Os processos de trabalho e a mudança do modelo tecnoassistencial em saude

AUTOR(ES)
DATA DE PUBLICAÇÃO

1999

RESUMO

The current assistance model to the health, is characterized as " producing of procedures", because the production of services gives herself starting from the clinic exercised by the doctor which uses mainly the technologies hard /leaven. For a social assistance model centered in the user, it intends a process of work multiprofissional and determined by technologies soft /leaven, with the " production of the care ", expert while actions of Reception, Entail, own nomination and Resolution. The ATTACHMENT (accueil), became a strategy to bring about change in the process of delivering health care services, with the objective of restructuring the relationship not only of health care service workers with the consumers of health services "but also by changing the relationship of health care providers with one another. That highlighted issues such as the degree to which health care workers perform their duties in isolation or in cooperation with the Health Services Team. It also highlighted the dynamics of interpersonal relationships and the ability to give full consideration to the demands of the patients. Represented in this equation was also the technical knowledge of the Health Care Teams which made it possible for the various health care professional categories to intervene and deliver adequate services. It was possible also to create a reflection about health as an inalienable right of all citizens and how to make universal access to health care services as wel as high quality of services and the clinical and sanitary liabilities, an integral part of the delivery of health services on a regular basis. Such a reflection is based on the premise that government, public health workers and consumers of health services become partners in the development of a "new" approach to the process of delivering health care services and to the way that life is treated and defended. The Program of Health of the Family (PHF) is today one of the main answers of the Ministry of the Health to the crisis lived in the section. A comparative study of PHF with the Community Medicine and the Primary Actions of Hea1th (Alma Ata, 1978) it shows similarities among the tbree proposals, that are organized starting ftom an ideal and they operate through the theoretical nucleus of the epidemology and surveillance to the health. PHF, when summarizing its action to the surveillance to the health, with shy incursion in the clinic, doesn t have potency to revert this configuration of the Medical Model Hegemonic. In the end, I taIk use of two "analysers tools", like follows: The "descriptor fluxogram", is the fluxogram "centred-usuary", applied to the work process. This tool show it potent to cast "light in shadow areas" above the every day tasks and reveal the criticals knots of health services production. The other one, the "request and commitment net", reproduce the demands and pacts among diverse actors, in the health production scene. Functioning like questionable ofthe talk net" to identicate the noises presents on this relations. Both ones show them potentials in the purpose of analyse of the micropolitics health services organization, offering a wide view about troubles lived on this place

ASSUNTO(S)

saude - planejamento politica de saude - brasil serviços de saude trabalho

ACESSO AO ARTIGO

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