Integralidade: um estudo a partir da atenção básica à saúde da criança em modelos assistenciais distintos.

Abstract

Descritores: Enfermagem. Saúde da criança. Assistência á saúde. Serviços de saúde. Crianças.. Prado SRLA. COMPREHENSIVENESS -A study about the basic attendance on child's health in different assistance models [tese]. São Paulo (SP): Escola de Enfermagem da USP; 2005. ABSTRACTThe Brazilian Health Care System is one of the worlds best leagal instruments. But when analyzed from a political, and economic, and social and cultural point of view, many contradictions appear from numerous places. To solidify the Health Care System -SUS means searching for new tools that overcome the difficulties that are part of our social reality. One of the most important tools that lead to that direction has been the assistance models built in favor of the implementation of the principles held by the SUS. It is in this new concept of different forms of assistance models that some questions appear related to the assistance provided by the government with respect to health care. Searching for a better understanding of the problem, the integrity principle has been elected as the essential attribute regarding health care. Four dimensions of integrity have been considered so to construct this point of view: 1) contextual factors; 2) service organization; 3) assistance models; and 4) integrity practice during health care provided and the effects of child care. This transversal case study of, descriptiveexploratory nature integrated a more broad project developed in two health care units located in the city of São Paulo. Although both units seemed interesting to the SUS point of view, each one of the health care units performed in two different manners: the one located in the South Zone of São Paulo had as an organized assistance in the traditional health care model (without-PSF), while the other unit located in the East Zone of São Paulo had as an axis of its health assistance concept, the Family Health Program -PSF (with-PSF). Information regarding the structure and the care process were collected from people's homes through interviewing procedures conducted with the child's responsible people and health care professionals. Information was also obtained through notes and the information system gathered from the health care system. The analysis of the data obtained made possible to conclude that both the context influence and the service organization held by the Family Health Program provide conditions to practice in a more integral manner. Nevertheless, the plans developed and its effect over the population health status still do not show the existence of the integrity concept even while considering the healing outcome due to the assistance provided and the access difficulties. It is worth commenting two important questions that are implicit in this text. One is related to the health professionals and the other to the universality principle. As to the first question it is important to comment that exercising integrity foresees a professional profile with knowledge, skills and behavior pointing to basic assistance, although it represents a ...

As tecnologias inter-relacionais na assistência à criança na atenção básica: análise de documentos oficiais

“…Essas devem ser atendidas em todos os níveis de assistência, por meio de ações de promoção, proteção, recuperação da saúde e reabilitação (4) . A integralidade da assistência à criança não é somente escuta, diálogo e relações afetivas, mas esses são instrumentos que potencializam e qualificam o cuidar e o cuidado.…”