Work process of river family health teams from the perspective of Primary Care managers.

Maura Cristiane E Silva Figueira,Dalvani Marques,Maria Filomena Gouveia Vilela,Eliete Maria Silva,Jéssica De Aquino Pereira,Jennifer Bazílio

doi:10.1590/s1980-220x2018027303574

Maura Cristiane E Silva Figueira, Dalvani Marques + Show 4 more

Open Access

https://doi.org/10.1590/s1980-220x2018027303574

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Abstract

To analyze the work process carried out by the river family health strategy teams in a municipality in the Amazon region through the perception of the managers. An evaluative study with a qualitative approach. Data were collected through semi-structured interviews with managers of Primary Healthcare, document analysis and participant observation of the work by content analysis. Seven managers participated. Two thematic categories stood out: "Knowledge and practices in the work process of river teams" and "Reports of successful practice experiences". Integrated work and team autonomy are present in the work process; successful practices are encouraged, as well as the use of light and hard-light technologies.

Highlights

Primary Health Care (PHC) in Brazil presents organizational differences in historical, social and among country contexts, being the subject of extensive discussions about existing models[1].As a proposal for reorienting the care model, the Community Health Agents Program was created in 1991, and the first teams of the Family Health Program (PSF) were structured in January 1994, incorporating and expanding the Community Health Agents actions
Six are nurses, six professionals have a college degree and more than four years since their graduation; they have been in municipal management for two to eight years, working in PHC for over 10 years, and have expertise in areas related to public health
The work process of the ESFF is complex and unique; from the perspective of managers, the way it can be organized cannot be done in a standardized, rigid way, and its planning cannot take place without the participation of communities

Summary

Introduction

Primary Health Care (PHC) in Brazil presents organizational differences in historical, social and among country contexts, being the subject of extensive discussions about existing models[1]. As a proposal for reorienting the care model, the Community Health Agents Program (in Portuguese PACS) was created in 1991, and the first teams of the Family Health Program (PSF) were structured in January 1994, incorporating and expanding the Community Health Agents actions. PACS and PSF were prioritized in regions with greater social vulnerability (north and northeast); federal funding for the programs stimulated their implementation and expansion throughout the national territory, especially in places with low population density and scarce services offer[4]. The expansion of actions, services and the organization of PHC became the primary responsibility of municipal managers[1] with the implementation of the SUS and the process of political-administrative decentralization, aiming at adapting to the local reality

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