ACTIVITIES DEVELOPED BY FAMILY HEALTH SUPPORT CENTER PROFESSIONALS: REVIEW OF THE LITERATURE

Abstract The goals of this article are to summarize the characteristics of the Brazilian scientific production regarding the activities performed by the professionals of the Family Health Support Centers, to analyze the content of those activities, and to identify the facilitating and hindering aspects in the teams’ work process. We performed a review of the literature published between 2008 and 2015 in the SciELO e LILACS electronic databases. The results evince the prevalence of qualitative studies that describe the activities performed by specific professionals, particularly the user embracement, the care and the rehabilitation, with the actions of promotion of health, prevention, protection and vigilance, planning, programming, control, evaluation and management being less expressive. The training and permanent education actions are the least discussed actions. Among the facilitating aspects are proactivity and good interprofessional relationship, and among the hindering aspects are the persistence of the biomedical model within the Health of the Family field, the precarious working conditions, and the lack of support on the part of the management. We noticed a tendency to reproduce the hegemonic care perspective within the Health of the Family Support Centers, to the detriment of a process of change geared towards the comprehensiveness of care.

摘要 本文旨在梳理巴西围绕家庭健康支持中心（Family Health Support Centers）从业人员工作活动所产出的科研成果特征，分析其工作活动的具体内容，并识别团队工作进程中的促进因素与阻碍因素。本研究对2008年至2015年间发表于SciELO与LILACS电子数据库的相关文献进行了综述。研究结果表明，描述特定从业人员工作活动的质性研究占比更高，具体涵盖服务对象接纳、照护与康复工作；而健康促进、疾病预防、健康保护与健康监测、规划、统筹、管控、评估与管理类行动的相关研究占比相对较低。其中，培训与持续性教育相关行动是被讨论最少的主题。促进因素包括工作主动性与良好的跨专业协作关系；阻碍因素则包括生物医学模式在家庭健康领域的持续存续、工作条件简陋恶劣，以及管理方支持的缺失。研究发现，家庭健康支持中心存在复制霸权式照护视角的倾向，这不利于以照护全面性为导向的变革进程。