The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability

  • Woneska Rodrigues Pinheiro
  • Thais de Lima Felix da Silva
  • Isaac de Sousa Araújo
  • Kátia Monaisa de Sousa Figueiredo
  • Lorena Pereira Bernardo
  • Hermes Melo Teixeira Batista
  • Daisy Teixeira de Menezes
  • Rayane Moreira de Alencar
  • Marco Akerman

Abstract

Introduction: The SUS, which was guaranteed by the Brazilian Constitution of 1988 and regulated by organic laws of health, offers a system governed of doctrinal principles (universality, fairness and completeness) concerning the philosophy of the system and extend the concept of health and the right to it. On the promotion of these principles, the municipalization of health is referred to as a policy of decentralization which incorporates basic health attention, permeated by the principles of the SUS, where inserts in this context the basic health units (UBS) that are entrance doors of the population to the system. When considering that the proposals brought by the family health strategy (FHS) are great potential to restructure the welfare model and the Organization of health services, and these proposals based on the principles governing the SUS, becomes essential, inter alia, that the worker member of this team have involvement and knowledge of the project, as well as on its goals and principles governing it.


Objective: Check the knowledge and promotion of doctrinal principles of the SUS by active team of FHS in the town of Juazeiro do Norte in the State of Ceará (CE), Brazil. 


Method: This work deals with a transversal nature study exploratory, qualitative approach. The survey was conducted in the family health strategy of the city of Juazeiro do Norte-CE, with top level professionals (physician, nurses and dentists) who work on units during the collection period. The collection was performed through a semi structured interview and the data analyzed by means of the collective subject discourse. This study was submitted to the Ethics Committee of the College Lion Sa, having the opinion of approved (nº: 1.067.638). 


Results: the results showed that the professionals have demonstrated no knowledge of, nor promote some doctrinal principles of the SUS coherently. The knowledge that they have are fragmented and incipient, and Praxis (theory combined with practice) is still far from being achieved. 


Conclusion: The findings of this research show gaps as the promotion of the principles of the SUS by professionals who act. The ineffective knowledge on how SUS is organized and on what basis rests, leads to improper practices, making deployment and consolidation process.


 


Keywords: Doctrinal Principles of the SUS. Unified health system. The family health strategy.

Author Biographies

Woneska Rodrigues Pinheiro

PhD In Health Sciences. Professor of Nursing College Leão Sampaio. Juazeiro do Norte, Ceará, Brazil. Laboratory studies on social determinants and health member equity (LEDSES). 

Thais de Lima Felix da Silva

Laboratory studies member on social determinants and health equity (LEDSES). 

Isaac de Sousa Araújo

Surgeon Dentist. Master In Endodontics By College São Leopoldo Mandic.

Kátia Monaisa de Sousa Figueiredo

Professor of Nursing College Leão Sampaio. Juazeiro do Norte, Ceará, Brazil.

Lorena Pereira Bernardo

Estácio- FMJ, Juazeiro do Norte.

Hermes Melo Teixeira Batista

Estácio- FMJ, Juazeiro do Norte, Ceará.

Daisy Teixeira de Menezes

Surgeon – Hospital Regional do Cariri (HRC).

Rayane Moreira de Alencar

Laboratory studies member on social determinants and health equity (LEDSES).

Marco Akerman

Doctor specialist in Public Health and Social Medicine. PhD in Epidemiology and Public Health.Professor from the Department of Practice and Public Health of USP's. Sao Paulo, Brazil. Laboratory studies on social determinants and health member equity (LEDSES).

References

1. RONCALLI, A.G. O desenvolvimento das políticas públicas de saúde no Brasil e a construção do Sistema Únicode Saúde. In: Antonio Carlos Pereira (Org.). Odontologia em Saúde Coletiva: planejando ações e promovendosaúde. Porto Alegre: ARTMED, Cap. 2. p. 28-49, 2003.

2. AGUIAR, Z.N. SUS: Antecedentes, percurso, perspectivas e desafios. 1º Ed. São Paulo. Martinari, 2011.

3. SANTOS, M.A.M; CUTOLO, L.R.A. A interdisciplinaridade e o trabalho em equipe no programa de saúde da família. Arquivos Catarinenses de Medicina. v. 33, n. 3, p. 31-40, 2004.

4. BERNARDES, E.H. Princípios Doutrinários do Sistema Único de Saúde: concepções dos enfermeiros da Estratégia de Saúde da Família de uma cidade do Estado de Minas Gerais. 193f. Dissertação (Mestrado em Enfermagem em Saúde Pública) –Universidade de São Paulo, Ribeirão Preto, 2005.

5. PASSOS, J.P; CIOSAK, S.I. A concepção dos enfermeiros no processo gerencial em Unidade Básica de Saúde. Revista Escola de Enfermagem.v. 40, n. 4, p. 464-468, São Paulo, 2006.

6. HOCHMAN, B. NAHAS, F.X; FILHO, R.S.O; FERREIRA, L.M. Desenhos de Pesquisa. Acta Cirurgica Brasileira. v.20, n.2, p. 42- 56, 2005.

7. RAUPP, M.P; BEUREN, I.M. Metodologia da Pesquisa Aplicável às Ciências Sociais. São Paulo: ATTLAS, Cap. 3, p. 76-77, 2008.

8. MINAYO, M.C.S. Pesquisa Social: teoria método e criatividade. 33ª Ed. Petrópolis, Editora Vozes, 2010.

9. MANZINI, E.J. Uso da Entrevista em Dissertações e Tezes Produzidas em um Programa de Pós-Graduação em Educação. Revista Percurso. Maringá, v. 4, n.2, p. 149-171, 2012.

10. LEFÈVRE, F; LEFÈVRE, A. M. C. O discurso do sujeito coletivo: um novo enfoque em pesquisa qualitativa (desdobramentos). 2º ed. Caxias do Sul: Educs, 2005.

11. MATTOS, R.A. Princípios do Sistema Único de Saúde e a humanização das práticas de saúde. Revista Interface. v.10, n.2, p.275-286, 2009.

12. LINARD, A.G; CHAVES, E.S; ROLIM, I.L.T.P; AGUIAR, M.I.F. Princípios do Sistema
Único de Saúde: compreensão dos enfermeiros da Estratégia de Saúde da Família. Revista Gaúcha de Enfermagem. Porto Alegre, v. 32, n.1, p. 114-120, 2011.

13. PONTES, A.P.M; CESSO, R.G.D; OLIVEIRA, D.C. : A Universalidade no SUS: Pensamento dos usuários. Escola Anna Nery Revista de Enfermagem. v.13, n.3, p. 500-507, 2009.

14. PINHEIRO, Woneska Rodrigues et al. Equity in health: conception of professionals in
the primary network of the Unified Health System. InternatIonal ArchIves of Medicine,
Vol. 8 (110), 2015.

15. CARVALHO, G. Os governos trincam e truncam o conceito de integralidade. Radis. v.49, n.6, p.234-241, 2006.

16. PAIM, J.S; SILVA, L.M.V. Universalidade, integralidade, equidade e SUS. Boletim do Instituto de Saúde. V.12, n.2, p.116-121, 2010.
Published
2017-05-12
How to Cite
PINHEIRO, Woneska Rodrigues et al. The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability. International Archives of Medicine, [S.l.], v. 10, may 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/1667>. Date accessed: 24 sep. 2017. doi: https://doi.org/10.3823/2389.
Section
Public Health and Health Management