Micro-regulatory processes in a Primary Health Care Service and the production of health care

Author(s)

Lissandra Andion de Oliveira ^[1] ; Luiz Carlos de Oliveira Cecilio ^[2] ; Rosemarie Andreazza ^[3] ; Eliane Cardoso de Araújo ^[4]

Affiliation

^[1] Secretaria Municipal de Saúde - Brasil

^[2] Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva - Brasil

^[3] Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva - Brasil

^[4] Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva - Brasil

• Document type: Journal article
• Source: Saúde debate; v. 40, n. 109, p. 8-21, 2016-06-00.

Abstract

ABSTRACT This paper seeks to characterize the micro-regulatory processes developed by a Primary Health Care Service (PHCS) to ensure the integrality of the care. This is a case study with an ethnographic approach and the use of document analysis techniques, participant observation and interviews. The results point to two interrelated dimensions of micro-regulatory access: one internal - user access to health care offers of the Primary Health Care Service itself; and other external - access to others network services. The Primary Health Care Service does not act as an effective health care coordinator, as the established by the Ministry of Health, a task that depends on the development of communication arrangements and the exchange of information among services. (AU)

• FAPESP's process: 12/51258-5 - The primary health care as strategy to configure the SUS: the perspective of its professionals and users
• Grantee: Luiz Carlos de Oliveira Cecílio
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)