De que família cuida a saúde da família? Os efeitos de poder nas relações de cuidado entre equipe e famílias
Abstract
This study adopted the Family Health Strategy (FHS) as the locus of research.
The FHS is the Brazilian government's response to the organization and
execution of Basic Health Care. Analyzes the FHS as a strategical dispositive in
the art of governing the population wich adopts the family as a central
instrument for developing epidemiological changes, based on the concept of
Governamentality, an exercise of power inserted in the relationship between
security, population and government. Some effects of this power are
normalization of conduct, medicalization of life, imposing lifestyles considered
healthy from political technologies that investing on the body, health, the right
ways to eat, to live and interact, in sume an entire space of existence. This work
has taken as its object FHS care practices, analyzing how they can determine
the ways of life and subjectivity of families who receive assistance, for it
adopted the theoretical framework of analytical power of Michel Foucaut. From
the perspective of Social Constructionism, were analyzed official documents
from the Ministry of Health and observed the daily work of a family health team,
analyzing the discursive practices in these different fields of research. The
process of this investigation resulted in the possibility to analyze and relate the
meanings of three discursive practices: Families, Power and Care. In the
documentary analysis, three groups of meaning were discussed: (1) as the FHS
healthcare model approaches of a Governmentality dispositive; (2) the
meanings of family treated in the documents, the highlight occurs in the created
norms on families, and as this is an important strategy for the good government
of the population; (3) the strategic position that discursive practices of Care and
Humanization occupy in the documents and the changes they propel to care
practices. In participant observation, we report three situations experienced in
the field, it is argued from these reports the main meanings of team care
concrete practices and the effects of power in families. In the final
considerations discusses the three discursive practices that made up this work:
Power, Families and Care, tracing possible ways that contribute to the
movement of Clinical and Care Management, and indicating FHS care practices
in order to enable a ethical and humane meeting between worker-user which
generates autonomy, emancipation growth for these different actors.
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