1471/2012 - A Atenção Básica à Saúde e a construção das redes temáticas de saúde: qual pode ser o seu papel? Primary health care and the construction of health thematic networks: which role can it play
O fortalecimento da atenção básica tem sido valorizado como estratégia central para a construção do SUS. Diretrizes recentes emanadas pela OPAS e pelo MS destacam seu papel como centro de comunicação de redes temáticas, como reguladora do acesso e utilização dos serviços necessários para a integralidade do cuidado. O presente estudo, financiado com recursos PPSUS/Fapesp, problematiza as possibilidades da rede básica exercer tal função estratégica. Foram produzidas narrativas de vida de 15 usuários altamente utilizadores de serviços de saúde em dois municípios do ABC paulista, que adotaram a Estratégia de Saúde da Família para organização de suas redes básicas. O estudo apresenta três achados principais: a rede básica funciona como posto avançado do SUS, produzindo valores de uso mesmo para os pacientes utilizadores de serviços de alta complexidade; a rede básica é vista como lugar de coisas simples; há uma impotência compartilhada entre usuários e equipes quando se trata da rede básica funcionar como coordenadora do cuidado, indicando como ela não reúne condições materiais (tecnológicas, operacionais, organizacionais) e simbólicas (valores, significados e representações) de deter a posição central da coordenação das redes temáticas de saúde.
Palavras-chave:
atenção primária à saúde
acesso
redes temáticas em saúde
coordenação do cuidado.
Abstract:
Strenghtening primary health care has been a core strategy for the building of the Brazilian Health Care System. Recent guidelines issued by OPAS and the Ministry of Health highlight the role it has played as a communication thematic network center, a regulating agent for the access and use of services required by health care integrality. Sponsored by Fapesp, the present study considers the possibilities of the primary health care network exerting such a strategic function. Life narratives involving 15 users of health care services on a highly regular basis were produced in two cities of the region known as ABC Paulista. These narratives adopted the Family Health Strategy for the organization of primary health networks. The study presents three main findings: The primary health care network acts as a SUS’s front line by producing values of use even for high complexity service users; The primary network is perceived is a place of simple things; there is a shared impotence between users and teams when it comes to the network functioning as care coordinator, indicating how it does not gather material conditions (technological, operational, organizational) as well as symbolic conditions (values, meanings, and representations) to be in a central position in the coordination of health thematic networks.
Keywords:
Primary health care;.
access;
thematic health networks;
care coordination
Primary health care and the construction of health thematic networks: which role can it play
Resumo (abstract):
Strenghtening primary health care has been a core strategy for the building of the Brazilian Health Care System. Recent guidelines issued by OPAS and the Ministry of Health highlight the role it has played as a communication thematic network center, a regulating agent for the access and use of services required by health care integrality. Sponsored by Fapesp, the present study considers the possibilities of the primary health care network exerting such a strategic function. Life narratives involving 15 users of health care services on a highly regular basis were produced in two cities of the region known as ABC Paulista. These narratives adopted the Family Health Strategy for the organization of primary health networks. The study presents three main findings: The primary health care network acts as a SUS’s front line by producing values of use even for high complexity service users; The primary network is perceived is a place of simple things; there is a shared impotence between users and teams when it comes to the network functioning as care coordinator, indicating how it does not gather material conditions (technological, operational, organizational) as well as symbolic conditions (values, meanings, and representations) to be in a central position in the coordination of health thematic networks.
Palavras-chave (keywords):
Primary health care;.
access;
thematic health networks;
care coordination
Cecilio,L.C.O., Andreazza, R., Carapinheiro, G., Araujo, E.C. , Oliveira, L.A., Andrade, M. da G .G., Meneses, C.S., Pinto, N.R.S, Reis, Denizi Oliveira, Santiago, S.M., Souza, A.L.M., Spedo, S.M.. A Atenção Básica à Saúde e a construção das redes temáticas de saúde: qual pode ser o seu papel?. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-atencao-basica-a-saude-e-a-construcao-das-redes-tematicas-de-saude-qual-pode-ser-o-seu-papel/11038?id=11038
