The Clinic on the Street and the primary health care for people in homelessness

Author(s)

Igor da Costa Borysow

• Document type: Doctoral Thesis
• Press: São Paulo.
• Institution: Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD)
• Defense date: 2018-03-16

Examining board members

Juarez Pereira Furtado; Andre Mota; Carmen Lúcia Albuquerque de Santana; Ligia Maria Vieira da Silva

• Advisor: Juarez Pereira Furtado

Abstract

This is an analysis of the Clinic on the Street, a strategy of basic care for people in homelessness. Three methods were used to understand this service: comparative analysis of the legal proposals of the mobile units of Portugal, the United States of America and Brazil; socio-historical study, through the sociogenesis proposed by Pierre Bourdieu, based on official documents, indexed literature and interviews of agents; and evaluation of the implantation of a \'Clinic on the Street\' team from São Paulo, using participant observation, information from reports and records, interviews with workers and users of the service, and based on a logistic model and evaluation matrix of degree of implantation. The Brazilian proposal of mobile unit showed similarities in the use of multiprofessional teams and offering harm reduction actions among the others analyzed, elements that contribute to equity. Its genesis was possible in a political context favorable to the investment of policies on drugs and expansion of the National Policy of Basic Attention. However, it was influenced by conflicts between agents from different poles of the social space. The implementation analysis revealed adaptations of the federal proposal from previous programs in the city of São Paulo, limitations of the service network, and influences of conflicts identified in the genesis (AU)

• FAPESP's process: 14/19616-4 - The "Consultório na Rúa" and the primary health to people in homelessness
• Grantee: Igor da Costa Borysow
• Support Opportunities: Scholarships in Brazil - Doctorate