FAMILY HEALTH AND PRIMARY HEALTH CARE EXPANDED SUPPORT CENTER: ANALYSIS OF THE WORK PROCESS

Abstract The present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center located in a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.