Saúde da família: desafios no processo de reorientação do modelo assistencial

Abstract

The Family Health Program (PSF) constitutes a strategy for reformulating the health assistance model in Brazil. This study was carried out to ponder over the challenges of this strategy concerning to health practices in the primary care context. After existing for more than twelve years, there appear questionings related to the paper of PSF in the reformulation of the way to think and promote health, and their structures remain permeable to the traditional hegemonic model that corrupts the daily work process. Some changes and reconstruction are necessary in the health practices concerning to care production based on light, relational and integrate technologies that are centered on users' needs. Although the deconstruction/reconstruction process implicates much labor, the advantage in overcoming the challenges faced by PSF rather leads to the transformation of reality and to construction of health practices that are solidary, welcoming, and resolvent.

Qualidade de vida no trabalho de profissionais do NASF no município de São Paulo

“…Ao contrário do modelo tradicional de prestação de cuidados, centrado na assistência curativa, especializada, medicamentosa, fragmentada e individual, que tem no hospital o lócus de solução de todo e qualquer problema de saúde, o novo modelo proposto por ESF e NASF luta para substituir a forma de pensar e praticar saúde, priorizando o enfoque coletivo e a ação interprofissional centrada na família e na coletividade (COSTA et al, 2009).…”

Diagnostico da tuberculose: atencao basica ou pronto atendimento?

“…Health care team members need to assimilate innovative and restructuring practices into health care activities, returning to a wider view of the health-disease process and of relationships between team members 4,19 and between health care services themselves. All of this constituting interdisciplinary work within the network.…”

Atuação do auxiliar de enfermagem na Estratégia Saúde da Família

“…A solution or improvement indicated for this obstacle caused by the high demand is the need for more investments in the adaptation of the teams and services of the Basic Health Unit in order to share resources and interclinical appointments, investments in the other levels of complexity and not only in the basic care, reorganization and reorientation of the health care model (6)(7) .…”

“…There are several difficulties for the operationalization of this strategy and, among them, there is the adjustment of the profile of the professionals for a performance from the perspective of the integral health care, through a resolutive, competent and humanized practice that involves actions of promotion, prevention, early care, cure and rehabilitation (4)(5)(6)(7) . This fact results from the education predominantly based on a hospital care centered on the disease and on the doctor, which limits the care to curative and punctual practices.…”