O cuidar no cotidiano da estratégia saúde da família

Abstract

The Family Health Strategy (ESF) was planned to improve health care model, through widening health focus - diseases beyond the problems presented by the person, family or community. However, this model still reports lack of resolvability. Accordingly, the aim of this study was to analyze primary health care from the viewpoint of the professionals who work in family health strategy. It is a qualitative study, case study, that was carried out with seven Family Health Strategy teams who work in a city located in the Southwest region of the State of Goiás, from April to June 2014. For data collection we used semi-structured interviews, which were recorded in audio, transcribed, ordered, organized and analyzed. The results were organized into three categories and showed a routine of care centered in illnesses and financial deprivation. Care as a reflex of a management model with weak links and discontinued actions. The interviews disclosed dehumanized care, with few efforts to listen and low level of reception conditions. Professional training regarding health care seams to be permeated by healing ideas, lack of planning and refreshing, showing large transferring of responsibility to external causes. We highlight the negative influence of predominant precarious work contracts which reflect fearful and unmotivated workers, who, in turn, offer unimpressive care to users, in addition to a low level of resolvability. Nevertheless, the study identify potential for improvement in caring, especially because the group of workers clearly know the limitations and changing needs, which we could observe in their speeches indicating the issues which generate problems in the service and also in the group