Health under the integrality perspective

Abstract

HEALTH UNDER THE INTEGRALITY PERSPECTIVETalking about integrality, one of the principles of the Health System as a state policy in Brazil focused on health care, refers to a new paradigmatic vision concerning about the world and act on it dynamically and totalizing, overcoming a dualistic approach that divides subject and object in the process of knowledge. Requires, therefore, increase the focus on health and its intervention models.The term 'integrality' includes a set of activities and meanings articulated, covering individual and collective actions in the organization of health services, practices and models of care and their agents -managers, professionals and users -in the different levels of care system. Thinking about health from this perspective implies in understanding it as a matter of citizenship, since it corresponds to the right that everyone has health care. It implies in relating it to the current social and economic policies, and to the needs and demands of the population that are derived from them. It also requires respectful attitudes to people as historical-social beings, who possess the knowledge and should not be devalued and unskilled, but recognized in the organization of services and in professional practice. Breaks up, this time, with the culture of silence imposed by biomedicine professional whose knowledge is superior and unique in health care.Integrality in this field proposes overcoming the action objectified or only restricts to isolated systems of the physical body, whose mechanistic conception reduces the focus of attention to the disease and neglects the person in context. Appropriate to bring the place of intersectoral and interdisciplinary nature of this model. Both presuppose respect for those involved in health services and the rupture with the fragmentation of knowledge and actions, urging intervention forms alluding to the complexity of spaces, subjects and actions that constitute the care. This means that every citizen has a right of access to varied and comprehensive technologies applied to health so that you can make your choices and options, considering the spaces and the circumstances that are presented which assume the availability of these technologies in all official network health. Implies, on one hand, in the absence of hierarchy and the degree of valuation between these by professionals and administrators, and, secondly, by the active participation of users, including social control over health services.This participation in decisions about the health condition is ethical, attribute that is linked to the doctrinal principles of the National Policy in Humanization whose theoretical-philosophical values the subjective and social dimension in their care practices and management, and also the construction of autonomy and role of individuals and collectives. In this view ethical-humanistic everyone workers, administrators and users -become co-responsible for the quality of the actions and services provided.

Ações E Articulações Do Enfermeiro No Cuidado Da Criança Na Atenção Básica

“…The integration of knowledge in the team and the recognition that comprehensive care is provided in the whole, rather than in a fragmented way, is identified in the discourse. 8,32 There is a clinical discussion of each child's case, and the joint work with the physician makes it possible to intervene early in order to avoid complications in the child's health and to achieve problem-solving care.…”

“…34 In reporting that the Family Health strategy needs other services in the network, one interviewee explains how the support network permits the comprehensiveness of care through the organization of the services. 8,20,35 Knowledge of the interdependence among services, sectors and health professionals is observed to provide care to the children's needs.…”

“…Referred to as "multi-voiced choir", this articulated work is present in the interrelationship and intersection of multiple knowledge and practices and of diverse and organized sectors and services to act together with the children and enhance what is targeted as the end product -the care -and for it to be truly comprehensive. 8,20,33,35 Comprehensiveness also needs to permeate the way in which practices are organized (from fragmentation to the whole). [17][18] From this perspective, services need to assume a posture that enables extended care, with the user serving as the protagonist of this process.…”

“…7 The Family Health Strategy (FHS), in the context of child care, shows an important space for promoting the approximation between the health team and the caregiver / family, interweaving possibilities of access to services and to efficient and effective care for health maintenance. [8][9][10][11] Formed by a multiprofessional team, the FHS aims to offer health care to a population within a given territory. The nurse, as a member of this team, has a relevant role to achieve some of the doctrinal principles of the Unified Health System (SUS).…”

Atenção primária à criança com diabetes mellitus tipo 1: perspectiva de cuidadores

“…Family health care with poor orientation can also lead to fragility of comprehensiveness; if the life contexts of individuals and their families are not perceived or known, the involvement and concern for extended care, with commitment to all their needs, may not be effective. (23,24) In relation to the Community Orientation attribute, the scores were the lowest in the study, which instigates the reflection that the health services in question do not recognize the health specificities of the community, nor do they have a direct relationship with the surrounding population. (14) It is important that children with chronic conditions are also monitored in the PHC, in order to balance the demand for emergency services, to facilitate the actions of the specialized services, and strengthen the attributes of PHC.…”