Uma pesquisa avaliativa sobre os núcleos de apoio à saúde da família
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Data
2017-10-10
Autores
Gomes, Patrícia Caroline Iacabo Correia [UNIFESP]
Orientadores
Furtado, Juarez Pereira [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
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Título de Volume
Resumo
Dotados de um novo modelo de processo de trabalho, o apoio matricial, os Núcleos
de Apoio à Saúde da Família (Nasf) foram formulados com o objetivo de ampliar a
resolutividade da Atenção Básica (AB). No entanto, concomitantemente à ampliação
numérica desses núcleos no Brasil, há o surgimento de questões sobre o que e como
desenvolver as suas atribuições. Foi realizado estudo de avaliabilidade sobre o Nasf,
a partir de uma revisão sistemática de literatura e do discurso oficial expresso em
documentos do Ministério da Saúde. Os achados mostraram que a iniciativa é
avaliável e que as análises estratégica e lógica são pertinentes para o estágio atual
em que os núcleos se encontram, na medida em que as principais indagações acerca
deles estão localizadas no próprio modelo tecnoassistencial do Nasf. Por meio de um
estudo de caso, foi realizada a análise das concepções e hipóteses teóricas que
sustentam essa iniciativa. O Nasf ainda enfrenta desafios para consolidação do apoio
matricial, pois há tensão entre a atuação generalista e específica, entraves para
colaboração profissional e dificuldades de coordenação do núcleo. Porém, houve
aumento do escopo de ações ofertadas na AB e incorporação de novos
conhecimentos pelas equipes.
Endowed with a new working process model, the matrix support, the Family Health Support Centers (Nasf) were formulated with the objective of increasing the resolution of Primary Health Care in Brazil. However, concomitantly with the numerical expansion of these centers, there are questions about what and how to develop their attributions. An evaluability assessment on Nasf was carried out based on a systematic literature review and the official speech expressed in documents of the Ministry of Health. The findings proved that the initiative is evaluable and that the strategic and logical analyzes are pertinent for the current stage in which the centers are found, as the main questions about them are in their own tecno-assistential model. Through a case study, the analysis of the theoretical conceptions and hypotheses that support this initiative was carried out. Nasf still faces challenges to consolidate matrix support, as there is tension between general and specific performance, obstacles to professional collaboration and difficulties at centers’ coordination. However, there was an increase in the scope of actions offered in Primary Health Care and the incorporation of new knowledge by the teams.
Endowed with a new working process model, the matrix support, the Family Health Support Centers (Nasf) were formulated with the objective of increasing the resolution of Primary Health Care in Brazil. However, concomitantly with the numerical expansion of these centers, there are questions about what and how to develop their attributions. An evaluability assessment on Nasf was carried out based on a systematic literature review and the official speech expressed in documents of the Ministry of Health. The findings proved that the initiative is evaluable and that the strategic and logical analyzes are pertinent for the current stage in which the centers are found, as the main questions about them are in their own tecno-assistential model. Through a case study, the analysis of the theoretical conceptions and hypotheses that support this initiative was carried out. Nasf still faces challenges to consolidate matrix support, as there is tension between general and specific performance, obstacles to professional collaboration and difficulties at centers’ coordination. However, there was an increase in the scope of actions offered in Primary Health Care and the incorporation of new knowledge by the teams.
Descrição
Citação
GOMES, Patrícia Caroline Iacabo Correia. Uma pesquisa avaliativa sobre os núcleos de apoio à saúde da família. 2017. 74 f. Dissertação (Mestrado) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2017.