0200/2020 - Ação Comunicativa: Um olhar sobre processos de gestão de uma Rede de Atenção Psicossocial Communicative Action: A look at management processes of a Psychosocial Care Network
Trata-se de uma avaliação qualitativa, com os principais resultados de um estudo de avaliação sobre processos de gestão de uma Rede de Atenção Psicossocial à luz da Teoria da Ação Comunicativa. A coleta de dados incluiu 19 entrevistas individuais semiestruturadas com participantes do Colegiado Gestor e 20 horas de observação participante em oito reuniões deste colegiado, de maio a setembro de 2015, com análise de abordagem hermenêutica-dialética. Os resultados apontaram uma complexa rede de atenção psicossocial com processos de gestão relacionados com o agir instrumental e com o agir comunicativo. O agir instrumental foi demonstrado em discussões sobre a utilização rígida de fluxos, normas e protocolos; ações prescritivas sem negociação coletiva e sem inclusão do usuário; e medicalização baseada apenas em critérios técnicos. O agir comunicativo evidenciou-se em ações de pactuação de fluxos, discussões e encaminhamento de casos; pactuações intersetoriais com o judiciário; e deliberações do Colegiado Gestor sobre casos, que não se resolvem apenas com o tecnicismo. Conclui-se que processos de gestão de uma Rede de Atenção Psicossocial são orientados por um agir comunicativo, mas ainda requerem a superação de um agir capturado somente por ações instrumentais.
Palavras-chave:
Gestão em saúde, Saúde mental, Pesquisa qualitativa, Avaliação em saúde.
Abstract:
It is a qualitative evaluation, with the main results of an evaluation study on management processes of a Psychosocial Care Network in the light of the Theory of Communicative Action. The data collection included 19 individual semi-structured interviews with participants of the Collegiate Manager and 20 hours of participant observation in eight meetings of this collegiate,May to September 2015, with analysis of hermeneutic-dialectic approach. The results showed a complex network of psychosocial care with management processes related to instrumental and communicative actions. Instrumental action was demonstrated in discussions about the rigid use of flows, rules and protocols; prescriptive actions without collective bargaining and without inclusion of the user; and medicalization based only on technical criteria. The communicative action was evidenced in actions for agreeing flows, discussions and forwarding cases; intersectoral agreements with the judiciary; and deliberations of the Collegiate Manager on cases, which are not resolved only with technicality. It is concluded that the management processes of a Psychosocial Care Network are guided by a communicative action, but still require overcoming an action captured only by instrumental actions.
Keywords:
Health management, Mental health, Qualitative research, Health evaluation.
Communicative Action: A look at management processes of a Psychosocial Care Network
Resumo (abstract):
It is a qualitative evaluation, with the main results of an evaluation study on management processes of a Psychosocial Care Network in the light of the Theory of Communicative Action. The data collection included 19 individual semi-structured interviews with participants of the Collegiate Manager and 20 hours of participant observation in eight meetings of this collegiate,May to September 2015, with analysis of hermeneutic-dialectic approach. The results showed a complex network of psychosocial care with management processes related to instrumental and communicative actions. Instrumental action was demonstrated in discussions about the rigid use of flows, rules and protocols; prescriptive actions without collective bargaining and without inclusion of the user; and medicalization based only on technical criteria. The communicative action was evidenced in actions for agreeing flows, discussions and forwarding cases; intersectoral agreements with the judiciary; and deliberations of the Collegiate Manager on cases, which are not resolved only with technicality. It is concluded that the management processes of a Psychosocial Care Network are guided by a communicative action, but still require overcoming an action captured only by instrumental actions.
Palavras-chave (keywords):
Health management, Mental health, Qualitative research, Health evaluation.
Meirelles, M.C.P., Kantorski, L.P. Ação Comunicativa: Um olhar sobre processos de gestão de uma Rede de Atenção Psicossocial. Cien Saude Colet [periódico na internet] (2020/jul). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acao-comunicativa-um-olhar-sobre-processos-de-gestao-de-uma-rede-de-atencao-psicossocial/17682?id=17682
