| Full text | |
| Author(s): |
Lancman, Selma
[1]
;
de Abreu Goncalves, Rita Maria
[2]
;
Cordone, Nicole Guimaraes
[1]
;
Barros, Juliana de Oliveira
[1]
Total Authors: 4
|
| Affiliation: | [1] Univ Sao Paulo, Fac Med, Dept Fisioterapia Fonoaudiol & Terapia Ocupac, BR-05360000 Sao Paulo - Brazil
[2] Prefeitura Municipio Sao Paulo, Ctr Referencia Saude Trabalhador Mooca, Sao Paulo - Brazil
Total Affiliations: 2
|
| Document type: | Journal article |
| Source: | Revista de Saúde Pública; v. 47, n. 5 OCT 2013. |
| Web of Science Citations: | 6 |
| Abstract | |
OBJECTIVE To understand the organization of and the working conditions in family health care support centers, as well as subjective experiences related to work in two of these centers. METHODS This was a case study carried out during 2011 and 2012 in two family health care support centers in Sao Paulo, Southeastern Brazil. Data were collected and analyzed using two theoretical-methodological references from ergonomics and work psychodynamics influenced, respectively, by ergonomic work analysis, developed based on open observations of a variety of tasks and on interviews and in practice in work psychodynamics, carried out using think tanks about the work. RESULTS The work of the Family Health Care Support Centers in question is constituted on the bases of complex, diversified actions to be shared among the various professionals and teams involved. Innovative technological tools, which are not often adopted by primary health care professionals, are used and the parameters and productivity measures do not encompass the specificity and the complexity of the work performed. These situations require constant organizational rearrangement, especially between the Family Health Care Support Centers and the Family Health Care Teams, causing difficulties in carrying out the work as well as in constituting the identity of the professionals studied. CONCLUSIONS The study attempts to lend greater visibility to the work processes at the Family Health Care Support Centers in order to contribute to advances in public policy on primary healthcare. It is important to stress that introducing changes at work, which affect both its organization and work conditions, is above all a commitment, which to be effective, must be permanent and must involve the different levels of hierarchy. (AU) | |
| FAPESP's process: | 13/50711-0 - Study of Works in the nucleus of support for family health |
| Grantee: | Selma Lancman |
| Support Opportunities: | Regular Research Grants - Publications - Scientific article |