O prontuário e seu conjunto informacional : representações sociais de equipes de saúde da família

Abstract

Nowadays, the expansion and the qualification of primary health care (ABS), in Brazil, are intended mainly for the implementation of the Family Health Strategy (FHS). This strategy proposes a new dynamic modeling of attention, focusing health practices in the needs of the person, family and community. For the organization of health practices, in this format, the health-disease process is deemed to result from biological and social determinants. The medical record and sharing of the information contained in the patient or family should happen with the objective of identifying and solving health problems of the population and the families of the risk rating that are under sanitary responsibility of the health team. Soon, having a chart with comprehensive and retrievable information relates directly to the quality of care provided and the planning process of the shares in the ABS, it interferes both in the dimension of clinical care and in managerial management of other resources - human, financial and inputs. Owing to this context, this study aims to analyze the social representations of health teams of the family of the information set of records, the units of a city in the interior of São Paulo state. For the development of this research were used as theoretical framework, the Theory of Social Representations and the field of study in Science, Technology and Society and as a method, qualitative approach based on thematic content analysis. For data collection semi-structured interviews were conducted, which were analyzed using the software ALCESTE. After data analysis it became clear that there is the presence of two divided conceptions: the medical record entries has a meaning still focused on biological and fragmented model of the shares for a part of the subjects and others show an appreciation of the records of the information in broader context of the user and family, pointing a look these professionals for a new concept of health, more expanded and integrated.