0610/2016 - Unidades de Saúde Familiar e Clínicas da Família – Essência e semelhanças. Family Healthcare Units in Portugal and Family Clinics in Rio de Janeiro – Essential and similar aspects.
O desenvolvimento, desde 2009, das Clínicas da Família (CF) no Rio de Janeiro tem paralelismos com as Unidades de Saúde Familiar (USF) implementadas em Portugal desde 2006. Neste ensaio, os autores assinalam o encontro em Portugal, em outubro de 2009, com gestores do Ministério da Saúde e da Subsecretaria de Atenção Primária, Vigilância e Promoção da Saúde do Rio de Janeiro, e destacam alguns aspetos essenciais tais como: a organização em equipas multiprofissionais com caráter estrutural permanente; as características das equipas; o seu desenvolvimento (“teambulding”); a organização e a autonomia técnica; os laços emocionais entre os elementos de cada equipa; os instrumentos formais de regulação da autonomia; a responsabilização e a prestação de contas/contratualização; os dispositivos de monitorização e de avaliação; o sistema de lideranças; fatores motivacionais dos profissionais e das equipas; as USF e as CF como organizações aprendentes. Estes aspetos podem resumir-se em “3P”: propósitos - orientação para objetivos de saúde e de bem estar; pessoas, que são a razão das organizações de saúde; processos, continuamente questionados, avaliados e aperfeiçoados.
Palavras-chave:
Atenção Primária à SaúdeUnidades de Saúde FamiliarClínicas da Família
Abstract:
Authors approach parallel developments in Family Healthcare Units (USF), in Portugal (since 2006) and in primary care Family Clinics (CF) in Rio de Janeiro (since 2009). In this essay, they highlight a meeting that took place in Portugal with Brazilian Health Ministry members and Rio de Janeiro Department of Health, in October 2009. Being directly involved (since May 2016) in the development of USF in Lisbon Region, and having visited, in November 2016, several CF in Rio de Janeiro, they analyze aspects such as: organization on permanent structural teams; main common characteristics of the teams; teambuilding processes; organization and technical autonomy; instruments to regulate autonomy; responsibility and accountability – contracting processes; monitoring and evaluation; leadership system; motivational factors for professionals and for the team as a whole; learning organizations. All these aspects converge to a “3P” vision framework: “purposes” – organizing and orienting multiprofessional teams towards health gains and the wellbeing of the persons and the population; “people” – both those who are beneficiaries of health care services, as well as the health care professionals; “processes” – that must be under permanent questioning and continuous improvement.
Keywords:
Primary Health CareFamily Healthcare Units Family Clinics
Family Healthcare Units in Portugal and Family Clinics in Rio de Janeiro – Essential and similar aspects.
Resumo (abstract):
Authors approach parallel developments in Family Healthcare Units (USF), in Portugal (since 2006) and in primary care Family Clinics (CF) in Rio de Janeiro (since 2009). In this essay, they highlight a meeting that took place in Portugal with Brazilian Health Ministry members and Rio de Janeiro Department of Health, in October 2009. Being directly involved (since May 2016) in the development of USF in Lisbon Region, and having visited, in November 2016, several CF in Rio de Janeiro, they analyze aspects such as: organization on permanent structural teams; main common characteristics of the teams; teambuilding processes; organization and technical autonomy; instruments to regulate autonomy; responsibility and accountability – contracting processes; monitoring and evaluation; leadership system; motivational factors for professionals and for the team as a whole; learning organizations. All these aspects converge to a “3P” vision framework: “purposes” – organizing and orienting multiprofessional teams towards health gains and the wellbeing of the persons and the population; “people” – both those who are beneficiaries of health care services, as well as the health care professionals; “processes” – that must be under permanent questioning and continuous improvement.
Palavras-chave (keywords):
Primary Health CareFamily Healthcare Units Family Clinics
Ramos, Victor Manuel Borges, Carrapiço, Eunice Isabel do Nascimento , Ramires, João Henrique Vaz. Unidades de Saúde Familiar e Clínicas da Família – Essência e semelhanças.. Cien Saude Colet [periódico na internet] (2016/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/unidades-de-saude-familiar-e-clinicas-da-familia-essencia-e-semelhancas/16036?id=16036&id=16036
