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Previous issue date: 2008-11-27 / The purpose of this study is to analyze, from the point of view of nurses, changes that took place in the process of providing health services after the
introduction of the Family Health Program (FHP). It is na investigation of qualitative nature that uses semi-structured interviews as a main empirical
approach tool. Six nurses from the city of Caic?, Rio Grande do Norte, who were working with basic care before the introduction of the FHP, within basic
care, were: adscription and ties with the community; hospitality and the humanizacion of care-giving; decrease in cases of inpatient treatment;
strengthening of the prevention of injuries and health promotion; improvemente of health indicatiors, finally, actions that point towads meeting the principles of
wholeness, equity and universality as a declaration of the Brazilian National Health Care System (SUS). Nevertheless, in spite of all recognizable positive
aspects, the FHP has some weaknesses, such as: the difficulty posed by colletive work; the mismatch between professional education and the demands
of the current health standard; a poor physical infrastructure of the Basic Health Units; a high heath staff turnover and precarious work conditions. In
addition to this, some strategies that can be used to help improve the process of providing health services have been pointed out, such as, coordination between sectors, continuous education, making work conditions less precarious and improving the means whereby heathy service management is conveyed,Tthus, finally, we understand that the FHP does bring forward meaningful changes to the process of provinding health services to strengthen the Brasilian National Health Care System (SUS), in spite of the fact that it lies within a scenario of adversities that can be overcome through the collective endeavor of the several social actors / O presente estudo tem como objetivo analisar, na vis?o de enfermeiros, as mudan?as no processo de produ??o dos servi?os de sa?de, ap?s a implanta??o do Programa Sa?de da Fam?lia (PSF). Trata-se de uma investiga??o de natureza qualitativa, que utiliza entrevistas semi-estruturadas como principal ferramenta de abordagem emp?rica. Foram entrevistadas seis
enfermeiras da cidade de Caic?/RN, que trabalhavam na aten??o b?sica, antes da implanta??o do PSF, e continuam trabalhando. Pela an?lise empreendida,
as principais mudan?as verificadas no processo de produ??o dos servi?os de sa?de com a implanta??o do PSF, no contexto da aten??o b?sica, foram: a
adscri??o e v?nculos com a comunidade; acolhimento e humaniza??o do atendimento; diminui??o das interna??es hospitalares; fortalecimento da preven??o de agravos e promo??o da sa?de; melhoria dos indicadores de sa?de; enfim, a??es que sinalizam para a realiza??o dos princ?pios da integralidade, eq?idade e universalidade, conforme preconiza o Sistema?nico de Sa?de (SUS). No entanto, apesar dos aspectos positivos identificados, o PSF apresenta algumas fragilidades, tais como: a dificuldade do trabalho coletivo; descompasso entre a forma??o dos profissionais e as exig?ncias do modelo de sa?de atual; alta rotatividade dos profissionais de sa?de e
precariza??o do trabalho. Al?m disso, foram apontadas algumas estrat?gias que podem ser utilizadas para melhor orienta??o do processo de produ??o dos servi?os de sa?de, como a intersetorialidade, educa??o permanente, desprecariza??o do trabalho e melhoria na condu??o da gest?o dos servi?os de sa?de. Assim, conclu?mos que o PSF apresenta mudan?as significativas no processo de produ??o dos servi?os de sa?de para a consolida??o do SUS, embora esteja inserido em um contexto de adversidades que podem ser superadas atrav?s da luta coletiva dos distintos atores sociais
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14666 |
| Date | 27 November 2008 |
| Creators | Morais, Ildone Forte de |
| Contributors | CPF:00446114472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4721938D8, Nogueira, Jordana de Almeida, CPF:05690263850, http://lattes.cnpq.br/8338527087554463, Simpson, Cl?lia Albino, CPF:05261856272, http://lattes.cnpq.br/3568948187738623, Medeiros, Soraya Maria de, CPF:20018096468, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4760209A3&dataRevisao=null, Germano, Raimunda Medeiros |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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