Humanization of Care from the Perspective of the Family Health Strategy Teams in a City in the Interior of São Paulo, Brazil

Abstract

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization.The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties. La humanización del cuidado bajo la perspectiva de los equipos de la estrategia de salud de la familia en un municipio del interior paulista, BrasilEste estudio tuvo como objetivo analizar la comprensión referente a la humanización del cuidado a partir de la perspectiva de profesionales que componen los equipos de la Estrategia de Salud de la Familia. Se trata de estudio cualitativo, realizado en un municipio del interior del estado de Sao Paulo, a partir de entrevistas con 20 profesionales. En el análisis de los datos fue utilizado el método de interpretación de los sentidos, basado en la perspectiva hermenéutica-dialéctica. El significado de la humanización para los profesionales entrevistados comprende una perspectiva ampliada, que incluye principios éticos y la facilidad para acceder al cuidado. Las dificultades se refieren a la falta de profesionales preparados, excesiva demanda y deficiencias en la organización del servicio. Los profesionales presentaron como propuesta formar y calificar profesionales, adecuar las actividades al papel profesional y mejorar la organización de los servicios.Los profesionales demuestran comprender el significado de la humanización y reconocen la necesidad de enfrentar las dificultades.Descriptores: Humanización de la Atención; Grupo de Atención al Paciente; Salud de la Familia. IntroductionIn order to meet the health needs of the Brazilian population, the Brazilian Single Health System (SUS) has proposed changing the current health model, the characteristics of which are fragmented care centralized on disease and its biological and healing aspects. The proposed changes are guided by the principles of care integrality * , universality of access, political/administrative decentralization, equity and the incorporation of new technologies, knowledge and practices (1) . Based on these principles, the Family Health Strategy (FHS) has been implemented since the 1990s as a way to re-orient health services through interventions in order * Integrality refers to the idea that individuals are historical, social and political subjects and should be considered in their totality dur...

The therapeutic journey of families of children with respiratory diseases in the public health service

“…Another study (18) analyzing the extent to which health workers composing FHS teams understand the humanization of care suggests providing education and qualifications to professionals, adjusting activities to the professionals' responsibilities, and improving the organization of services in order to improve care delivery. That is, similar to the families in this study who perceive barriers in the care delivery process, the professionals also perceive these barriers and suggest measures to attenuate them.…”

Politica de humanizacao na atencao basica: revisao sistematica

“…The flowchart of the inclusion and exclusion process can be seen in the Figure. As regards the evaluation criteria applied to the included studies, seven studies obtained a score of seven, 2,11,16,30,33,39,41 11 scored eight, 1,4,18,19,21,23,25,29,40,47,c and 22 studies scored nine. 6,12-14,17,20,22,26,34,35,37,38,42,44-46,d,e,f,g,h,i The meta-synthesis was mainly composed of studies carried out with health care professionals; 11,16,17,19,20,22,25,34,37,39,41,44,46,47,c,e,g,h users; 13,14,23,33,35,41 or both.…”

“…[45][46][47] The majority of analyses used were content analysis, 5,12,16,20,26,30,35,44,45,47,g followed by thematic analysis. 4,6,18,37,42 Other strategies such as descriptive analysis, 41 discourse analysis, 22,29 dialectical hermeneutics and ethnography 25,40 were used to a lesser extent.…”

“…6,23,25,37,46,47 There were problems related to size and availability of consulting rooms, uncomfortable or insufficient chairs, poor ventilation and problems in structural maintenance. 21,f Some studies 21,35 reported services operating in very small physical areas, without even a waiting room.…”

The experience of the illness and of the treatment for the person with systemic arterial hypertension: an ethnographic study

“…The dissatisfaction with the care model offered by the UESF is owed to the fact that they seek a care centered not only in hard technologies, but also in light technologies (24) , for resolving harm caused by becoming ill which is not only functional but, above all, the existential. (25) . The uniquenesses in the way of thinking, associated with the specific characteristics of SAH, mean that the people do not need only physical care, but that they need, above all, encouragement, hope and comprehension.…”