Adriano Maia dos Santos

Da fragmentação à integralidade: construindo e (des)construindo a prática de saúde bucal no Programa de Saúde da Família (PSF) de Alagoinhas, BA

A study about the practice of buccal health in the Alagoinhas xad BA Family Health Program (2001-2004) with intent to analyze the arrangements that direct whole attention to buccal health: vinculum, reception, autonomy, responsibility and resolubility. The methodology is of qualitative nature in a historical-social perspective. The empirical material consists of interviews with health workers, managers and patients, the observing of the practice and documentary sources. The results show that the practice is organized through individual and collective actions built by a restrained demand. Attention is fragmented; there exists an excessive importance given to technique and specialization, whose axis is directed by the doctor-centered model with limited resolubility. Reception appears as a tense and conflicting relationship, however with a potentiality to build alternatives for change. Vinculum and autonomy cross link in the rescue of the worker-patient relationship and the encounter with their potentialities, which makes possible to level knowledge, narrow bonds and consolidate liking. To conclude, the practice of buccal health is full of conflicts and contradictions and is a potential tool for change in the work process, coexisting with the old (fragmentation) and the new (integrality) in an unfinished process still under construction.

Linhas de tensões no processo de acolhimento das equipes de saúde bucal do Programa Saúde da Família: o caso de Alagoinhas, Bahia, Brasil

The study discusses the conflicting situations that arise while receiving oral health teams in Alagoinhas, Bahia, Brazil. The main orientation for the Family Health Program is based on analyzing health care work flowcharts. The current qualitative research used semi-structured interviews and practical observation as the data collection techniques. There were 17 study subjects: group I (dentists and dental assistants - 6); group II (other health workers - 6); and group III (users - 5). Users first contact with the family health team is in the reception, often in a tense and conflicting atmosphere, but with the potential for alternatives for change, as a privileged space for the use of low-key technologies. The therapeutic process varies: e.g. clinical consultation, emergency care, scheduled follow-up, and referral to other health services in the system. However, oral health teams conduct the reception process in different ways, depending on the practitioners commitment and unique characteristics.

Participação social na saúde mental: espaço de construção de cidadania, formulação de políticas e tomada de decisão

The article approaches the comprehension of professionals that act in the mental health area about the movement of construction of social participation in the health system of Fortaleza, Ceará State. The methodology adopted is based upon qualitative approach. The study was developed with semi-structured interviews with 17 mental health professionals of the city above mentioned. The empirical data was analyzed through the technique of thematic content analysis, where it was identified three cores of analysis: social participation as space of citizenship and policy formulation; oriented to attention of collective needs; and decision taking. The study reveals that social participation represents a possibility of amplifying X the relations between the Civil Society and the State, which makes possible the social intervention in proposals of the health policies. It is highlighted the right to health linked to the consolidation of democracy in the attention to the needs and collective edification.