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O Sistema ?nico de Sa?de e seus alcances : reflex?es acerca do processo de trabalho do consult?rio na ruaDuarte, Afrannia Hemanuelly Castanho 16 January 2018 (has links)
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Previous issue date: 2018-01-16 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The present dissertation systematizes the path and the results of the research
developed during the Master's in Social Work in the Graduate Program of the
School of Humanities of PUCRS. The main purpose was to analyze the work
process and the conceptions of reception in health in the street space to identify
the perception of the professionals of the Street Clinic and the users of the
National Movement of Street Population (MNPR) in Porto Alegre to offer
subsidies for the effective reception of this population and their rights
guarantee. We start from the understanding of the critical dialectical method
and we used the mixed approach to analyze quantitative and qualitative data.
We used the technique of bibliographical and empirical research from the semi
structured interviews conducted with the subjects. Our research was made of
twelve (12) workers at the Street Clinic, which corresponds to a public service,
managed by the Porto Alegre City Hall and the fifteen (15) representatives of
the MNPR of the same municipality. The subjects of the study were defined by
sample of the intentional type and the data collected through interviews with six
(6) workers and four (4) members (representative) of the MNPR. It is possible to
affirm that the conception of health reception in the street space for workers is
intertwined with work process? strategies, based on SUS that guarantee the
access of this population to health and intersectoral services. These strategies
are entangled with active pursuit, approach, listening, welcoming, bonding,
trust, sensitivity, persistence, and others. About the users, conception doesn?t
pervade both the applicability and construction of this work process as for the
workers, but it happens through the perception and sense of who receives this
reception, and how this team reaches them all. The users show us perceptions
and meanings of being treated as human rights by this team, who respect their
ways of life and build relationships of affection and equality. / A presente disserta??o sistematiza o caminho e os resultados da pesquisa
desenvolvida durante a realiza??o do Mestrado em Servi?o Social no Programa
de P?s-Gradua??o da Escola de Humanidades da PUCRS, que teve por intuito
principal analisar o processo de trabalho e as concep??es de acolhimento em
sa?de no espa?o da rua, a fim de identificar a percep??o dos (das)
trabalhadores (as) do Consult?rio na Rua e dos (as) usu?rios (as)-
representantes do Movimento Nacional da Popula??o de Rua (MNPR) de Porto
Alegre para oferecer subs?dios para o efetivo acolhimento dessa popula??o e
sua garantia de direitos. Para realiza??o do estudo, partimos do entendimento
do m?todo dial?tico cr?tico e utilizamos o enfoque misto para an?lise de dados
quantitativos e qualitativos. Utilizamos a t?cnica de pesquisa bibliogr?fica e
emp?rica a partir das entrevistas semiestruturadas realizadas com os sujeitos.
O universo da nossa pesquisa foi retirado da totalidade de doze (12)
trabalhadores do Consult?rio na Rua, que corresponde a um servi?o p?blico,
gerenciado pela Prefeitura Municipal de Porto Alegre e dos quinze (15)
usu?rios (as) representantes do MNPR do mesmo munic?pio. Os sujeitos do
estudo foram definidos por amostra do tipo intencional e os dados coletados
atrav?s de entrevista com seis (6) trabalhadores (as) e quatro (4) integrantes
(usu?rio (a) representante) do MNPR. Ao concluir este estudo, ? poss?vel
afirmar que a concep??o de acolhimento em sa?de no espa?o da rua para os
trabalhadores ? entrela?ada por estrat?gias do processo de trabalho,
fundamentadas no SUS que garantam o acesso dessa popula??o aos servi?os
de sa?de e intersetoriais. Essas estrat?gias s?o emaranhadas com a busca
ativa, abordagem, escuta, acolhida, v?nculo, confian?a, sensibilidade,
persist?ncia, entre outros. Para os usu?rios a concep??o n?o perpassa tanto
pela aplicabilidade e constru??o desse processo de trabalho como para os
trabalhadores, mas transcorre pela percep??o e sentido de quem recebe esse
acolhimento, e de como essa equipe chega at? eles. Os usu?rios apresentam
percep??es e sentidos de serem tratados como seres humanos de direitos por
essa equipe, que respeitam seus modos de vida e constroem rela??es de afeto
e igualdade.
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A atua??o dos consult?rios na rua (CnaR) e a aten??o ? sa?de da popula??o em situa??o de ruaMatos, Anna Carolina Vidal 12 July 2016 (has links)
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Previous issue date: 2016-07-12 / A presente pesquisa tomou como refer?ncia a popula??o em situa??o de rua como uma manifesta??o da quest?o social, o que implica um fen?meno gerado a partir de condi??es hist?ricas, com a media??o de aspectos sociais, econ?micos e pol?ticos. Em consequ?ncia da organiza??o e das lutas do Movimento Nacional da Popula??o de Rua, atualmente, no Brasil, tal fen?meno ? abordado pelo Estado como uma quest?o transversal a v?rias ?reas da gest?o p?blica. Assim, em 2011, surge a Pol?tica Nacional Para a Popula??o em Situa??o de Rua, em que foram criados os Consult?rios na Rua (CnaR). Estes s?o equipamentos da aten??o b?sica voltados para a preven??o e promo??o de sa?de junto ? popula??o em situa??o de rua. Nessa dire??o, esta pesquisa visou a entender a atua??o dos profissionais dos CnaR no munic?pio do Natal/RN. O objetivo geral foi analisar a atua??o das equipes do CnaR frente ?s demandas e necessidades de sa?de da popula??o em situa??o de rua do munic?pio de Natal/RN. De forma mais espec?fica, pretendeu-se caracterizar as pr?ticas dos profissionais do CnaR; problematizar os limites e as potencialidades desse equipamento na sua rela??o com a rede de sa?de e com a intersetorialidade; e discutir como se d? o acesso ao cuidado integral ? sa?de da popula??o em situa??o de rua, por meio das pr?ticas do CnaR. Assim, foram feitas entrevistas semiestruturadas com os profissionais das equipes e, concomitantemente, observa??o participante e registros em di?rios de campo a partir do acompanhamento de uma das equipes. Em Natal/RN, existem tr?s equipes do CnaR, localizadas em duas regi?es da cidade, sendo elas compostas por 19 profissionais e um coordenador. Participaram das entrevistas 17 profissionais. Foi constatado que as demandas que chegam para as equipes s?o bastante diversificadas, mas ligadas ao perfil de desassist?ncia e nega??o de direitos caracter?stico dessa popula??o, o que exige uma educa??o cr?tica e permanente acerca do fen?meno, algo que foi visto como incipiente. Al?m disso, o trabalho dos profissionais se d? na dire??o das pr?ticas voltadas para a inser??o dos usu?rios na rede de sa?de, como o matriciamento, e no atendimento ?s demandas apresentadas no campo ? e essas ?ltimas acabam sendo priorizadas por seu volume. A dificuldade de articula??o com outros servi?os da rede emergiu como uma das mais marcantes da atua??o e, junto com o excesso de atividades, foi apresentada como limite para a efetiva inser??o dos usu?rios na rede. Constatou-se tamb?m que h? uma necessidade de estimular a articula??o com parceiros centrais como o NASF e o MNPR. Por fim, ? importante ressaltar que entender as pr?ticas dos CnaR permite ampliar o entendimento da constru??o das pol?ticas sociais para a popula??o em situa??o de rua, diminuir a invisibilidade e promover a constru??o de possibilidade de uma transforma??o na realidade desse p?blico. / This research took people under street condition as a manifestation of the Social Issue, implying a phenomenon generated from historical conditions, with the mediation of social, economic and political aspects. As a result of the organization and the struggles of the National Movement of People Under Street Condition, currently in Brazil this phenomenon is addressed by the State as a transversal issue for various areas of public administration. Thus, in 2011, arises the National Policy to the Population under Street Condition, from which the Street Clinics were created (CnaR). These are equipments of Primary Care focused on prevention and health promotion among the people under street condition. In this sense, this research aimed to understand the work of CnaR professionals in the city of Natal/RN. The general objective was to analyze the practices of CnaR teams toward the demands and health needs of the people under street condition of Natal/RN. More specifically, it sought to characterize the practices of CNAR professionals; problematize the limits and potential of this equipment in their relationship with the health network and the intersectorality and; discuss how the access to full health care of the population people under street condition takes place through CnaR practices. Aiming these objectives, semi-structured interviews were conducted with professional teams and, concomitantly, participant observation and records in field diaries from the observations of one of the teams. There are three teams CnaR in Natal/RN, located in two areas of the city, composed of 19 professionals and a coordinator. Seventeen professionals participated in the interviews. It was found that the demands that come to the teams are quite diverse, but related to lack of assistance profile and denial of rights that characterizes this population, which requires a critical and permanent education about the phenomenon, which was seen as incipient. Moreover, the work of professionals takes place in the direction of practices aiming the integration of users in the health system, such as matrx support, and facing immediate demands in the field, and the latter end up being prioritized because its volume. Integration with other network services has emerged as one of the most outstanding difficulties for the practices and, along with excess of activity, was presented as limitation for the effective integration of users in the network. It was also found that there is a need to encourage cooperation with main partners as NASF and MNPR. Finally, it is important to highlight that the understanding of the practices of CnaR allows greater understanding of the construction of social policies for the people under street condition, reduces the invisibility and promote the construction of the possibility of a change in the reality of this public.
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