0331/2018 - Redes sociais, acesso e regulação dos serviços de saúde em um município de pequeno porte do Rio de Janeiro Social networks, access and regulation of health services in a small municipality of Rio de Janeiro
• Rogério Bittencourt de Miranda - Miranda, RB - <rogbitt@gmail.com>
Resumo:
O objetivo deste estudo foi conhecer as relações sociais dos trabalhadores em saúde da atenção básica para a regulação da assistência à saúde na perspectiva da rede social. Estudo descritivo com abordagem quantitativa em quatro unidades de atenção básica, setor controle e avaliação, tratamento fora de domicílio e coordenadoria de atenção básica. A coleta de dados foi realizada pela entrevista semiestruturada entre dezembro de 2015 e janeiro de 2016 e os dados foram analisados pela Análise de Redes Sociais com apoio dos softwares Ucinet e Netdraw que permitiram a análise das métricas e a criação do sociograma. Na dinâmica reticular os atores com maior centralidade de grau e de intermediação foram controle e avaliação, coordenador da atenção básica e coordenador do Tratamento Fora de Domicílio. O enfermeiro e o Agente Comunitário de Saúde emergiram como central em relação à intermediação, o que explicita a sua relevância como articuladores na rede. A forma com que a rede se articula e a dinâmica das relações sociais entre as equipes refletem na qualidade do serviço e na continuidade do cuidado. A possibilidade de substituição dos agentes comunitários nas equipes de saúde da família marca um retrocesso pois influenciará nas relações sociais destes atores com a população.
Palavras-chave:
Redes sociais, Acesso aos serviços de saúde, Atenção primária à saúde, Enfermagem
Abstract:
The objective of this study was to know the social relations of health workers in primary care for the regulation of health carethe perspective of the social network. Descriptive study with quantitative approach in four basic care units, control and evaluation sector, out-of-home treatment and basic care coordination. The data collection was performed by the semistructured interview between December 2015 and January 2016 and the data were analyzed by Social Network Analysis with the support of the Ucinet and Netdraw softwares that allowed the analysis of the metrics and the creation of the sociogram. In the reticular dynamics, the actors with the greatest centrality of degree and intermediation were control and evaluation, coordinator of the basic care and coordinator of Out-of-Home Treatment. The nurse and the Community Health Agent emerged as central in relation to intermediation, which explains their relevance as articulators in the network. The way in which the network is articulated and the dynamics of social relations between the teams reflect in the quality of the service and in the continuity of care. The possibility of replacing the community agents in the family health teams marks a setback because it will influence the social relations of these actors with the population.
Keywords:
Social networking, Health services accessibility, Primary health care, Nursing
Social networks, access and regulation of health services in a small municipality of Rio de Janeiro
Resumo (abstract):
The objective of this study was to know the social relations of health workers in primary care for the regulation of health carethe perspective of the social network. Descriptive study with quantitative approach in four basic care units, control and evaluation sector, out-of-home treatment and basic care coordination. The data collection was performed by the semistructured interview between December 2015 and January 2016 and the data were analyzed by Social Network Analysis with the support of the Ucinet and Netdraw softwares that allowed the analysis of the metrics and the creation of the sociogram. In the reticular dynamics, the actors with the greatest centrality of degree and intermediation were control and evaluation, coordinator of the basic care and coordinator of Out-of-Home Treatment. The nurse and the Community Health Agent emerged as central in relation to intermediation, which explains their relevance as articulators in the network. The way in which the network is articulated and the dynamics of social relations between the teams reflect in the quality of the service and in the continuity of care. The possibility of replacing the community agents in the family health teams marks a setback because it will influence the social relations of these actors with the population.
Palavras-chave (keywords):
Social networking, Health services accessibility, Primary health care, Nursing
Fonseca, JSA, David, HMSL, Silva, TF, Ramos, TCS, Neves, ACL, Miranda, RB. Redes sociais, acesso e regulação dos serviços de saúde em um município de pequeno porte do Rio de Janeiro. Cien Saude Colet [periódico na internet] (2018/jul). [Citado em 24/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/redes-sociais-acesso-e-regulacao-dos-servicos-de-saude-em-um-municipio-de-pequeno-porte-do-rio-de-janeiro/16864?id=16864&id=16864
