Vínculo e autonomia na prática de saúde bucal no Programa Saúde da Família

Abstract

OBJECTIVE:To understand the establishment of bond in the construction of autonomy of the subjects who generate the practices of oral health in the Family Health Program. METHODOLOGICAL PROCEDURES:A critical refl exive approach was undertaken in this qualitative study carried out in Alagoinhas (Northeastern Brazil). ANALYSIS OF RESULTS:Interviewees taken care of by the oral health team of the Program point out their problems and the treatment they want. A line of tension is established that will defi ne the service as welcoming, binding and will contribute towards enhancing the autonomy of those seeking oral health services. However, negotiation concerning the treatment that will be implemented, between those seeking and providing it, is fundamental. Establishing a bond made it possible for negotiation to lead to a consensus concerning necessities and responsibilities, impeding the therapeutic act from being centered on the health care worker, allowing it to ensue according to the desire of the person seeking care. CONCLUSIONS:Bond maintains a close relationship with the capacity of the other to become an active subject in decision making with regard to his/ her life. It allows subjects to strive towards their potentialities, favoring the reciprocity of experiences and the construction of therapeutic acts for which they are co-responsible. Oral health practice based on relational pillars needs to foster bond, making those that seek care autonomous and amplifying care.

Fatores associados à satisfação com serviços odontológicos entre idosos

“…Historically, dental care in Brazil has focussed on treatment, on compartmentalised and fragmented knowledge of the act of healing 17 without considering the service users' point of view in evaluating the service. The dramatic aging process experienced by the Brazilian population and the National Policy for the Elderly highlight the need for expanding the debate on health care for this age group.…”

Percepções de usuários e trabalhadores de saúde sobre a implantação do acolhimento em uma unidade de saúde em Porto Alegre-RS, Brasil

“…Tais significações representam a construção de laços e interações com os usuários, além de contemplarem o diálogo, a atenção e o respeito. Já que a eficácia do ato em saúde é fortemente dependente da interação interpessoal, reconhece-se a abordagem aos usuários como parte essencial do processo terapêutico 16 .…”

“…A construção de um novo modelo assistencial é parte indissociável da consolidação e do aprimoramento do Sistema Único de Saúde. Acredita-se que a consolidação de um modelo de atenção em saúde redefinido e potencializado deve estar relacionada à atuação de profissionais que têm claro em suas mentes o papel de agente transformador, tornando transparentes as informações, criando vínculos efetivos entre usuários e equipe, e estabelecendo relações de trocas e confiança 16 . Implantar a reorientação do modelo de atenção à saúde bucal e a redefinição dos processos de trabalho no CEUVF significou rever também as relações de poder existentes na instituição, entre profissionais, usuários e gestores, uma vez que tal transformação alterou os processos e as relações na unidade.…”

Welcoming and bonding in the conceptions and practices of community health workers

“…7 In addition, the welcoming and bonding actions can make the practices more effective and efficient through the construction of affective values and respect for other people's lives, allowing the traditional (curative and preventive) practices to gain a new dimension, based on the collective interest. 8 Welcoming can be a strategy to restructure the curative and fragmented care model, making healthcare more welcoming and problem solving. In that sense, the health work process is modified by listening to the users and valuing their needs.…”

“…[10][11] Bonding, then, is a device that allows both the users and the workers to find their potential, establishing more reciprocal relations and permitting the construction of co-accountable and co-authored therapeutic acts. 8 In this study, the bond is considered a nonimmediate conquest, as it might take some time to establish but, once consolidated, the stronger it is, the better the relation between professional and user will be, producing better results and enhancing the exchange of knowledge among the people involved. 7 In view of the above, in this study, the goal was to get to know the concepts and practices of welcoming and bonding from the perspective of the Community Health Agents in the CHAS of a city in the Northwest of the State of Rio Grande do Sul.…”