Family Health Support Centres (NASFs, in Portuguese) aim to develop interprofessional practices anchored in the assumptions of Primary Health Care, guided by the criteria of shared care specific professional interventions, management processes, interdisciplinarity, intersectoriality, Continuing Education in Health and health promotion. This health management methodology (Matrix Support) still represents a challenge to workers and managers, as it switches the logic of clinical thought from individual-centred, ambulatory and disciplinary care to collective, territory and interdisciplinary care. This study might illustrate and allow sharing of experiences about a work management format for multidisciplinary teams in Primary Health Care. A partnership between the University and the state health department was established in order to elaborate a collaborative, educational and supportive action. We formed a group of workers in the target area (24 municipalities and 18 teams) who had a focus on Continuing Education in Health using Institutional Analysis as theoretical reference. The main goal of the action was to provide spaces to share experiences and learning in the perspective of Continuing Education in Health. How does Continuing Education in Health support interprofessional practices in the field of Collective Health? Among the main results, we list: reflection about organisation practices of multiprofessional work, reflection about care practices and clinic management in the technical-assistance and pedagogic perspectives of Matrix Support; encouragement to improve the services offered in this level of care and their relationship with other points of the network. This experience showed us the importance of three main aspects: Continuing Education in Health, as a strategy of critical analysis about work and workers; the partnership and integration between teaching and service; and interprofessional formation processes (necessary to NASF and Collective Health). Key messages Continuing Education in Health is a strategy to deal with challenges and possibilities of interprofessional practices in the field of Collective Health. Enabling experiences and providing spaces for health professionals to share experience and learning.
Objetivo: Descrever as barreiras e ações frente à promoção da saúde do homem na atenção primária, a partir das evidências científicas no periodo entre 2017 a 2022. Métodos: Trata-se de uma revisão integrativa do tipo qualitativa. A busca por artigos científicos ocorreu nas bases de dados Biblioteca Virtual de Saúde (BVS), SciELO e Portal de Periódico da CAPES. Os artigos da amostra final obedeceram aos critérios pré-estabelecidos, possibilitando a criação de duas categorias. Resultados: Dentre os artigos amostrais (10), apontou-se a existência de barreiras, em destaque as culturais, socioeconômicas, educacionais e burocráticas que dificultam a inclusão do homem no sistema de saúde público brasileiro. Ademais, estudos destacama importância das ações educativas como estratégias de comunicação com os usuários homens, para que sensibilizem e busquemos serviços ofertados na rede primáriade saúde. Todavia, requer do profissional de saúde, o enfermeiro, uma atuação holística e sistemática. Considerações finais: Nota-se que os enfermeiros são profissionais capacitados e habilitados para práticas que promovam o apoio e orientação a essa população, porém as barreiras na assistência integral à saúde do homem reforçam a necessidade de reformulações nas políticas públicas.
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