A prática das equipes de saúde da família: desafios para a promoção de saúde

Abstract

This article shows the results of a study which analyzed healthcare actions carried out by Family Health Teams. It is a qualitative research carried out in Belo Horizonte and Contagem, state of Minas Gerais. The subjects were 28 members of the Family Health Team. Data were collected through interviews. The results show a tendency to work a concept of health promotion, associated to disease prevention activities. Permanent education is very elementary is at a very early stage in the health services. We conclude that the activities carried out with a focus on inter-sectoral work are limited, compromising the consolidation of the merely technical healthcare model, which is based on health promotion. It can be seen, based on analysis of the practice of the teams, that there is little incentive to the empowerment of the subjects.

Promoção da Saúde em Campos de Estágio para a Formação Médica

“…No presente estudo, a concepção de Promoção da Saúde (PS) mais frequente entre os profissionais da ESF foi a assimilada como prevenção de doenças, aproximando-se dos achados revelados por dois estudos realizados no Sudeste por Horta et al 5 e Sasaki e Ribeiro 7 , que entrevistaram, respectivamente, 28 e 45 profissionais da ESF. Czeresnia 13 enfatiza que ambas as propostas devem ser contempladas de forma complementar, não exclusiva, e esclarece que a distinção entre PS e prevenção de doenças reside no enfoque: na prevenção, ele é orientado no sentido de evitar o aparecimento de doenças específicas, ao passo que na PS esse horizonte é expandido, em busca de uma constante elevação dos níveis de saúde e bem-estar.…”

Health promotion in multidisciplinary residency: Contributions to the training process

“…[23] The effective participation of users and of the population is the axis of the establishment of emancipatory practices with emphasis on autonomy and dialogue between professional and user. [24] In order to achieve this interaction between professional and user, it is essential that the team composed of the various disciplines works synergistically, moving in a single direction focused on the provision of quality care. Thus, interdisciplinarity stands out as an important tool for a health care that enhances user satisfaction.…”

“…For this purpose, it is important to review the logic of training health professionals, seeking to break this dichotomy marked by little focus given to the issue of health promotion and to the approximation between health services and population. [24] In this way, it is highlighted the challenge of stimulating professional performance from the perspective of the new health promotion, by aligning discourses and discussing on the characteristics, principles and prerogatives of such perspective. Thus, it must be inserted in the scenarios of professional practice and training, overcoming the predominantly curative, individual and fragmented health care.…”

“…In this matter, the voice given to the user would be fundamental; the professional would come out of their space of power and would negotiate with the leading figures, the users, who are co-responsible for their health. [24] This evidences the need to instigate the central role of the users and that they become empowered to develop skills and act for the benefit of their own quality of life. [24] To this end, health professionals must change their way of thinking and working.…”

“…[24] This evidences the need to instigate the central role of the users and that they become empowered to develop skills and act for the benefit of their own quality of life. [24] To this end, health professionals must change their way of thinking and working. These changes include modifications in the training processes, and also transformations in the care model and in the professional practice.…”