WORK PROCESS CONFIGURATIONS IN FAMILY HEALTH SUPPORT CENTERS AND COMPREHENSIVE CARE

Abstract The aim of this study was to systematize the configurations of Family Health Support Centers. A qualitative study was conducted in three municipalities of metropolitan Recife, in the state of Pernambuco, Brazil, and considered data collected from focus groups in three Family Health Support Centers and analyzed through the meaning condensation technique. The study’s findings allowed the systematizing of three types of configurations: the assistive-curative, which shows great distancing from the family health support center’s goals; the semi-matrical, considered to be an intermediary configuration, and the matrical, which stays closer to the ideal model, recommended by the Ministry of Health. In conclusion, there is, on all three municipalities, a recent and fragile family health proposal that, despite its potentialities, is permeated with conflicts, contestations and uncertainties. The findings of the present study can assist in the planning and execution of actions that seek to break from various hegemonic concepts regarding the work of primary healthcare professionals.

摘要
本研究旨在系统化梳理家庭健康支持中心（Family Health Support Centers）的配置模式。研究采用质性研究方法，在巴西伯南布哥州累西腓都会区的三个市镇开展调研，收集了三家家庭健康支持中心的焦点小组（focus groups）访谈数据，并通过意义凝聚技术（meaning condensation technique）进行分析。
研究结果归纳出三类配置模式：其一为救助治疗型，该模式与家庭健康支持中心的核心宗旨存在较大偏离；其二为半矩阵型，属于过渡性的中间配置模式；其三为矩阵型，更贴近巴西卫生部（Ministry of Health）推荐的理想模型。
综上，三个受访市镇均推出了尚不成熟的新型家庭健康服务方案，尽管具备一定发展潜力，但仍充斥着冲突、争议与不确定性。本研究结果可为规划与实施旨在破除初级医疗保健从业者工作中各类霸权式认知的相关行动提供参考依据。