A estratégia de saúde da família enquanto modelo contra-hegemônico (ou não) de atenção à saúde: um estudo a partir da cidade de Cachoeira-Bahia

Abstract

The gift work Completion of course This monograph discusses the Health Care Models in Brazil, specifically the Family Health Strategy (ESF) while a model anti-hegemonic (or not). The ESF had its number of teams expanded in recent years through the Ministry incentives of Health (MS) for qualification and expansion of Primary Care (AB), and from AB, the ESF would be the main instrument of reorientation of medical care model hegemonic. To further illustrate this policy at the municipal level, the city of Cachoeira -BA was the locus the study. The study’s guiding question is: ESF is collaborating with the consolidation of a health model counter- hegemonic of care within the SUS? The overall objective is to describe the ESF as a proposal for reorientation of the hegemonic model of health care, from the reality of the ESF in the city of Cachoeira-Bahia. And are specific: discuss health care models in Brazil and its incorporation into the SUS; map the FHS implementation in Cachoeira -BA and its relationship with the municipal health indicators; and understand the guiding elements of health care in the EFS of the aforementioned city. A pesquisa é qualitativa exploratory- descritiva, e usou a análise de conteúdo temática para analisar as entrevistas. The work was built dialectically and is structured into introduction, first, second and third chapter – each chapter being contemplated by one of the specific objectives –, beyond the final considerations. The survey showed that the work of the ESF is still ongoing as regards the reversal of the hegemonic model; a perceived trend in Waterfall city (that has 100 % coverage since 2006) and still the fulfillment of spontaneous demand and scheduled appointments, hey are having as one of its consequences the high rate of hospitalizations for sensitive conditions AB. Thus, the study contributes to discussions in the field of social health policy and Social Work, at struggle for a model of counter-hegemonic care that has order as the needs of people, rights of citizens.