successful implementation of changes tailored to the specific needs of each community.