Made available in DSpace on 2014-12-17T14:20:04Z (GMT). No. of bitstreams: 1 ClidenorBSF_DISSERT.pdf: 414431 bytes, checksum: 9d70a6bf3c1b428bf9218a18430167ef (MD5) Previous issue date: 2011-11-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The reality experienced by many families and individuals who seek and require the services of the Unified Health System - SUS, the relationships between users, health professionals, and political representatives, establishes the core of the issue that guides the choice and interest of this study concerning the prominence of clientelist practices and gifts that permeate the health field. The research is based on the analysis and reflection of the intrinsic relationship between the health and political fields. It analyses the health field and its relationship with the dynamics and developments of the local political scenario relating it to the implementation of the Family Health Program and Community Health Agents Program (PACS/PSF health programs) in the city of Mossor?, State of Rio Grande do Norte which refers to the period 1991-2010; and falls into a methodological perspective of qualitative approach. The methodological tools and techniques used were based on semi-structured interviews, direct observation of the field, journalistic texts and documentary sources. The construction and questioning of the object of the research were based on theoretical contributions from authors discussing the social field and symbolic power: Bourdieu (2005); clientelist relationships and gifts from asymmetric exchanges: Rouland (1997), Lanna (1995), Martins (1999), Carvalho (1999), Diniz (1982); exercise of hegemony and political strategy from authors who analyse this subject: Gramsci (1995), Coutinho (1981), and Gruppi (1978). Furthermore, the research has established dialogues with authors who address the dynamics of Brazilian politics such as Baquero (2001) and Weffort (1993). The collected data were subjected to qualitative content analysis. The results showed that with the implementation of the PACS/PSF programs in the aforementioned city, the health field has established itself as a key scenario for the exercise of political hegemony of the factions that dominate this socio-political context, resizing clientelist practices, however, without modifying the power structures within this social scenario / A realidade vivenciada por in?meras fam?lias e indiv?duos que buscam e necessitam dos servi?os do Sistema ?nico de Sa?de SUS, as rela??es entre usu?rios, profissionais de sa?de, e representantes pol?ticos, instituem o cerne da problem?tica que norteia ? escolha e o interesse deste estudo sobre a proemin?ncia das pr?ticas clientelistas e d?divas que permeiam o campo da sa?de. A pesquisa se pauta na an?lise e reflex?o da rela??o intr?nseca entre o campo da sa?de e o campo pol?tico. Analisa o campo da sa?de e sua rela??o com a din?mica e os desdobramentos do cen?rio pol?tico local relacionando-o a implanta??o dos programas de sa?de PACS/PSF no munic?pio de Mossor?-RN que remete ao per?odo entre 1991-2010. Inscreve-se em uma perspectiva metodol?gica de abordagem qualitativa. Os instrumentos metodol?gicos e t?cnicas utilizadas pautaram-se em entrevistas semi-estruturadas, observa??o direta do campo, textos jornal?sticos e fontes documentais. A constru??o e problematiza??o do objeto da pesquisa fundamentou-se em aportes te?ricos de autores que discutem o campo social e poder simb?lico: Bourdieu (2005); rela??es clientelistas e d?divas a partir de trocas assim?tricas: Rouland (1997), Lanna (1995), Martins (1999), Carvalho (1999), Diniz (1982); exerc?cio da hegemonia e estrat?gia pol?tica em autores que analisam essa tem?tica: Gramsci (1995), Coutinho (1981) e Gruppi (1978). Ademais, a pesquisa estabeleceu di?logos com autores que versam sobre a din?mica da pol?tica brasileira como Baquero (2001) e Weffort (1993). Os dados coletados foram submetidos a uma an?lise qualitativa de conte?do. Os resultados evidenciaram que com a implanta??o dos programas PACS/PSF no munic?pio supracitado o campo da sa?de consolidou-se como um cen?rio essencial para o exerc?cio da hegemonia pol?tica das fac??es que dominam esse contexto sociopol?tico, redimensionando as pr?ticas clientelistas, entretanto, sem modificar as estruturas de poder no ?mbito deste cen?rio social