Author:

• Juliana Barros - Barros, Juliana de Oliveira - Faculdade de Medicina da Universidade de São Paulo, Fisioterapia, Fonoaudiologia e Terapia Ocupacional - <juliana.obarros@usp.br>

Co-author(s):

• Selma Lancman - Lancman, S. - Faculdade de Medicina da USP, Fisioterapia, Fonoaudiologia e Terapia Ocupacional - <lancman@usp.br>
ORCID: https://orcid.org/0000-0003-4094-5861
• Ronaldo Pires Kaltner - Kaltner, RP. - Faculdade de Medicina da USP, Bolsista de Iniciação Científica - CNPq - <ronaldokalt@gmail.com>
• Rita Maria de Abreu Gonçalves - Gonçalves, RMA. - Maria de Abreu Prefeitura do Município de São Paulo, Centro de Referência em Saúde do Trabalhador da Mooca - <rita.abreu@ig.com.br>

Thematic Area:

Saúde e Trabalho

Abstract:

The Family Health Centers (NASF) intend to expand and qualify primary healthcare activities. The work in partnership with Family Health Teams (EqSF) is based on a matrix support strategy. This article seeks present and discuss how professional the NASF develop their work, especially regarding the appropriation and incorporation of matrix support in the daily practice. The results are presented as a case study of the NASF work processes in a region of São Paulo. To investigate this issue specific issues were introduced in the various steps and procedures referenced in Ergonomic Work Analysis. The implementation of the NASF without reviewing the documents guiding the EqSF created some paradoxes, such as the different demands for productivity and work strategies between NASF and EqSF; distinct demands of population care and different priorities for action, reflected in the division of tasks and the time allotted to each of them, etc. The accumulated practice since the creation of the NASF may favor a review of these documents in order to transform organizations working set and hence create better conditions for the shared work.

Keywords:

Matrix Support Family Health Centers Primary Healthcare Health Work

Content:

Access Issue in Scielo

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