Programa de saúde da família : estratégia de superação das desigualdades na saúde? : análise do acesso aos serviços aos serviços básicos de saúde

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

This thesis is about a longitudinal analysis of the Family Health Care Program (Programa de Saúde da Família-PSF), which has been implemented in Brazil since 1994 as a political strategy to promote the organization of the basic health care actions in the municipal health care systems. The general goal of this research was to analyze the PSF implementation regarding the access to the basic health care services on context of Unified Health System (Sistema Único de Saúde-SUS). The main hypothesis consisted in knowing if this strategy is a potential contributor to overcome the inequalities in this access. It is based on the context of Social Sciences and in the hermeneutic-dialectic method and it is also a qualitativequantitative research, which methods and techniques consisted in collecting, analyzing, understanding and interpreting the selected collective subjective speeches among the SUS managers with the focus on the twelve pioneer cities in implementing PSF, located in different regions of the country. The subject speeches were organized and analyzed from the Collective Subject Speech (Discurso do Sujeito Coletivo-DSC) of Lefevre and Lefevre (2005) view. As instrument to collect the material of the speech were used individual and focal groups interview scripts. The analysis of the main ideas and anchorages formed the collective subject speeches organized by explicative categories from the point of view of politics, techfinances and symbolic ones. The results of the research indicate that the motivation of the SUS managers to implement PSF are directly related to theirs responsibilities and know-how on the context of the system and when this strategy is chosen it takes into account the possibility of reducing the inequalities of the access to basic health care services. They also indicate that the expansion of the PSF in big cities faces resistances and oppositions of ideological and corporative order, especially in cities where the aid network is organized in hospital and ambulatories of expertise and anchored in diagnostic-therapeutic support and in medical consultations. The results indicated that the inequality of the funds of basic health care is jeopardizing the globalization of this strategy, therefore increasing their fragilities on human resources investments, management technologies and, as a consequence, in technological-political-scientific support, all considered essential elements for their sustainability and governbility. They indicate, above all, that the users perception regarding access lays on the idea of basic health care units work translated into the representation of the ill, however, without explaining other causes that block the universal access to service assets according to the values and practices of promoting health and a broader vision of the concept of health care. It is concluded that this political strategy is a potential contributor to diminish the inequalities in health care, as long as the SUS managers and the society take the responsibility to build PSF as a strategy in excellence to organize the health basic care and build a familiar and full time care model, guided by the values and principles of solidarity, equality and social justice.

ASSUNTO(S)

basic health care services inequality programa de saúde da família (brasil) access política de saúde family health care ciencias da saude

ACESSO AO ARTIGO

Documentos Relacionados