Tecnologia das relações como dispositivo do atendimento humanizado na atenção básica à saúde na perspectiva do acesso, do acolhimento e do vínculo

Abstract

To health workers and users the technology of relations as a device of humanized attendance in basic attention, highlighting the categories access, sheltering and attachment can present diverse meanings and have a subjective nature to treat with each one of different interests of subjects involved in construction of health. Thus, the objective of this research is to discuss how users and workers notice the access, sheltering and attachment as soft technology in basic attention in city of Fortaleza, Ceará State. The research has a descriptive nature, focusing on qualitative analysis, having as theoretical basis the soft technology in attention to health. The data were collected in the context of twelve focal groups with 70 workers of Basic Units of Family Health and clinical interview with 30 users. To analyze the data, it was followed the technique of thematic categorical content. The results suggested that technologies of relations in actions of health indicate the need of respect, effective relations in work, resolutivity in attendance, access to information among staff members and among these and users.

Relational technologies as instruments of care in the Family Health Strategy

“…For it is a large and complex process, communication must also be known and valued in both dimensions (2)(3)(4)19,27) . Based on the assumption that communication can favor the structuring of the relation between health professionals and patients, it is also important to emphasize that it is one of the fundamental aspects for the understanding of the welcoming reception (12)(13)(28)(29) , which is the basis for FHS and important for relational technology. The welcoming reception of the patient searching for healthcare is expressed through the relationship between this individual and the professional that attends to them, listening and dialoguing, in an attempt to identify needs and devise individual strategies to address them (1,(28)(29) .…”

“…Based on the assumption that communication can favor the structuring of the relation between health professionals and patients, it is also important to emphasize that it is one of the fundamental aspects for the understanding of the welcoming reception (12)(13)(28)(29) , which is the basis for FHS and important for relational technology. The welcoming reception of the patient searching for healthcare is expressed through the relationship between this individual and the professional that attends to them, listening and dialoguing, in an attempt to identify needs and devise individual strategies to address them (1,(28)(29) . In spite of continuous scientific advances, in the current context of healthcare, many actions have lost their caregiving aspect, since the focus on the disease and diagnosis privileges the professional's action centered on procedures, with little interest in the patient and with impoverished listening (20) .…”

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

“…From this perspective, strategies to control the disease based not only on new diagnostic or therapeutic methods but also on the incorporation of relationship technologies that emphasize reception/welcoming processes, the establishment of bonds and integral care as managers of care actions (2) , have been discussed in recent years.…”

Questionário de diagnóstico compartilhado da atenção básica: equipes de Saúde da Família típicas x ampliadas

“…However, one of the points raised by the typical teams was the difficulty in programming collective activities due to the high demands for individual care, as the assigned population was greater than the recommended 800 families per team (Coelho;Jorge, 2009;Sousa;Hamann, 2009;Takeda, 2004). This is reflected in the difference in marks allocated to conducting group health education activities, higher from the expanded team.…”

“…Encouraging patients to form social support networks is greater in the typical teams, contributing to identifying resources in the communities to solve or handle users social or even health problems (Coelho;Jorge, 2009). …”