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O trabalho das equipes de saúde da família na perspectiva da integralidade na atenção à saúdeVecchi, Marjorye Polinati da Silva 19 December 2014 (has links)
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Previous issue date: 2014-12-19 / Na Estratégia Saúde da Família as equipes devem organizar seu processo de trabalho orientando-se pelos princípios do Sistema Único de Saúde, dentre os quais a integralidade, princípio capaz de potencializar um cuidado à saúde mais resolutivo, centrado no usuário e em suas múltiplas necessidades em saúde. Este pressuposto subsidiou a realização desse estudo que tem como objetivo analisar o processo de trabalho das Equipes de Saúde da Família na perspectiva da integralidade da atenção à saúde, assim como identificar os avanços e desafios relacionados à implementação de uma assistência integral por parte dessas equipes. Trata-se de uma pesquisa qualitativa, realizada com 33 profissionais das equipes de Saúde da Família e Saúde Bucal de três unidades de Saúde da Família de um município da zona da mata de Minas Gerais. Como instrumento de coleta de dados utilizou-se a técnica de entrevista coletiva com os profissionais de cada equipe trabalhada em dois momentos: o primeiro momento objetivou apreender as compreensões sobre integralidade; o segundo momento, suscitou a reflexão dos profissionais sobre suas práticas a partir dos resultados da autoavaliação realizada em 2013 quando do segundo ano do Programa Nacional de Melhoria do Acesso e da Qualidade no município. Foi dado destaque a dimensão Educação Permanente, Processo de Trabalho e Atenção Integral à Saúde do instrumento Autoavaliação para Melhoria do Acesso e da Qualidade. Para análise, as informações obtidas no segundo momento da entrevista foram confrontadas com as do primeiro momento de modo a verificar coerência entre os saberes e práticas dos profissionais das equipes. De modo complementar analisou-se também documentos da Secretaria Municipal de Saúde. A análise foi orientada à luz da análise de conteúdo, proposta por Bardin e possibilitou a criação de categorias de análise que integraram os dois momentos. Os resultados desvelaram que os profissionais das equipes possuem dificuldades em articular a concepção de integralidade com as práticas profissionais e encontram obstáculos que interferem na organização do processo de trabalho em direção à integralidade destacando: contratos de trabalho precários, a carência de um programa de educação permanente, a falta de planejamento integrado de ações, problemas na referência e contra referência, burocracia na comunicação intersetorial; problemas na aplicação do instrumento Autoavaliação para Melhoria do Acesso e da Qualidade nas equipes e falta de feedback dos resultados dessa autoavaliação. Verifica-se que o processo de trabalho do município não está orientado pela integralidade, mas estruturado nos moldes biomédico curativista. Espera-se que essa pesquisa possa subsidiar as ações para reorganização do processo de trabalho das equipes na perspectiva da integralidade visando melhorias na qualidade assistencial do município. / On the Family Health Strategy, teams must organize their work process, guiding themselves by the principles of the Health System, especially the integrality, which enables the enhancement of a more unwavering health care, focused on the users and in their multiple health needs. Such assumption supported the accomplishment of this study, which has the purpose of analyzing the work process of the Family Health teams under the perspective of health care integrality, as well as identifying the improvements and challenges related to the implementation of an unabridged care by these teams. It is a qualitative research, performed with 33 professionals of Family Health and Oral Health teams from three Family Health unities of a town in the forest zone of Minas Gerais. As instrument of data collection, a press conference with the professionals of each worked team was made in two points: the first one with the purpose of learning the understandings about integrality; the second one aroused the professionals’ reflection regarding their practices, from the results of a self-assessment performed in 2013 on the second year of the National Program of Quality and Access Improvements in the town. It was given emphasis on the dimensions of Permanent Education, Work Process and Integral Health Care on the Access and Quality Improvement Self-Assessment. For the analysis, the acquired information on the second point was confronted with the information on the first point, in order to check the consistency between the team professionals’ knowing and practice. Complementary, documents from the town’s Health Department were also analyzed. The analysis was performed in light of the content analyses proposed by Bardin, and allowed the creation of analysis categories, which composed both studied points. The results unveiled some difficulties of the team professionals to articulate the concept of Integrality with professional practices, which brings them to obstacles that interfere on the work process organization towards integrality itself, such as: poor work contracts, lack of permanent education program, lack of integrated action planning, problems regarding reference and counter reference, intersectorial communication bureaucracy; issues regarding Access and Quality Improvement Self-Assessment application for the teams and lack of feedback from the results of this self-assessment are amongst these obstacles as well. It has been verified that the work process in the town is not orientated by integrality. Instead, it is structured in biomedical curative molds. It is hoped that this research may provide the actions to rearrange the work process on the teams under the perspective of integrality, aiming to improve the health care quality in the town.
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Pandemins påverkan på revisionsprocessen : en kvalitativ studie om pandemins påverkan på revisorernas arbetsprocess och användningen av digitala verktyg / Pandemic’s impact on the audit process : qualitative study on how the pandemic affects auditors work process and use of digital toolsAbu-Tour, Ajat, Iskandarani, Aicha January 2021 (has links)
Pandemin covid-19 har haft en stor påverkan på arbetslivet då arbetare blir uppmanade att följa restriktioner vilket bland annat är att distansera sig från varandra. Detta innebär att revisorerna i denna studie har blivit tvungna att jobba hemifrån för att minska smittspridningen. Syftet med denna studie är att undersöka hur pandemin covid-19 har påverkat revisorernas arbetsprocess och vilka digitala verktyg som använts under pandemin. En kvalitativ metod har använts i studien för att besvara forskningsfrågan och syftet med studien. Sex stycken revisorer från BDO, Frejs revisorer AB, PwC, EY och Mazars har intervjuats. Respondenternas svar analyserades därefter med hjälp av studiens insamling av teorier. Insamlingen av data redovisas i resultatkapitlet som visar att pandemin har påverkat revisorerna både negativt och positivt. Det som har påverkats negativt är revisorernas sociala arbetsliv medan den positiva påverkan är att det har blivit effektivare att jobba hemifrån. Slutligen har digitala verktyg varit ett stort stöd i revisorernas arbetsprocess under pandemin. Utifrån den empiriska datainsamlingen kan pandemin fortsätta länge till. Teorin i studien och den empiriska datainsamlingen lyfter upp möjligheterna med digitalisering som gör revisorerna oberoende av arbetsplatsen. Revisorernas välmående under pandemin är det som ska sättas i fokus då pandemin kan pågå länge till. / The pandemic covid-19 had a major impact on the working life as workers are urged to comply with restrictions, which include distancing themselves from each other. This means that the auditors in this study had to work from home to reduce the spread of infection. The purpose of this study is to investigate how the covid-19 pandemic has affected the auditors work process and which digital tools have been used during the pandemic. A qualitative method has been used in the study to answer the research question and the purpose of the study. Six auditors from BDO, Frejs revisorer AB, PwC, EY and Mazars have been interviewed. Responses were then analyzed using the study's collection of theories. The collection of data is reported in the results chapter, which shows that the pandemic has affected the auditors both negatively and positively. What has been negatively affected is the auditors social working life, while the positive impact is that it has become more efficient to work from home. Finally, digital tools have been a great support in the auditors work process during the pandemic. Based on the empirical data collection, the pandemic could last many years. The theory in the study and the empirical data collection highlights the possibilities with digitization that makes the auditors independent of the workplace. The auditor’s well-being during the pandemic is what should be put in focus as the pandemic could last many years.
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Gilla oss! : En studie av fyra svenska medieföretags arbete med sociala medierAppelberg, Jonas January 2018 (has links)
This dissertation contains an exploratory study of how four Swedish media companies has decided to use social media in their daily work, and also how they in fact use them. What are the goals with implementing social media, how do they differ between different companies and do the goals transfer into the newsrooms? The four companies studied are Sveriges Radio, Aftonbladet, Dalarnas Tidningar and Gotlands Media. Media companies that differ from one another both in size, geographical coverage and economy. They range from small local newspapers to national public service radio and the biggest tabloid on the Swedish market. The methods used are qualitative research interviews and field studies as well as quantitative data analysis. The theoretical chapter helps define traditional journalism and journalistic practice. The concepts of boundaries, participatory cultures and normalizing of work methods are also discussed and helps build a context for the analysis of the empirical data. Some key findings from the study are that there are more similarities than differences between the various companies in both how they aim to use social media and how they in fact use them. That the digital development in the surrounding society are much faster than the implementation of new technologies in the newsrooms. Also, that there are differences between how the companies aim to use social media and the actual usage. For instance, all companies strive for a more active dialog with the audience in their visionary work, but has a hard time turning this into reality. There is also notable that social media in this study do not change the journalistic fundamental routines and traditions. The studied journalists are still in control of their own content and they aim to meet the same standard in journalistic quality when working in social media. It is also evident that Facebook is invaluable for all the studied companies, which gives Facebook an interesting indirect power over the journalistic work process and product. Finally, the study finds that it is hard to engage the audience in an active collaboration even when working with social media.
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Continuous Integration Pipelines to Assess Programming Assignments : Test Like a ProfessionalStrand, Anton January 2020 (has links)
Examiners of programming assignments in higher education and people in the software industry both need to test and review code. However, the assessing techniques used are often quite different. The IT industry often uses agile work methods like continuous integration and automated tests, while examiners either do manual assessments or rely on code grading tools. The students will most likely become developers and work using agile processes. Therefore, there are possible benefits of universities trying to imitate the work processes of the software industry. The purpose of this study was to develop a workflow for programming assignments inspired by continuous integration, Scrum, and GitLab flow. The workflow was developed based on the requirements of Linnaeus University and tested on one of their programming assignments. It showed that a simplified agile work process is suitable for programming assignments since the demonstration fulfilled all of the predefined requirements. However, examiners might miss some of the workflow’s benefits if the programming assignment can not be tested automatically since it will require more manual work while grading.
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Flexibel tredjepartslogistik : En fallstudie om TPL-aktörens arbete med kundanpassning / Flexible Third-party Logistics : A Case Study of the TPL Actor's Work with Customer AdaptionMeisingseth, Anna-Sara, Wernfeldt, Frida January 2021 (has links)
Purpose – The purpose of this study is to investigate how companies in third-party logistics operate within customized warehouse solutions to identify which factors affect the work processes. Method – To fulfil the purpose of the study, a literature study was conducted to create a theoretical framework to obtain an understanding of the subject TPL. Furthermore, to fulfil the purpose, a case study was conducted at a TPL company. The case study consisted of interviews and observations in which generated the empirical data for the analysis. The outcome of the data was interpreted and analysed by triangulation in order to detect patterns from different perspectives. Findings – It can be stated that the work conducted in TPL-companies with customized warehousing solutions varies, due to the fact that different customers, with different products are handled in different ways. Furthermore, it emerged that there are at least 11 factors, both external and internal, that are estimated to have a direct impact on the work process in TPL- companies with customized warehousing solutions. Implications – The results of the study have contributed to increasing the understanding of how TPL-companies work with customized warehousing solutions and also contributed to identify a number of factors that affect the work processes. With the result obtained, the study has contributed to supplementing the lack of research concerning TPL from a TPL perspective. By visualizing the work process in TPL companies with customized warehouse solutions and highlighting factors that affect the work process in customized warehouses, this study can contribute to support the internal work in TPL companies. Furthermore, the improvement measures presented for seven of the factors can be used as a tool for TPL companies. Limitations – The limitations of the study are that only one TPL company was included in the case study and three of the case company’s employees participated in the empirical collection. If multiple TPL companies and respondents with different areas of responsibility, one could assume that more factors than the 11 found in this study, could have been identified. Thus, the generalizability is limited for the study.
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Implementering av nytt IT-system i en större organisation : Möjligheter och problem ur ett användarperspektiv / Implementation of new IT system in a large organization : Opportunities and problems from a user perspectiveHassani, Aydin January 2018 (has links)
Denna studie är baserad på en organisationsförändring inom Länsförsäkringsgruppen. Länsförsäkringar består av 23 lokala och självständiga försäkringsbolag som är verksamma under samma varumärke. Genom att införa ett gemensamt arbetssätt på samtliga länsförsäkringsbolagen för reglering av byggskador som är kopplat till stödsystemet Meps 2.0 avsågs att öka kundnöjdheten. Det övergripande syftet med studien är att undersöka vad som kan läras och förstås av användarnas perspektiv, i detta fall skadereglerarna, om möjligheter och hinder för lärande av nya arbetssätt i samband med implementering av nytt IT-system. Att förstå på vilka sätt personalens erfarenheter kan komma till användning för utveckling av ett gemensamt arbetssätt i en organisation är ett ytterligare syfte med undersökningen. I denna undersökning genomförs en enkätundersökning som bildar underlag för fallstudier på två utvalda länsförsäkringsbolag. Fallstudier består av individuella intervjuer med en gruppchef och tre medarbetare på länsförsäkringsbolagen samt observationer av informanterna. Insamlad data bearbetas och analyseras med koppling till litteratur och genom tematisk analys som metod. Resultaten visar att strukturer tillsammans med relationella och sociala aspekter har en väsentlig roll för att genomföra en lyckad förändring inom en organisation. Vikten av människors aktiva delaktighet i förändringsarbeten understryks och det hittas nödvändigt att de involverade människorna är med på vad en viss förändring innebär och varför den behövs. Vidare visar de uppnådda resultaten att Communities of practice med fördel kan tillämpas inom en organisation för att dra nytta av kollektivets styrka i olika områden och för att kunna utveckla nya kulturella resurser som nya sätt arbeta på i en organisation. / This study is based on an organizational change within the Länsförsäkringar group. Länsförsäkringar consists of 23 local and independent insurance companies operating under the same brand. By introducing a joint work method for settlement of building damages which is related to the support system Meps 2.0 to all insurance companies inside the group, it was intended to increase customer satisfaction. The overall aim of the study is to investigate what can be learned and understood from the users' perspectives, in this case the claims adjusters, about opportunities and obstacles for learning new ways of working in connection with the implementation of a new IT system. Understanding the ways in which staff experiences can be used to develop a common way of working in an organization is a further purpose of the study. In this study, a survey is conducted which forms the basis for case studies on two selected companies inside Länsförsäkringar group. Case studies consist of individual interviews with a group manager and three employees at each company as well as observations of the informants. Empirical data is processed and analyzed regarding literature and through thematic analysis as a method. The results show that structures together with relational and social aspects play an important role in implementing successful change in an organization. The importance of people's active involvement in a change is emphasized and it is found necessary that the people involved understand what a certain change means and why it is needed. Furthermore, the results achieved show that Communities of Practice can be used in an organization to benefit from the strengths of the community in different areas and to develop new cultural resources like new ways of working in an organization.
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Tekniska konsulter i produktutvecklingsprocesser : En undersökning om avgörande faktorer i utformningen av den tekniska konsultrollen inom produktutveckling / Engineering consultants in product development processes : A study regarding the factors that determine the role of engineering consultants in product developmentKlum, Victor, Marmolin, Fredrik January 2022 (has links)
Den teknologiska utvecklingen är i ständig gång och företag arbetar hårt för att stanna i dess framkant och att vara konkurrenskraftiga. En central del i företagsverksamhet blir därmed produktutveckling. För att lyckas med sin produktutveckling förekommer det att organisationer anställer konsultfirmor för att få tillgång till dess kunskap och kompetens. Men hur ser detta samarbete ut? Vilka kunskaper bidrar konsulterna med? Vilka faktorer får denna roll att variera? Denna rapport syftar till att redogöra för den tekniska konsultens roll i produktutvecklingsprojekt, vilka faktorer som påverkar denna roll, samt hur de gör det. Rapporten är dels uppbyggd på en litteraturstudie för att skapa en teoretisk referensram angående vad den tekniska konsultrollen innebär och dess grundpelare. Fortsättningsvis är rapporten även baserad på en kvalitativ intervjustudie vilken utfördes hos tre organisationer och med fyra respondenter. Samtliga organisationer är konsultfirmor i Sverige och samtliga respondenter är tekniska konsulter inom produktutveckling och dess erfarenheter är därmed högst väsentliga för arbetet. Respondenterna fick i enskilda intervjuer berätta om sina erfarenheter och svara på frågor utformade ur rapportens forskningsfrågor. Resultaten från denna empiriska studie samt den teori som hämtades ur litteraturstudien har jämförts och analyserats. De slutsatser som framgick ur studien är att små uppdragsgivare medför en bredare roll för konsulten, stora uppdragsgivare medför en smalare roll för konsulten, uppdragsgivare efterfrågar främst tekniska kunskaper från konsulter, uppdragsgivare bestämmer nivå av autonomi samt att tät och kontinuerlig kommunikation främjar ett gott samarbete mellan interna och externa parter.
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Farledsrestriktioner nu och då : Sjöfartsinspektionens övergång till Transportstyrelsen och dess effekter på arbetsprocessen bakom farledsrestriktionerBengtsson, Peter, Tassinari Rogalin, Oliver January 2017 (has links)
En farledsrestriktion innebär att vissa krav eller begänsningar sätts på fartygs manöverförmåga, antal assisterande bogserbåtar, största djupgående och liknande egenskaper för att få färdas i en specifik farled. Innan 2009 låg uppgiften att ta fram dessa restriktioner på Sjöfartsverket och det tillhörande Sjöfartsinspektionen. År 2009 bildades Transportstyrelsen och övertog då vissa delar av processen. Detta arbete handlar om vad denna omorganisation har fått för effekter på arbetsprocessen och dess resultat utifrån vad de som idag jobbar med den upplever. En kvalitativ intervjustudie med semistrukturerade intervjuer genomfördes med ett antal individer som dagligen arbetar med denna process. Resultatet målar upp bilden av en arbetsprocess som genomgått mindre förändringar men som på många sätt fortfarande är sig lik. De tillfrågade beskriver små skillnader i det praktiska, dagliga arbetet och den kommunikation som detta arbete kräver, men beskriver också en situation där förändringsarbetet fortfarande upplevs pågå och där vanor kring arbetsrutiner på många sätt lever kvar. / When entering a fairway in Swedish waters, vessels are affected by various restrictions. These restrictions are related to the draught of the vessel, its maneuvering capabilities and other factors which affect its capability to be conducted in a safe manner when inside the fairway. Prior to 2009, these restrictions were implemented by Sjöfartsverket (the Swedish Maritime Agency). In 2009, Transportstyrelsen (the Swedish Transport Agency) was created and took on the responsibility for some parts of the process behind developing these restrictions. In this study the focus is on the effects of this reorganization on the process itself from the viewpoint of those who are working with it. A qualitative study using interviews was conducted with people who are in daily contact with this work. The result shows a process that has undergone minor changes but is also in many ways still similar. The participants in this study describe smaller differences in the practical, daily work and the communication that this work requires, but they also paint a picture of a situation where the change is still happening and where old routines and habits still influence their work.
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Repercussões da avaliação PMAQ-AB no processo de trabalho das equipes de Saúde da Família / Repercussions of the PMAQ-AB evaluation in the work process of the Family Health teamsMuramoto, Flávia Tiemi 05 September 2017 (has links)
O objetivo deste estudo foi analisar as repercussões da avaliação PMAQ-AB no processo de trabalho das equipes de saúde da família avaliadas. Para abordar esse objeto, utilizou-se como referencial teórico o processo de trabalho em saúde e a avaliação dos serviços de saúde no contexto da Atenção Primária à Saúde (APS), situando o Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Trata-se de pesquisa qualitativa, na forma de estudo de caso, realizado no Departamento Regional de Saúde V - Barretos (DRS-V), cuja amostra foi constituída por dez profissionais. As entrevistas foram semiestruturadas e realizadas no local de trabalho. A análise das entrevistas seguiu a análise de conteúdo temática de Bardin. Tomou-se como referência o trabalho e o processo de trabalho, segundo Marx e Gonçalves, e os três elementos que o compõe: objeto, meio e finalidade. O PMAQ-AB apresentou-se como um instrumento capaz de induzir modificações, principalmente, relacionadas ao meio e às tecnologias duras e leve duras como: melhorias na infraestrutura, ampliação da oferta e redistribuição de área. Identificou-se o fortalecimento do trabalho vivo e das tecnologias leves no trabalho da equipe. Os resultados permitiram concluir que ele foi considerado em sua maioria; como uma ferramenta essencial para identificar lacunas no processo de trabalho, induzir reflexões críticas a partir da realidade vivenciada pelas equipes, e contribuiu para melhor organização do processo de trabalho. Os desafios encontrados pelas equipes foram a dificuldade de implantação das Práticas Integrativas e Complementares (PICs), a rotatividade dos profissionais, a falta de apoio institucional, a falta de apoio dos gestores e a carência em ações de educação permanente. Comprova-se neste estudo, algumas fragilidades do PMAQ-AB, como a forte relação entre o instrumento e o repasse de recursos financeiros, a falta de espaços para devolutiva dos dados, e a possibilidade de mascaramento das ações nas equipes. Considera-se que este estudo, pode contribuir para um novo olhar e para o desenvolvimento de novos trabalhos a partir da institucionalização da avaliação nos serviços de saúde, na visão dos avaliados que compõem este processo, e também para validar o instrumento de avaliação PMAQ-AB / The objective of this study was to analyze the repercussions of the PMAQ-AB evaluation in the work process of the family health teams evaluated. In order to approach this object, we use as theoretical reference, the work process in health and the evaluation of health services in the context of Primary Health Care (PHC), placing the Program of Improvement of Access and Quality of Primary Care (PMAQ-AB ). It is a qualitative research, in the form of a case study, carried out in the Regional Health Department V-Barretos (DRS-V), whose sample was constituted by ten professionals, the interviews were semi-structured and performed in the workplace. The analysis of the interviews followed the analysis of the thematic content of Bardin. According to Marx and Gonçalves, and the three elements that compose it: object, means and purpose, PMAQ-AB presented itself as an instrument capable of inducing changes mainly related to the environment and the hard and light technologies such as: infrastructure improvements, supply expansion and area redistribution. We identified the strengthening of living labor and light technologies in the work of the team. The results allowed us to conclude that it was considered mostly as an essential tool to identify gaps in the work process, to induce critical reflections based on the reality experienced by the teams, and to contribute to a better organization of the work process. The challenges encountered by the teams were the difficulty of implementing the Integrative and Complementary Practices (ICPs), the turnover of professionals, lack of institutional support, lack of support from managers and the lack of permanent education actions. In this study, we verified some weaknesses of PMAQ-AB, such as the strong relationship between the instrument and the transfer of financial resources, the lack of spaces for data retrieval, and the possibility of masking the actions in the teams. We believe that this study may contribute to a new look and to the development of new work from the institutionalization of evaluation in the health services, from the view of the evaluators that compose this process and also to validate the PMAQ-AB evaluation instrument
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Avaliação da implantação de ações de prevenção das DST/Aids numa unidade de saúde da família / Avaliação da implantação de ações de prevenção das DST/AIDS numa unidade de saúde da famíliaFerraz, Dulce Aurélia de Souza 27 January 2009 (has links)
A implantação de ações voltadas à prevenção das DST/aids em serviços de atenção primária à saúde (APS) é uma estratégia proposta no Brasil e internacionalmente desde os anos 1990. Por ser considerada uma estratégia sustentável de ampliação da cobertura e do acesso, está entre as prioridades do Ministério da Saúde. O presente estudo avalia a implantação destas ações em uma unidade de atenção primária organizada pela Estratégia de Saúde da Família (ESF), na região metropolitana de São Paulo. Assume como pressuposto que a possibilidade desta implantação será tanto maior em unidades de APS cuja organização tecnológica esteja orientada pela noção de integralidade. Trata-se de pesquisa avaliativa, realizada por estudo de caso em profundidade, utilizando entrevistas semi-estruturadas e observação direta das atividades da USF. Os resultados indicam que o perfil tecnológico da USF não difere significativamente dos tradicionais serviços de APS. O cuidado médico individual centraliza e determina o trabalho, reduzindo-se a prevenção, basicamente, à reiteração de orientações prescritivas, à semelhança do modelo da educação sanitária. Orientações específicas para a prevenção das DST/aids são realizadas em algumas das ações previamente existentes na USF; a única ação especificamente implantada com essa finalidade é a testagem para HIV, sífilis e hepatites. Os achados indicam que as características tecnológicas dominantes limitam o potencial de concretização da atenção integral, prejudicando particularmente as atividades preventivas que se realizam prioritariamente pelo diálogo e que demandam abordagens singulares. Contudo, a realização de algumas ações de prevenção das DST/aids, bem como sua valorização no plano discursivo, indicam potencialidades de integração. O processo de implantação dessas ações, ao proporcionar a entrada de questões complexas e de novos valores no cotidiano destes serviços, tem o potencial de tensionar o modelo predominante, contribuindo para a concretização de novos e melhores arranjos tecnológicos direcionados à consecução da integralidade. Considera-se que os desafios para a objetivação dos valores que orientam o plano ético-normativo da resposta brasileira à aids nas práticas de prevenção requer maiores investimentos dos órgãos gestores na definição tecnológica dessas ações e no processo de implantação / The implementation STD/AIDS prevention activities into primary health care (PHC) facilities is proposed in Brazil and internationally since the 1990s. Understood as a sustainable strategy to amplify the coverage and access of such activities, its among the priorities of the Brazilian Ministry of Health. This study evaluates the implementation of STD/AIDS prevention activities into one primary health care (PHC) facility organized by the Family Health Strategy, located at the São Paulos metropolitan region. It assumes that the potential of such implementation will be higher in PHC facilities oriented towards comprehensive care. Its an evaluative research, through an in depth case study, using semistructured interviews and direct observation of the activities of USF. Results show that the FHCF technological organization doesnt differ significantly from the traditional Brazilian PHC facilities Individualize medical care determines the work organization and prevention is limited, basically, to standardized orientations, as in the sanitary education model. Specific STD/AIDS prevention orientations are delivered in some of the FHCF preexisting activities; the activity specifically implemented to STD/AIDS prevention is the testing for HIV, syphilis and hepatites B and C. The findings indicate that the dominant technological characteristics limit the potential for comprehensive care, particularly damaging the preventive activities done through dialogue and that require singular approaches. However, the execution of some actions to prevent STD/AIDS, as well as its recovery plan in discursive, indicates potential for integration. The implementation process may introduce in the daily work of these facilities some complex questions and new values and, therefore, it may tension the predominant health care model, contributing to the building of new and better technological models oriented towards comprehensive health care. We consider that the challenges to concretize, in the prevention activities, the values that orientate the ethical and normative plan of the Brazilian response demand a bigger investment on the technological definition on these activities, as well as in their implementation process
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