0203/2021 - APOIO INSTITUCIONAL NA ATENÇÃO PRIMÁRIA EM SAÚDE NO BRASIL: UMA REVISÃO INTEGRATIVA INSTITUTIONAL SUPPORT IN PRIMARY HEALTH CARE IN BRAZIL: AN INTEGRATIVE REVIEW
Um dos grandes desafios do Sistema Único de Saúde é a necessidade de transcender o caráter disciplinador e controlador da gestão e fomentar a função democrática, para possibilitar uma maior participação de trabalhadores e comunidade na gestão em saúde. Com o intuito de identificar e sintetizar definições e práticas de apoio institucional implementadas no âmbito da Atenção Primária à Saúde no Brasil, de acordo com o método Paidéia, que preconiza democratização institucional e a qualificação do atendimento à população através de novos arranjos e dispositivos de gestão e do processo trabalho, foi desenvolvida uma revisão integrativa da literatura referente ao período de 2005 a 2019. O corpus de análise contemplou 24 publicações que explicitaram definições e aspectos operacionais incipientes, fragilidades na integração entre o âmbito da clínica ampliada e da gestão compartilhada que deveria se dar na dialética entre o Apoio Institucional e o Apoio Matricial, a necessidade de fortalecer a função do apoiador institucional, enquanto mediador metodológico e de reformular os tradicionais mecanismos de gestão e as estratégias para educação permanente em saúde no âmbito do Sistema Único de Saúde.
Palavras-chave:
Gestão em saúde, Humanização da assistência, Políticas públicas de saúde.
Abstract:
One of the great challenges of the Unified Health System is the need to transcend the disciplinary and controlling character of management and foster the democratic function, to enable greater participation of workers and the community in health management. In order to identify and synthesize institutional support definitions and practices implemented within the scope of Primary Health Care in Brazil, according to the Paidéia method, which advocates institutional democratization and the qualification of service to the population through new management arrangements and devices and the work process, an integrative literature review was carried out for the period2005 to 2019. The corpus of analysis included 24 publications that made incipient definitions and operational aspects explicit, weaknesses in the integration between the scope of the expanded clinic and the shared management that In the dialectic between Institutional Support and Matrix Support, there should be the need to strengthen the role of institutional supporter, as a methodological mediator and to reformulate the management and strategy mechanisms for permanent health education within the scope of the Unified Health System.
Keywords:
Health Management, Humanization of healthcare practices, Public Health Policies.
INSTITUTIONAL SUPPORT IN PRIMARY HEALTH CARE IN BRAZIL: AN INTEGRATIVE REVIEW
Resumo (abstract):
One of the great challenges of the Unified Health System is the need to transcend the disciplinary and controlling character of management and foster the democratic function, to enable greater participation of workers and the community in health management. In order to identify and synthesize institutional support definitions and practices implemented within the scope of Primary Health Care in Brazil, according to the Paidéia method, which advocates institutional democratization and the qualification of service to the population through new management arrangements and devices and the work process, an integrative literature review was carried out for the period2005 to 2019. The corpus of analysis included 24 publications that made incipient definitions and operational aspects explicit, weaknesses in the integration between the scope of the expanded clinic and the shared management that In the dialectic between Institutional Support and Matrix Support, there should be the need to strengthen the role of institutional supporter, as a methodological mediator and to reformulate the management and strategy mechanisms for permanent health education within the scope of the Unified Health System.
Palavras-chave (keywords):
Health Management, Humanization of healthcare practices, Public Health Policies.
Brito, C. da S., Santos, H.L.P.C, Maciel, F.B.M, Martins, P. C., Prado, N.M.B.L. APOIO INSTITUCIONAL NA ATENÇÃO PRIMÁRIA EM SAÚDE NO BRASIL: UMA REVISÃO INTEGRATIVA. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/apoio-institucional-na-atencao-primaria-em-saude-no-brasil-uma-revisao-integrativa/18102?id=18102
