Integralidade do cuidado no processo de trabalho das equipes de saúde da família: desafios na construção de uma prática de relações

Abstract

This study has as investigation object of the integrity of the care in the process of work of the Teams of Health of Family (ESF) in the Jequié city. It has the objectives to understand the senses and meanings of the integrity of the care in health in the process of work of the respective teams; to analyze the devices that guide the integral care to health (bond, reception,responsibility and resolution) and to identify the implications of the integrity of the care to the health in the process of the workers' of health work. It is a qualitative research, in an approximate perspective of the dialectic; method; it was used as technique s collection the semi-structured interview, the systematic observation and the analysis of official documents.The method of analysis approached to the hermeneutics-dialectics. The people of the study were twenty workers of health and seven users of the teams of health of the family. The results showed that the practices of health developed in some teams of health of the family seem contradictory to the integral service, still sustained in the doctor-centered model, mainly oriented for the hard technologies light-hard. However it is possible to notice some sensibility of guiding the work process for a perspective to the light technologies (relational practices),trying to develop their practices starting from an enlarged vision of the individual as bearer of foreseen needs and unexpected. The public litics of municipal health are a limit to be overcome in the sense of reaching the profile change in the ganization structure of the attention to the health. Was ended, therefore that for materialization of the integrity of the care in the Municipal district of Jequié, the development of competences is demanded in the work process in health as well as a politics of articulate formation to the practice for construction of collective projects ntegrated to the care in health, in that workers and managers of health and users are co-responsible for the production of a knowledge - to do, aiming at to give positive answers to the needs and the user's demands - family in a humanized way.