Navegando por Palavras-chave "Social representatios"
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- ItemAcesso aberto (Open Access)As representações sociais da promoção da saúde e suas articulações com as práticas profissionais na estratégia da saúde da família(Universidade Federal de São Paulo (UNIFESP), 2014-10-10) Abdala, Christiane Alves [UNIFESP]; Lima, Laura Camara [UNIFESP]; http://lattes.cnpq.br/6277780648747957; http://lattes.cnpq.br/8254313070492749; Universidade Federal de São Paulo (UNIFESP)Currently we live a major reestruturing of the Primary Health Attention with focus and investiments in the Health Family Strategy, which advocates the establishment of differentiated bonds with the users of the Unified System Health and prioritizes actions of Health Promotion, but without fail the execution of curative assistance and disease prevention. What is intended is a change in the service model with broader and more comprehensive performance, which considers the social, cultural and collective aspects and working with the various knowledge of multidisciplinary teams. In this context, the research presented here, had as subject the professionals who work in the Santos Family Health Strategy, being based, for the data analysis, on the Social Representations Theory and aiming to access and analyze the Social Representations that these professionals share on Health Promotion, and verify how the daily practices are related to these representations. Our hypothesis is that these are anchored in Social Representations model based on procedures centered on the physician in curative care and relations of power-knowledge, which goes against the proposal from the Familiy Health Estrategy and difficult the Health Promotion actions in the broadest sense. The qualitative methodology had like the main instrument the semi structured interviews. We randomly selected one team from each of the four areas of the city (downtown, hills and mainland north west) and each team was interviewed a professional from each of the five categories (section chief, doctor, nurse, nurse assistant-technician, community health agent); 19 subjects participated. The analysis was inspired by the Collective Subject Discourse, considering the frequencies of the main ideas associated with the concept of Health Promotion, investigating anchors and objectifications. The data analysis confirmed the hegemony of the traditional model and the minority presence of innovative actions, these are related to the territory from where emerge due to the type of relationship/bond between professionals and users, thus initiating the coexistence of two differents health models. The results were replaced to the respondents during a collective round of conversation, animated by the researcher. Activities and verbal exchanges that occurred produced new understandings and insights about the possibilities of promoting health, serving concurrently as validation of Social Representation activated, and as a way of intervention in an attempt to start a process of modification. Professionals can share experiences, relate to the Health Promotion and its Social Representations, as it is described in official documents and prescribed in public policies, with what they report on their actions with users in their territories, perceiving connections and contradictions, similarities and differences. This organized collective exercise gathering and production of exchanges between professionals from different categories and territories perhaps have a potential to cause changes to the way that professionals attribute the work in Health Promotion and Family Health Strategy possibly be turned into a transformative action.